DR. ELISA H BIRNBAUM MD
NPI 1114943438
Colon & Rectal Surgery in Aurora, CO

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: October 8, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2018, Nov 14, 2016 (2 updates tracked since 2016).

About Dr. Elisa H Birnbaum Md NPPES

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

DR. ELISA H BIRNBAUM MD (NPI 1114943438) is an individual colon & rectal surgery provider in Aurora, Colorado, licensed in Colorado (58566) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1985).

NPPES Registry Identity

NPI1114943438
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameDR. ELISA H BIRNBAUMCredential: MD
Location Address12605 E 16TH AVEAurora, CO 80045-2545
Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1985
Enumeration DateJuly 14, 2006
Last NPPES UpdateOctober 8, 20182 updates tracked since enumeration
NPI 1114943438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in CO · 58566
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

12605 E 16TH AVE, Aurora, CO 80045

Accepted 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. Elisa H Birnbaum Md 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 ID8820984834
PECOS Enrollment IDI20171009000929
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 7

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
52 services52 patients
Suture of rectum to sacrum through abdomen 45540
This is a surgical procedure where your rectum is securely attached to your sacrum (lower part of the spine) via your abdomen. It's performed to fix issues like rectal prolapse, where the rectum slips out of its normal place.
38 services38 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 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.
26 services21 patients
Attachment of vagina to rear pelvic bone 57280
This procedure involves securing the lower part of the female reproductive system to the back of the pelvic bone. This is done to provide additional support and stability, especially in cases where it has been weakened due to various health conditions.
21 services21 patients
Repair of herniated rectum into vaginal wall 57250
This procedure involves correcting a physical condition where part of the rectum bulges into the vaginal area. It's done by repositioning the rectum and strengthening the tissue between the two areas to prevent recurrence.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
5 suppliers16 claims310 services$3.03 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
2 suppliers14 claims24 services$6.78 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
6 suppliers14 claims340 services$4.68 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
8 suppliers29 claims910 services$5.71 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
6 suppliers26 claims650 services$3.31 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
8 suppliers21 claims1,100 services$0.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045
Advanced Practice Midwife
12605 E 16TH AVE, UNIVERSITY OF COLORADO HOSPITAL
AURORA, CO 80045
Radiology (Diagnostic Radiology)
12605 E 16TH AVE
AURORA, CO 80045
Dermatology
12605 E 16TH AVE
AURORA, CO 80045
Advanced Practice Midwife
12605 E 16TH AVE
AURORA, CO 80045
Internal Medicine (Hematology & Oncology)
12605 E 16TH AVE
AURORA, CO 80045
Emergency Medicine
12605 E 16TH AVE
AURORA, CO 80045
Emergency Medicine
12605 E 16TH AVE
AURORA, CO 80045

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 Elisa Birnbaum's NPI number?

The NPI number for Elisa Birnbaum is 1114943438. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Elisa Birnbaum located?

Elisa Birnbaum practices at 12605 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Elisa Birnbaum's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Elisa Birnbaum enrolled in Medicare?

Yes. Elisa 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.

What insurance does Elisa Birnbaum accept?

Health plans from Medica and UnitedHealthcare list Elisa 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.

When was this NPI record last updated?

The NPPES record for Elisa Birnbaum was last updated on October 8, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.