Doctor profile · Federal record

Dr. Monica Blanton-Birzer, PA-C

Physician Assistant · Lawrence, KS

  • NPI 1225096670
  • Accepts Medicare
  • MIPS 95.7 / 100 · 2023
  • 29 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1130 W 4Th St Ste 3204
Lawrence, KS 660441345
(785) 505-5815
fax (785) 505-5278
Mailing address
325 Maine Street, Mso Library
Lawrence, KS 66044

Credentials & registration

NPPES · NUCC
NPI registered
May 2006 — 20 yrs on file
Profile last updated
November 22, 2021
Year of graduation
1997 — 29 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Kansas #1500589

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1225096670. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
324
Distinct HCPCS
10
Medicare allowed
$26,754
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 72 68 $71
99214 Established patient office or other outpatient visit, 30-39 minutes 66 63 $102
99204 New patient office or other outpatient visit, 45-59 minutes 41 41 $133
99212 Established patient office or other outpatient visit, 10-19 minutes 36 30 $45
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion 33 22 $31
99203 New patient office or other outpatient visit, 30-44 minutes 17 17 $89
81003 Automated urinalysis test 13 13 $2
22558 Fusion of lower spine bone through abdomen with partial removal of disc 12 12 $182
99442 Telephone medical discussion with physician, 11-20 minutes 12 12 $53
22840 Placement of stabilizing device to back of 1 spine bone in neck 11 11 $93

In context: peer comparison

Among 13 peers in Lawrence Physician Assistant, average services per provider: 55. This provider delivers 5.9× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$93
Transactions
4
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
Medtronic, INC. 2 $55.91
Neurelis, INC. 1 $22.58
Scilex Pharmaceuticals INC. 1 $14.49

By nature of payment

Food and Beverage
$93

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
451
Patients
169
Total drug cost
$6,741
Drug Type Claims Patients Total cost
Gabapentin Generic 113 41 $2,079
Oxycodone Hcl Generic 103 41 $738
Methocarbamol Generic 55 22 $466
Tizanidine Hcl Generic 45 18 $255
Pregabalin Generic 43 15 $2,357
Dexamethasone Generic 39 32 $375
Tramadol Hcl Generic 19 0 $133
Celecoxib Generic 18 0 $287
Meloxicam Generic 16 0 $52

Frequently asked questions

Auto-generated from federal data
What is Dr. Monica Blanton-Birzer's medical specialty?
Dr. Monica Blanton-Birzer practices Physician Assistant in Lawrence, KS.
Where does Dr. Monica Blanton-Birzer practice?
Dr. Monica Blanton-Birzer practices at 1130 W 4Th St Ste 3204, Lawrence, KS 660441345. Office phone: 7855055815.
What is Dr. Monica Blanton-Birzer's NPI?
Dr. Monica Blanton-Birzer's National Provider Identifier (NPI) is 1225096670, issued by NPPES.
Does Dr. Monica Blanton-Birzer accept Medicare assignment?
Yes. Dr. Monica Blanton-Birzer accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Monica Blanton-Birzer commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.