DR. LAURA M BIRNBAUM M.D.
NPI 1053309088
Family Medicine in Giddings, TX

Q: What is Laura Birnbaum's NPI number?

The NPI number for Laura Birnbaum is 1053309088. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Q: What is Laura Birnbaum's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Laura Birnbaum was last updated on January 13, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 13, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 45D1043475 · Microscopy

87.88/100

CMS Quality Rating

219A E RAILROAD ROW, GIDDINGS, TX 78942(979) 542-9000(979) 542-9002 Get Directions Write a Review

NPPES record last updated: January 13, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Laura M Birnbaum M.d. NPPES

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

DR. LAURA M BIRNBAUM M.D. (NPI 1053309088) is an individual family medicine provider in Giddings, Texas, licensed in Texas (L7981) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through July 25, 2027, and is affiliated with Chi St Joseph Health Regional Hospital.

NPPES Registry Identity

NPI1053309088

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LAURA M BIRNBAUMCredential: M.D.

Location Address219A E RAILROAD ROWGiddings, TX 78942-2639

Mailing AddressPo Box 1618Giddings, TX 78942-1478 · (979) 542-9000 · Fax (979) 542-9002

Phone(979) 542-9000

Fax(979) 542-9002

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2002

Enumeration DateOctober 13, 2005

Last NPPES UpdateJanuary 13, 2014

✔ NPI 1053309088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · L7981

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

219A E RAILROAD ROW, Giddings, TX 78942

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Other Identifiers 4

Medicare UPINI38667TX

Medicare PIN00313ZTX

Medicaid175749401TX

Medicare PIN8F0855TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

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

Dr. Laura M 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 ID8527090448

PECOS Enrollment IDI20050831000402

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D1043475

Laura Birnbaum, MD PA · Giddings, TX

Active · expires Jul 25, 2027

CLIA Number45D1043475

Laboratory TypePhysician Office

Certificate Effective DateJuly 26, 2025

Certificate Expiration DateJuly 25, 2027

Laboratory DirectorLaura M. Birnbaum, MD

Laboratory Phone(979) 542-9000

Laboratory LocationLaura Birnbaum, MD PA219A East Railroad, Giddings, TX 78942

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 17

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

470 services235 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

438 services205 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

283 services112 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

226 services226 patients

Urine microalbumin (protein) analysis 82044

Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.

202 services167 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

193 services193 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

93 services16 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

81 services67 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

73 services73 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

56 services44 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

56 services36 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

41 services14 patients

Stool analysis for blood to screen for colon tumors 82270

A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.

40 services40 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

27 services15 patients

2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0002

This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.

21 services18 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

19 services19 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Joseph Health Regional Hospital

Acute Care Hospitals · Bryan, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450011

Location2801 Franciscan DrBryan, TX 77802 · Brazos County

Emergency services Birthing friendly

Seton Smithville Regional Hospital

Acute Care Hospitals · Smithville, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number450143

Location1201 Hill Rd Attn: Fin DirSmithville, TX 78957 · Bastrop County

Emergency services

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670056

Location6001 Kyle PkwyKyle, TX 78640 · Hays County

Emergency services Birthing friendly

Baylor Scott & White Medical Center- College Stati

Acute Care Hospitals · College Station, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670088

Location700 Scott & White DriveCollege Station, TX 77845 · Brazos County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78942 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

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.

87.88/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

75.76

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

e-Prescribing

99%3,652 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

97%1,146 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers45 claims81 services$5.59 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

2 suppliers12 claims18 services$0.97 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers16 claims16 services$44.36 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

2 suppliers15 claims61 services$23.23 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers16 claims16 services$63.67 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers17 claims17 services$20.17 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES

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

CARDIOVASCULAR SPECIALISTS OF TEXAS, P.A.

Internal Medicine (Interventional Cardiology)

219A E RAILROAD ROW
GIDDINGS, TX 78942

Lee County (512) 617-6000

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 Laura Birnbaum's NPI number?

The NPI number for Laura Birnbaum is 1053309088. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Laura Birnbaum located?

Laura Birnbaum practices at 219A E Railroad Row, Giddings, TX 78942. The listed phone number is (979) 542-9000.

What is Laura Birnbaum's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Laura Birnbaum enrolled in Medicare?

Yes. Laura 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.

Does Laura Birnbaum hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1043475) is associated with this NPI, valid through July 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Laura Birnbaum accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Laura Birnbaum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Laura Birnbaum affiliated with any hospitals?

According to CMS data, Laura Birnbaum is affiliated with Chi St Joseph Health Regional Hospital, Seton Smithville Regional Hospital, Ascension Seton Hays and Baylor Scott & White Medical Center- College Stati.

When was this NPI record last updated?

The NPPES record for Laura Birnbaum was last updated on January 13, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

About Dr. Laura M Birnbaum M.d. NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 4

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare Enrollment Status

CLIA Laboratory Certificates CMS CLIA

Certificate for Provider-Performed Microscopy Procedures (PPMP) · 45D1043475

Areas of Expertise CMS Part B claims 17

Hospital Affiliations CMS Care Compare 4

Chi St Joseph Health Regional Hospital

Seton Smithville Regional Hospital

Ascension Seton Hays

Baylor Scott & White Medical Center- College Stati

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Reported Quality Measures

Referred Medical Equipment & Supplies CMS DME claims 14

Other Providers at the Same Location NPPES

Frequently Asked Questions NPPES & CMS

What is Laura Birnbaum's NPI number?

Where is Laura Birnbaum located?

What is Laura Birnbaum's specialty?

Is Laura Birnbaum enrolled in Medicare?

Does Laura Birnbaum hold a CLIA laboratory certificate?

What insurance does Laura Birnbaum accept?

Is Laura Birnbaum affiliated with any hospitals?

When was this NPI record last updated?

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D1043475