Dr. Zachary Birch, DO
3700 S Main St, Blacksburg, VA 24060 • +1-804-555-1767
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Blacksburg Percentiles
NPI #1043846181 • CBSA Regional • Internal Medicine
Dr. Zachary Birch, DO (NPI #1043846181) practices Internal Medicine in Blacksburg, VA (24060) with sub-specialty concentration in 12 Active CMS HCPCS Codes, recording 730 annual CMS services across 195 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (35.29th Blacksburg percentile) (-0.18σ vs VA state mean, 8.33th statewide percentile).
Dr. Birch's longitudinal care intensity (3.7 billed units per patient across 195 individuals) centers on 99214 (329 annual units) and 99213 ($132–$181 cash range).
Cash-pay intake data for NPI 1043846181 (3700 S Main St, Blacksburg) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 19-minute average reception wait and 4.86/5 biomarker openness.
Patients evaluating Dr. Zachary Birch in ZIP 24060 note 17 years of post-doctoral tenure (null, 2009) alongside 3.7 annual CMS procedures per patient.
Compared against Blacksburg, VA Internal Medicine peers
730 annual services across 195 beneficiaries
Standard deviations from VA Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 329 | 35.29th | $172 – $236 |
| 99213 | Established Preventive & Chronic Care Visit | 190 | 38.29th | $132 – $181 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 95 | 38.29th | $63 – $86 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 73 | 32.29th | $202 – $277 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 44 | 33.29th | $240 – $328 |
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Dr. Zachary Birch, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Birch National Provider Identifier | NPI #1043846181 (DO) | CMS NPPES Registry (24060) |
| Dr. Birch Blacksburg CMS Volume Rank | 35.29th Pct (730 CMS svcs; Z -0.178σ) | CMS Medicare Part B (VA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Blacksburg, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.96/5 Listening • 4.86/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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