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DR. BRIAN RICHARD BIRNBAUM D.O.
NPI 1215399662
Internal Medicine - Pulmonary Disease in Rego Park, NY

Active since March 24, 2016PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
9525 QUEENS BLVD STE 7, REGO PARK, NY 11374(718) 975-2415(718) 925-6259 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2024, Nov 4, 2022, Apr 1, 2019 and 2 more (5 updates tracked since 2016).

About Dr. Brian Richard Birnbaum D.o. NPPES

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

DR. BRIAN RICHARD BIRNBAUM D.O. (NPI 1215399662) is an individual pulmonary disease provider in Rego Park, New York, licensed in New York (298263) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1215399662
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. BRIAN RICHARD BIRNBAUMCredential: D.O.
Location Address9525 QUEENS BLVD STE 7Rego Park, NY 11374-4510
Mailing Address8002 Kew Gardens Rd Ste 402Kew Gardens, NY 11415-3613 · (929) 485-0300 · Fax (347) 561-6645
Phone(718) 975-2415
Fax(718) 925-6259
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 24, 2016
Last NPPES UpdateSeptember 16, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1215399662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NY · 298263
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 298263 (NY)
9525 QUEENS BLVD STE 7, Rego Park, NY 11374
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1100 E 77th StNew York, NY 10075-1850 · Phone (212) 434-2000
Location 210201 66th Rd Fl 9Forest Hills, NY 11375-2029 · Phone (718) 830-4000
Location 38002 Kew Gardens Rd Ste 402Kew Gardens, NY 11415-3613 · Phone (929) 485-0300 · Fax (347) 561-6645

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. Brian Richard Birnbaum D.o. 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 ID8022352590
PECOS Enrollment IDI20201111001529
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
88 services45 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
81 services32 patients
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.
77 services47 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
45 services42 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services23 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.
19 services15 patients

Hospital Affiliations CMS Care Compare

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

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11374 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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 Brian Birnbaum's NPI number?

The NPI number for Brian Birnbaum is 1215399662. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Brian Birnbaum located?

Brian Birnbaum practices at 9525 Queens Blvd Ste 7, Rego Park, NY 11374. The listed phone number is (718) 975-2415.

What is Brian Birnbaum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Brian Birnbaum enrolled in Medicare?

Yes. Brian 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.

Is Brian Birnbaum affiliated with any hospitals?

According to CMS data, Brian Birnbaum is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Birnbaum was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.