JUSTIN AYALA BIRNBAUM M.D.
NPI 1013007848
Psychiatry & Neurology - Psychiatry in Palo Alto, CA

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
76.5/100
CMS Quality Rating
300 PASTEUR DR, PALO ALTO, CA 94304(650) 723-4000 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Justin Ayala Birnbaum M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN AYALA BIRNBAUM M.D. (NPI 1013007848) is an individual psychiatry provider in Palo Alto, California, licensed in California (G77734) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Palo Alto, and is a graduate of University Of Wisconsin School Of Medicine (1992).

NPPES Registry Identity

NPI1013007848
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJUSTIN AYALA BIRNBAUMCredential: M.D.
Location Address300 PASTEUR DRPalo Alto, CA 94304-2203
Mailing Address300 Pasteur DrPalo Alto, CA 94304-2203 · (650) 723-4000
Sole ProprietorYes
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1992
Enumeration DateOctober 13, 2006
Last NPPES UpdateApril 29, 2024
NPPES CertifiedApril 29, 2024
NPI 1013007848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in CA · G77734
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

300 PASTEUR DR, Palo Alto, CA 94304

Secondary Practice Location 1

Location 1401 Quarry RdPalo Alto, CA 94304-1419 · Phone (650) 736-0106

Other Identifiers 1

Medicaid00G777340CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Justin Ayala Birnbaum M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426105974
PECOS Enrollment IDI20090420000661
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
107 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.31
Promoting Interoperability100
Improvement Activities40
Cost43.95

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
300 PASTEUR DR
PALO ALTO, CA 94304
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304
Psychiatry & Neurology (Psychosomatic Medicine)
300 PASTEUR DR
PALO ALTO, CA 94304
Psychologist (Clinical)
300 PASTEUR DR
PALO ALTO, CA 94304
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304
Colon & Rectal Surgery
300 PASTEUR DR
PALO ALTO, CA 94304
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304
Pathology (Anatomic Pathology)
300 PASTEUR DR
PALO ALTO, CA 94304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Birnbaum's NPI number?

The NPI number for Justin Birnbaum is 1013007848. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Justin Birnbaum located?

Justin Birnbaum practices at 300 Pasteur Dr, Palo Alto, CA 94304. The listed phone number is (650) 723-4000.

What is Justin Birnbaum's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Justin Birnbaum enrolled in Medicare?

Yes. Justin Birnbaum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Justin Birnbaum was last updated on April 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.