NPPES file of Aug 9, 2026

Richard Ervin Birmingham, PA-C

Physician Assistant · Knoxville, TN

Richard Ervin Birmingham, PA-C is a physician assistant with a practice address in Knoxville, Tennessee, and NPI 1568920593, issued on Mar 8, 2019. Check the license (Tennessee 3860, as entered in NPPES) with the Tennessee board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1568920593
Name
Richard Ervin Birmingham
Credential
PA-C
Primary taxonomy
Physician Assistant 363A00000X
License numbers
3860 TN
PA9113895 FL
9366 GA
Self-reported in NPPES; status is on the state search
Practice location
304 Bagwell RD, Knoxville, TN 37924
Phone
(901) 674-1783
Enumerated
Mar 8, 2019
Record last updated
Sep 18, 2022
Medicare enrollment
Enrolled (PECOS I20221229000467); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Richard Ervin Birmingham in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Tennessee board licenses this profession
    Search for license 3860
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Tennessee license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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55% fewer Medicare Part D claims than the average physician assistant in 2024

375 Medicare Part D claims for 184 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 7% of claims.

  1. Richard Birmingham375
  2. Specialty average830

Most prescribed

  1. Doxycycline Hyclate33 claims
  2. Amoxicillin-Clavulanate Potass26 claims
  3. Prednisone23 claims
  4. Cephalexin22 claims
  5. Diclofenac Sodium19 claims
  6. Fluticasone Propionate19 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 81.9 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score72.4
  2. Costout of 100 · 30%59.6
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $13.09

1 payment: food and beverage; the largest payer was Medtronic, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Richard Birmingham$13.09
  2. Specialty average$841.65

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. University OF Florida Jacksonville Physicians, Inc.Jacksonville, FL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Richard Ervin Birmingham among 3,055 physician assistant records in Tennessee

Richard Ervin Birmingham, PA-C is one of 3,055 physician assistant records with a practice address in Tennessee. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 51% of them.

  • NPI issued2019 · 51% of these records are older, 45% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 66% of these records are
  • Graduated2018 · median 2019 among the 2,030 with a school on file
  • Record last updated2022 · 30% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

399 physician assistant records list a practice address in Knoxville

They are 399 of the 14,339 NPPES records with a practice address in Knoxville, and 3,055 physician assistant records in Tennessee.

The 8 physician assistant records with the nearest ZIP codes

  1. Stephanie Keller, PA-CKnoxville, TN 379241053062240
  2. Angela Lett, PAKnoxville, TN 379241245326362
  3. Jacob Applegate, PAKnoxville, TN 379231891517249
  4. Rachel Chestnut, PA-CKnoxville, TN 379231740132398
  5. Olivia Cohen, PA-CKnoxville, TN 379231487451993
  6. Ricarda Hopper, PA-CKnoxville, TN 379231003628819
  7. Sawyer Noel, PAKnoxville, TN 379231548112519
  8. Thomas Nola, PA-CKnoxville, TN 379231285436220

Common questions

What is Richard Ervin Birmingham, PA-C's NPI number?

Richard Ervin Birmingham, PA-C's National Provider Identifier (NPI) is 1568920593, issued on Mar 8, 2019. An NPI identifies a provider in billing; it is not a license.

Where is Richard Ervin Birmingham, PA-C located?

The NPPES record lists a practice address at 304 Bagwell RD, Knoxville, TN, 37924. Phone: (901) 674-1783. Providers update this record themselves, so call before visiting.

How can I verify Richard Ervin Birmingham, PA-C's license?

NPPES lists Tennessee license number 3860, as entered by the provider. Search the Tennessee board that licenses this profession; the NPPES record confirms identity only.

How much does Richard Ervin Birmingham, PA-C prescribe under Medicare Part D?

In 2024, Richard Ervin Birmingham, PA-C had 375 Medicare Part D claims for 184 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.

What is Richard Ervin Birmingham, PA-C's MIPS final score?

The 2023 MIPS final score is 81.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.