BERNARD J BIRNBAUM M.D.
NPI 1295772432
Family Medicine in Fort Collins, CO

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1025 PENNOCK PL, FORT COLLINS, CO 80524(970) 495-8800(970) 495-8820 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bernard J Birnbaum M.d. NPPES

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

BERNARD J BIRNBAUM M.D. (NPI 1295772432) is an individual family medicine provider in Fort Collins, Colorado, licensed in Colorado (DR-44489) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1999).

NPPES Registry Identity

NPI1295772432
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBERNARD J BIRNBAUMCredential: M.D.
Location Address1025 PENNOCK PLFort Collins, CO 80524-3257
Mailing Address1025 Pennock PlFort Collins, CO 80524-3257 · (970) 495-8800 · Fax (970) 495-8852
Fax(970) 495-8820
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1999
Enumeration DateMay 31, 2006
Last NPPES UpdateJune 18, 2014
NPI 1295772432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CO · DR-44489
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.
1025 PENNOCK PL, Fort Collins, CO 80524

Other Identifiers 4

Medicare PINCO805489CO
Medicaid51155745CO
Medicare PINC805489CO
Medicare UPINH71560

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

Bernard J 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 ID3173535648
PECOS Enrollment IDI20060627000176
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 8

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.
155 services77 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.
43 services19 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
32 services27 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
23 services21 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.
21 services21 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.
18 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80524 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
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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 7

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers14 claims14 services$30.70 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers12 claims12 services$87.37 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers11 claims33 services$31.21 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers12 claims12 services$16.14 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers22 claims132 services$2.09 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers26 claims26 services$18.04 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.

Family Medicine
1025 PENNOCK PL
FORT COLLINS, CO 80524
Student in an Organized Health Care Education/Training Program
1025 PENNOCK PL
FORT COLLINS, CO 80524
Hospitalist
1025 PENNOCK PL
FORT COLLINS, CO 80524
Nurse Practitioner (Family)
1025 PENNOCK PL, FAMILY MEDICINE CENTER
FORT COLLINS, CO 80524
Family Medicine
1025 PENNOCK PL
FORT COLLINS, CO 80524
Nurse Practitioner (Family)
1025 PENNOCK PL
FORT COLLINS, CO 80524
Nurse Practitioner
1025 PENNOCK PL, STE 121
FORT COLLINS, CO 80524
Nurse Practitioner (Family)
1025 PENNOCK PL
FORT COLLINS, CO 80524

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 Bernard Birnbaum's NPI number?

The NPI number for Bernard Birnbaum is 1295772432. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Bernard Birnbaum located?

Bernard Birnbaum practices at 1025 Pennock Pl, Fort Collins, CO 80524. The listed phone number is (970) 495-8800.

What is Bernard Birnbaum's specialty?

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

Is Bernard Birnbaum enrolled in Medicare?

Yes. Bernard 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 Bernard Birnbaum accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and UnitedHealthcare list Bernard 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 Bernard Birnbaum was last updated on June 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.