LAURA BIRD (M.D.) – Family Medicine Physician, NPI 1295720993

LAURA BIRD (M.D.) is a healthcare provider. based in Maryville, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 036096129 (IL). The NPI Number for LAURA BIRD (M.D.) is 1295720993

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
LAURA BIRD (M.D.)
NPI
1295720993
Phone
(618) 288-0656
Address
2704 N CENTER ST
Enumeration Date
19 September 2005
Last Update Date
28 October 2025

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6184741723
Graduation Year
1994 (32 years ago)
PAC ID
6709786072
Group Practice PAC ID
6800784083
Professional Enrollment ID
I20080707000215
Address ID
IL620026723AL2XXXXDRXX312

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for LAURA BIRD (M.D.)

  • 2704, North Center Street, Maryville, Madison County, Illinois, 62062, United States

    MARYVILLE, IL 620625624

    Phone: (618) 288-0656

    Fax: (618) 288-0736

    Type: Mailing

  • 2704 N Center St

    Maryville, IL 620625624

    Phone: (618) 288-0656

    Fax: (618) 288-0736

    Type: Location

  • PO BOX 959203

    SAINT LOUIS, MO 631959203

    Phone: (618) 433-7901

    Fax: (618) 433-7940

    Type: Mailing

  • 2 MEMORIAL DR STE 220

    ALTON, IL 620026723

    Phone: (618) 433-7901

    Fax: (618) 433-7940

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-07-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080707000215IFamily PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes247172$0
99213Established patient office or other outpatient visit, 20-29 minutes145112$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit104104$0
36415Insertion of needle into vein for collection of blood sample8472$0
81002Urinalysis, manual test4036$0
View full utilization report →

Insurance plans in this area (ZIP 62062)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800784083View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerMO
Physician AssistantIL
Hospitalist, Internal Medicine, Pediatric Medicine, HospitalistMO
Family PracticeIL
Hospitalist, Family PracticeIL
E N D O C R I N O L O G YIL
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO

Reviews

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Frequently asked questions

Is LAURA BIRD (M.D.) listed with a National Provider Identifier?
Yes — LAURA BIRD (M.D.) has NPI 1295720993 on file in the registry.
Is LAURA BIRD (M.D.) shown as active in public data?
Registry records indicate LAURA BIRD (M.D.) maintains an active NPI.
What area of care is associated with LAURA BIRD (M.D.)?
LAURA BIRD (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is LAURA BIRD (M.D.) located near Maryville?
LAURA BIRD (M.D.) currently maps to Maryville, Illinois in this extract.
Can I trust this NPI listing for LAURA BIRD (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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