Patrick Michael Birmingham, M.D.

Patrick Michael Birmingham, M.D.

Patrick Michael Birmingham, M.D.

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Personal Bio

Treatment Philosophy

I strive to treat each patient based on their individual personal goals, and return them to activity and life style as quickly as possible.

Conditions & Procedures

Conditions

Elbow Injury, Femoralacetabular Impingement, Hip Labral Tear, Knee Injury, Shoulder Dislocation, Shoulder Injury, Shoulder/Rotator Cuff

Procedures

ACL Reconstruction, Arthroscopy, Cartilage Restoration, Hip Arthroscopy, Knee Arthroscopy, Rotator Cuff Repair, Shoulder Arthroscopic Care, Shoulder Replacement

General Information

Gender

Male

Affiliation

NorthShore Medical Group

Expertise

ACL Tears, Rotator Cuff Tears, Hip Labral Tears

Academic Rank

Clinician Educator

Languages

English

Board Certified

Orthopaedic Surgery, Sports Medicine

Clinical Service

Sports Medicine

Education, Training & Fellowships

Medical School

Loyola University Stritch School of Medicine, 2003

Internship

George Washington University Medical Center, 2004

Residency

George Washington University Medical Center, 2008

Fellowship

Hospital for Special Surgery, 2009

Locations

A

NOI NorthShore Orthopedics Chicago

680 N Lake Shore Dr
Ste 924
Chicago, IL 60611
847.866.7846 866.954.5787 fax Get Directions This location is wheelchair accessible.
B

NorthShore Medical Group

225 N. Milwaukee Ave.
Vernon Hills, IL 60061
847.866.7846 866.954.5787 fax Get Directions This location is wheelchair accessible.
C

NorthShore Medical Group

2180 Pfingsten Rd.
Suite 3100
Glenview, IL 60026
847.866.7846 866.954.5787 fax Get Directions This location is wheelchair accessible.

Insurance

For behavioral health services, please confirm participation with your insurance company or provider.

2017 Exchange Plans (Individuals)

 
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Ambetter Insured By Celtic
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Basic PPO A Multi-State Plan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Choice Preferred PPO (All Plans)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue FocusCare HMO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Precision HMO (All Plans)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield Blue Premier PPO A Multi-State Plan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Solution PPO A Multi-State Plan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield BlueCare Direct with Advocate HMO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Cigna Connect HMO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Cigna Connect HSA
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 

Off Exchange Plans (Individuals)

 
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Bronze Deductible Only HSA Eligible Savings Plus OAMC PD
Not Available In 2017
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Leap Everday Value Plan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Aetna Leap Everyday Carelink Centegra Health System
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Aetna Savings Plus OAMC PD (All Metal Tiers)
Not Available In 2017
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Whole Health Chicago (All Metal Tiers)
Not available for 2017
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Whole Health Chicago Bronze Deductible Only HSA Eligible
Not available for 2017
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Ambetter Insured By Celtic
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Choice Preferred PPO (All Plans)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Choice Preferred Security PPO 100
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Cross Blue Premier 101 Multi-State Plan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Cross Blue Shield Basic 103 Multi-State Plan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Precision HMO (all plans)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield Blue Precision Platinum HMO 104
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield BlueCare Direct with Advocate
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Solution 102 Multi-State Plan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Coventry $15 Copay: Silver & Gold
Not Available In 2017
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Coventry Bronze $10 Copay Carelink St. John's
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Coventry Bronze $15 Copay Carelink St. John's
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Coventry Bronze $20 Copay
Not Available In 2017
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Coventry Bronze Deductible Only HSA Eligible
Not Available In 2017
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Harken Health - an Affiliate of United Healthcare
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Health Alliance HMO (All Metal Tiers)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Health Alliance POS (All Metal Tiers)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Health Alliance PPO (All Metal Tiers)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Humana Chicago HMOx (All Metal Tiers)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Humana Illinois HMOx
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
United Health One Golden Rule
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
United Healthcare Compass (All Plans)
Not Available In 2017
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 

Employer Sponsored Plans

 
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Choice POS II
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Health Network Only
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna HMO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Managed Choice
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Network Options
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Open Access Aetna Select
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Open Access Managed Choice
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Open Choice PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Savings Plus
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Select
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Sub- Cofinity
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Sub- First Health
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Traditional Choice-Indemnity Plan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Whole Health Chicago (All Metal Tiers)
For employers with 2-50 employees
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Beechstreet PPO Network
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield Blue Advantage HMO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield Blue Choice Options
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Choice Preferred PPO (All Plans)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Choice Select PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Choice Select Value Choice
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Distinction Total Care Benefit Differentail
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield Blue Options (All Metal Tiers)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue PPO (All Metal Tiers)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield Blue Precision HMO Plans (All Metal Tiers)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield BlueCare Direct (All Metal Tiers)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield BlueEdge HSA and BlueEdge HCA
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield BluePrint
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield Community Participating Option
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield HMOI
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield PPO Value Choice
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Cigna Exclusive Provider Organization EPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Cigna Great West Healthcare (GWH) Cigna Network
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Cigna HMO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Cigna HMO Open Access
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Cigna HMO Open Access POS
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Cigna HMO POS
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Cigna Medical PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Cigna Medical Indemnity
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Cigna Medical LocalPlus
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Cigna Medical LocalPlus In-Network
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Cigna Medical Network
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Cigna Medical Network POS
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Cigna Medical Open Access Plus (OAP)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Cigna Medical Open Access Plus (OAP) In-Network
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Cigna Medical Open Access POS
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Cofinity PPO (an Aetna Company)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Coventry Consumer Choices (C3)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Coventry HMO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Coventry POS
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Coventry PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Galaxy Health Network
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Harken Health
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Health Alliance HMO, PPO, POS, POS-C
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Health Link HMO
If Unicare Affiliate logo present on card
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Health Link PPO
If Unicare Affiliate logo present on card
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Health Link-Open Access I, II, III
If Unicare Affiliate logo present on card
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Healthcare's Finest Network- FHN 10 & 20
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Healthcare's Finest Network- FHN Platinum
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Healthcare's Finest Network- HFN Community Health Connect
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Healthcare's Finest Network- HFN Community Health Connect Elite
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Healthcare's Finest Network- HFN Community Health Connect Premiere
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Healthcare's Finest Network- HFN-ID
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Advocate Centered EPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Humana Advocate Centered HMO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Humana Choice POS
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Classic Plan (Traditional Indemnity Plan)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Coinsurance: NPOS
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Coinsurance: PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Coinsurance:HMO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Condell Custom PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Humana Copay: HMO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Copay: NPOS
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Copay: PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana COT National POS-Open Access
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Edward- Elmhurst Value HMO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Humana Edward-Elmhurst Advantage HSA/Choice PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Humana High-deductible plans (HDHP) HMO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana High-deductible plans (HDHP) National point of service (NPOS)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana High-deductible plans (HDHP) PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Illinois Coordinated Care
Available In 2017
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Level Funded Premium
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana NorthShore Complete Care
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Self Funding: Administrative Services Only (ASO)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Self-Funding: Level Funded Premium (LFP)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Self-Funding: Minimum Premium (MP)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Self-Funding: Stop Loss Insurance
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Simplicity (HMO, POS, PPO)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Total Health (100 or more employees)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Multiplan/ PHCS- Health EOS Network
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Multiplan/ PHCS- MultiPlan Complementary
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Multiplan/ PHCS- MultiPlan Limited Benefit Plan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Multiplan/ PHCS- MultiPlan Practitioner Only
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Multiplan/ PHCS- MultiPlan Shared Savings
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
Multiplan/ PHCS- PHCS Healthy Directions
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Multiplan/ PHCS- PHCS Practitioner Only
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Multiplan/ PHCS- PHCS Savility
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Multiplan/ PHCS- ValuePoint by MultiPlan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
NorthShore Employee Network
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Preferred Network Access
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Preferred Plan- HealthSmart Get Better
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Preferred Plan PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Stratose- National Preferred Provider Network
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
Three Rivers Provider PPO Network (TRPN)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
UniCare HMO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
UniCare HMO Performance Select
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Unicare PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
UniCare Travel Access
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
United Health One Golden Rule
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
United Healthcare Catalyst
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
United Healthcare Charter
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
United Healthcare Choice
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
United Healthcare Choice Plus
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
United Healthcare Core
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
United Healthcare Heritage
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
United Healthcare Multi-Choice
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
United Healthcare Navigate and Navigate Plus
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
United Healthcare Options Non-Differential PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
United Healthcare Options PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
United Healthcare Tiered Benefits
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 

Medicaid

 
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Better Health FHP
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
Aetna Better Health ICP
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
Blue Cross Blue Shield Community FHP
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Community ICP
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Cigna HealthSpring ICP
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Community Care Alliance- ICP
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Family Health Network- FHP
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
Harmony/WellCare FHP Plan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
Humana ICP
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Illinicare Family Health Plan (FHP/ACA)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Illinicare ICP
Primary Care- Current Patients Only
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Illinois Department of Public Aid (IDPA)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Meridian FHP/ACA Expansion
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Meridian ICP
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Molina ICP
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Next Level ACA/FHP
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 

Medicare Advantage Plans

 
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Medicare (SM) Plan (HMO)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Medicare (SM) Plan (PPO)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Medicare Advantage Group Plans
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Medicare Connect Plus (PPO)/PPO Connect Plus
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Medicare Standard Plan (PPO)/PPO Standard Plan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Medicare Value Plan (HMO)/HMO Value
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Medicare Value Plan (PPO)/PPO Value Plan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Traditional Choice Plan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield Medicare Advantage Basic HMO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Medicare Advantage Basic Plus HMO-POS
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Medicare Advantage Choice Plus PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield Medicare Advantage Choice Premier PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield Medicare Advantage Premier Plus HMO-POS
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Cigna-HealthSpring Advantage HMO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Cigna-HealthSpring Premier HMO-POS
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Cigna-HealthSpring Primary HMO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Cigna-HealthSpring TotalCare HMO-SNP
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Community Care Alliance Complete HMO-D-SNP
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Community Care Alliance HMO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Harmony/WellCare Access (HMO-SNP)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Harmony/WellCare Choice (HMO-POS)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Harmony/WellCare Health Plan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Harmony/WellCare RX (HMO)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Harmony/WellCare Value (HMO-POS)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Harmony/WellCare-Medicare HMO Plans
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Harmony/WellCare-Medicare Special Needs Plans
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Humana Choice PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Community HMO Diabetes and Heart (SNP Program)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Gold Plus HMO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Gold Plus PFFS
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Meridian Medicare Advantage
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Molina Medicare Advantage
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
United Healthcare - AARP Medicare Complete
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
United Healthcare AARP Medicare Complete Access
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
United Healthcare- AARP Medicare Complete Plus (HMO-POS)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
United Healthcare Medicare Advantage Focus
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
United Healthcare- Medicare Solutions/Medicare Advantage
PRIMARY CARE
SPECIALTY CARE
HOSPITALS

Medicare Medicaid Alignment Initiative (MMAI) Plans

 
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Better Health MMAI
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Community MLTSS/LTSS
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Community MMAI
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Cigna-HealthSpring MMAI
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana MMAI
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Illinicare MLTSS/LTSS
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Illinicare MMAI
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Meridian MMAI
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Molina MMAI
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 

Medicare Supplemental Plans

 
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Medicare Supplemental Plans
These plans are secondary to Traditional Medicare; we accept all supplemental plans. Please confirm your coverage benefits with your supplemental carrier.
PRIMARY CARE
SPECIALTY CARE
HOSPITALS

Coverage For Active Military

 
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
TRICARE For Life
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
TRICARE Prime
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
TRICARE Prime Overseas
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
TRICARE Prime Remote
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
TRICARE Prime Remote Overseas
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
TRICARE Reserve Select
PRIMARY CARE
SPECIALTY CARE
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TRICARE Retired Reserve
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Publications

  • Corticosteroid and Anesthetic Injections for Muscle Strains and Ligament Sprains in the NFL.

    HSS journal : the musculoskeletal journal of Hospital for Special Surgery 2014 Jul

    Authors: Drakos M, Birmingham P, Delos D, Barnes R, Murphy C, Weiss L, Warren R
    Abstract
    Administering local anesthetic or corticosteroid injections in professional athletes to allow return to play is common but has traditionally been viewed as suspect and taboo. The skepticism surrounding therapeutic injections stems predominantly from anecdotal experience as opposed to scientific data.
    The purpose of this paper is to evaluate the current use of corticosteroid injections for muscle strains and ligaments sprains in the National Football League to document player's ability to return to play and possible adverse effects.
    Athletes from a single National Football League team who received at least one corticosteroid or anesthetic injection for either a muscle strain or ligament sprain during three consecutive seasons were retrospectively reviewed. Thirty-seven injections were given over the three seasons. Injections were either performed blindly or by using ultrasound guidance.
    Twice as many defensive players were injected than offensive players. The average number of days of conservative treatment before injection was 6.5 days. All players returned to play after injection. There were no complications from any of the injections. Seventeen (55%) players did not miss a single game, and nine (30%) did not miss a single day. Quadriceps strains were associated with the most missed games (four) and the most missed days (36.5). Proximal hamstring strains were second with an average of three missed games and 28 missed days.
    Corticosteroid injections are a safe and effective therapeutic intervention for treating muscle strains and ligament sprains in order to enable athletes to return to competition earlier.
    PMID: 25050097 [PubMed - as supplied by publisher]
  • The effect of dynamic femoroacetabular impingement on pubic symphysis motion: a cadaveric study.

    The American journal of sports medicine 2012 May

    Authors: Birmingham PM, Kelly BT, Jacobs R, McGrady L, Wang M
    Abstract
    A link between femoroacetabular impingement and athletic pubalgia has been reported clinically. One proposed origin of athletic pubalgia is secondary to repetitive loading of the pubic symphysis, leading to instability and parasymphyseal tendon and ligament injury. Hypothesis/
    The purpose of this study was to investigate the effect of simulated femoral-based femoroacetabular impingement on rotational motion at the pubic symphysis. The authors hypothesize that the presence of a cam lesion leads to increased relative symphyseal motion.
    Controlled laboratory study.
    Twelve hips from 6 fresh-frozen human cadaveric pelvises were used to simulate cam-type femoroacetabular impingement. The hips were held in a custom jig and maximally internally rotated at 90° of flexion and neutral adduction. Three-dimensional motion of the pubic symphysis was measured by a motion-tracking system for 2 states: native and simulated cam. Load-displacement plots were generated between the internal rotational torque applied to the hip and the responding motion in 3 anatomic planes of the pubic symphysis.
    As the hip was internally rotated, the motion at the pubic symphysis increased proportionally with the degrees of the rotation as well as the applied torque measured at the distal femur for both states. The primary rotation of the symphysis was in the transverse plane and on average accounted for more than 60% of the total rotation. This primary motion caused the anterior aspect of the symphyseal joint to open or widen, whereas the posterior aspect narrowed. At the torque level of 18.0 N·m, the mean transverse rotation in degrees was 0.89° ± 0.35° for the native state and 1.20° ± 0.41° for cam state. The difference between cam and the native groups was statistically significant (P < .03).
    Dynamic femoroacetabular impingement as caused by the presence of a cam lesion causes increased rotational motion at the pubic symphysis.
    Repetitive loading of the symphysis by cam impingement is thought to lead to increased symphyseal motion, which is one possible precursor to athletic pubalgia.
    PMID: 22392561 [PubMed - as supplied by publisher]
  • Functional outcome after repair of proximal hamstring avulsions.

    The Journal of bone and joint surgery. American volume 2011 Oct 05

    Authors: Birmingham P, Muller M, Wickiewicz T, Cavanaugh J, Rodeo S, Warren R
    Abstract
    Rupture of the proximal origin of the hamstrings leads to pain, weakness, and a debilitating decrease in physical activity. Repair of these injuries should be based on the expectation that these deficits can be addressed. The goal of this study was to objectively evaluate the efficacy of repair of proximal hamstring avulsions.
    Thirty-four patients were identified retrospectively to have a complete rupture of the proximal origin of the hamstrings based on the presence of a bowstring sign and the results of magnetic resonance imaging (MRI).Patients were contacted for follow-up evaluation to fill out a subjective questionnaire, to undergo functional testing, and to undergo isokinetic testing on a Cybex dynamometer. Twenty-three patients were evaluated.
    There were nine acute and fourteen chronic repairs, and the average period of follow-up was 43.3 months. Twenty-one of twenty-three patients reported returning to activity at an average of 95% of their pre-injury activity level at an average of 9.8 months. Eighteen patients reported excellent results; four, good results; and one, fair results. Hamstring strength was an average of 93% and 90% of that in the uninvolved limb at 240° per second and 180° per second, respectively. The hamstrings-to-quadriceps ratio was 56% for 240° per second and 48% at 180° per second. Hamstring endurance was an average of 81% and 91% of the nonoperative limb at 240° per second and 180° per second, respectively. Postoperative quadriceps strength and endurance were positively correlated with return to pre-injury level of activity (r = 0.6, p < 0.05; and r = 0.6, p < 0.05) and negatively correlated with time to return to sport (r = -0.5, p < 0.05; and r = -0.5, p < 0.05). There was no significant effect associated with age or time from injury.
    Repair of a symptomatic and displaced ruptured proximal hamstring tendon yields good subjective and objective functional results with minimal complications. Overall, patients are satisfied with surgical repair and experience return of functional activity with minimal postoperative weakness.
    PMID: 22005868 [PubMed - as supplied by publisher]
  • Outcome of latissimus dorsi transfer as a salvage procedure for failed rotator cuff repair with loss of elevation.

    Journal of shoulder and elbow surgery

    Authors: Birmingham PM, Neviaser RJ
    Abstract
    Eighteen patients, referred from an outside institution with massive, irreparable rotator cuff tears and loss of elevation, were treated with a latissimus dorsi tendon transfer as a salvage procedure for failed, prior, attempted rotator cuff repair. Clinical outcomes were measured by the American Shoulder and Elbow Surgeon's (ASES) score, pain level, and active range of motion. The average postoperative ASES score was 61, an increase from 43 pre-operatively (P = .05). Active elevation improved to an average of 137 degrees compared to 56 degrees pre-operatively (P < .001). The average post-operative pain level was 22 mm, down from 59 (P = .001), and the average post-operative active external rotation at the side was 45 degrees, improved from 31 degrees (P < .001). We conclude that latissimus transfer, as a salvage procedure for failed rotator cuff repair with loss of elevation, allows for significant return of active elevation and function with minimal post-operative pain.
    PMID: 18760633 [PubMed - as supplied by publisher]
  • Simulated joint infection assessment by rapid detection of live bacteria with real-time reverse transcription polymerase chain reaction.

    The Journal of bone and joint surgery. American volume 2008 Mar

    Authors: Birmingham P, Helm JM, Manner PA, Tuan RS
    Abstract
    Although microbiological bacterial culture is currently considered the gold standard for diagnosis of septic arthritis, many studies have documented substantial false-negative and false-positive rates. The objective of this study was to determine whether real-time quantitative reverse transcription polymerase chain reaction can be used to detect bacterial messenger RNA (mRNA) in synovial fluid as a way to distinguish live and dead bacteria as an indicator of active infection.
    Synovial fluid samples were obtained from twelve consecutive patients who presented with knee pain and effusion but no evidence of infection. Following assurance of sterility with plate cultures, each sample was inoculated with clinically relevant bacteria and incubated for twenty-four hours to simulate septic arthritis. Bacterial viability and load were assessed with cultures. Selected samples were also treated with a single dose of a combination of two antibiotics, vancomycin and gentamicin, and sampled at several time points. Total RNA isolated from each sample was analyzed in triplicate with one-step real-time quantitative reverse transcription polymerase chain reaction to detect mRNA encoding for the genes groEL or femC. Controls included sterile, uninoculated samples and inoculated samples analyzed with quantitative polymerase chain reaction without reverse transcription. mRNA content was estimated on the basis of detection limits as a function of serial dilutions and was expressed as a function of colony number in bacterial cultures and RNA content as determined spectrophotometrically.
    All synovial fluid samples that had been inoculated with one of the four bacterial species, and analyzed in triplicate, were identified (distinguished from aseptic synovial fluid) with real-time quantitative reverse transcription polymerase chain reaction; there were no false-negative results. All inoculated samples produced bacterial colonies on culture plates, while cultures of the aseptic samples were negative for growth. The detection limit of the one-step bacterial mRNA-based real-time quantitative reverse transcription polymerase chain reaction varied depending on the bacterial species. A time-dependent decrease in the concentration of detectable bacterial mRNA was seen after incubation of bacteria with antibiotics.
    The direct quantification of the concentration of viable bacterial mRNA with real-time quantitative reverse transcription polymerase chain reaction allows identification of both culture-positive bacterial infection and so-called unculturable bacterial infection in a simulated septic arthritis model. In contrast to conventional polymerase chain reaction, real-time quantitative reverse transcription polymerase chain reaction minimizes false-positive detection of nonviable bacteria and thus provides relevant information on the success or failure of antibiotic therapy.
    PMID: 18310711 [PubMed - as supplied by publisher]

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