CHARLES D BIRNBACH M.D.
NPI 1144255936
Ophthalmology in Bellevue, WA

Q: What is Charles Birnbach's NPI number?

The NPI number for Charles Birnbach is 1144255936. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is Charles Birnbach's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Birnbach was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment

1750 112TH AVE NE, SUITE D050, BELLEVUE, WA 98004(206) 215-3850(206) 215-3870 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2023, Jun 10, 2021 (2 updates tracked since 2021).

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About Charles D Birnbach M.d. NPPES

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

CHARLES D BIRNBACH M.D. (NPI 1144255936) is an individual ophthalmology provider in Bellevue, Washington, licensed in Washington (MD00033777) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1992).

NPPES Registry Identity

NPI1144255936

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameCHARLES D BIRNBACHCredential: M.D.

Location Address1750 112TH AVE NE, SUITE D050Bellevue, WA 98004-3752

Mailing Address22232 17th Ave Se Ste 308Bothell, WA 98021-7425 · (425) 296-3837 · Fax (206) 215-3870

Phone(206) 215-3850

Fax(206) 215-3870

Sole ProprietorNo

Medical School CMSNew York University School Of MedicineGraduated 1992

Enumeration DateJuly 11, 2006

Last NPPES UpdateAugust 21, 20232 updates tracked since enumeration

NPPES CertifiedAugust 21, 2023

✔ NPI 1144255936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in WA · MD00033777

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License MD00033777 (WA)

1750 112TH AVE NE, Bellevue, WA 98004

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles D Birnbach 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 ID3173504859

PECOS Enrollment IDI20040623000011

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.

Medicare Billing Reassignments

Medicare enrollment records show Charles Birnbach reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pacific Northwest Retina PLLC

Same address

Retina Specialist

1750 112TH AVE NE STE D050
Bellevue, WA 98004

Reassigned Medicare billing, Washington enrollment
22 clinicians in this Medicare group

NPI 1558940387 (206) 215-3850

Proliance Surgeons, Inc., P.S.

Same address

Ophthalmology

1750 112TH AVE NE STE D050
Bellevue, WA 98004

Reassigned Medicare billing, Washington enrollment
589 clinicians in this Medicare group

NPI 1841568946 (206) 215-3850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

12,600 services45 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

2,385 services835 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

1,490 services322 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

1,225 services130 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

644 services522 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.

561 services372 patients

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.

249 services205 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

116 services116 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

76 services76 patients

Unclassified drugs J3490

Unclassified drugs are medications that don't fit into an existing category or class due to their unique properties or uses. They may be used for various conditions and their effects may differ widely. Always ask your healthcare provider for more information about these drugs.

55 services31 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

45 services44 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

37 services34 patients

Removal of membrane of retina with removal of internal limiting membrane of retina 67042

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

31 services30 patients

Removal of eye fluid (vitreous) between lens and retina 67036

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

23 services19 patients

Repair of detached retina with drainage and removal of eye fluid between lens and retina 67108

This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.

18 services18 patients

Removal of recurring cataract in lens capsule by stab incision 66820

This procedure involves making a small incision in the eye to remove a recurring cataract in the lens capsule. It's a targeted approach to improve vision by eliminating the cloudy area that obstructs light from reaching the retina.

16 services15 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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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

$143.76 typical visit price

range $63.67 – $189.37

Typical copayment $35.94 (range $15.91 – $47.34)

Most-billed visit code 99204

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

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.

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.

WORAWAN RATTANASAMPHAN MD

Specialist

1750 112TH AVE NE, SUITE A-101
BELLEVUE, WA 98004

King County (425) 688-5234

SPORTS REACTION CENTER INC

Specialist

1750 112TH AVE NE, SUITE D-154
BELLEVUE, WA 98004

King County (425) 643-9778

TANUSHREE GANGADHAR YALAVATTI DPT

Physical Therapist

1750 112TH AVE NE
BELLEVUE, WA 98004

King County (425) 289-0381

JULIE TRAN DPT

Physical Therapist

1750 112TH AVE NE
BELLEVUE, WA 98004

King County (425) 289-0381

BELLEVUE INTERNAL MEDICINE ASSOCIATES PLLC

Internal Medicine (Geriatric Medicine)

1750 112TH AVE NE, SUITE A101 & A102
BELLEVUE, WA 98004

King County (425) 637-1022

LESLIE RENEE MERKLIN-BARBER RN

Registered Nurse

1750 112TH AVE NE, SUITE A101
BELLEVUE, WA 98004

King County (425) 688-5879

MONALI SHAH

Physical Therapist

1750 112TH AVE NE
BELLEVUE, WA 98004

King County (425) 289-0381

DR. ARASH MOGHADDAM M.D.

Psychiatry & Neurology (Psychiatry)

1750 112TH AVE NE, SUITE B102
BELLEVUE, WA 98004

King County (425) 688-5460

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 Charles Birnbach's NPI number?

The NPI number for Charles Birnbach is 1144255936. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Charles Birnbach located?

Charles Birnbach practices at 1750 112th Ave NE Suite D050, Bellevue, WA 98004. The listed phone number is (206) 215-3850.

What is Charles Birnbach's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Charles Birnbach enrolled in Medicare?

Yes. Charles Birnbach 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.

Which organizations bill Medicare for Charles Birnbach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Birnbach reassigns Medicare benefits to 2 organizations: Pacific Northwest Retina PLLC (Bellevue, WA) and Proliance Surgeons, Inc., P.S. (Bellevue, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Birnbach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Birnbach accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Charles Birnbach 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 Charles Birnbach was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.