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YELENA BIRGER MD
NPI 1376598136
Internal Medicine in Manalapan, NJ

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
61.23/100
CMS Quality Rating
300 CRAIG RD, SUITE 208, MANALAPAN, NJ 07726(732) 333-0062(732) 333-0004 Get Directions Write a Review

NPPES record last updated: March 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yelena Birger Md NPPES

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

YELENA BIRGER MD (NPI 1376598136) is an individual internal medicine provider in Manalapan, New Jersey, licensed in New Jersey (25MB07663700) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Monmouth Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2000).

NPPES Registry Identity

NPI1376598136
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameYELENA BIRGERCredential: MD
Location Address300 CRAIG RD, SUITE 208Manalapan, NJ 07726-8742
Mailing Address12 Walden CtOld Bridge, NJ 08857-3573 · (732) 360-0619 · Fax (732) 333-0004
Phone(732) 333-0062
Fax(732) 333-0004
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2000
Enumeration DateMay 23, 2006
Last NPPES UpdateMarch 13, 2014
✔ NPI 1376598136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MB07663700
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Adolescent MedicineTaxonomy 207RA0000X · License 226826 (NY)
300 CRAIG RD, Manalapan, NJ 07726
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Other Identifiers 4

Medicare PING300084146NY
Medicare PIN097612NJ
Medicare UPINH90711NY
Medicaid02389839NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Yelena Birger 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 ID2961471297
PECOS Enrollment IDI20041001000968, I20060125000558
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 20

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.
1,665 services266 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.
525 services106 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
478 services86 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.
386 services165 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.
193 services193 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.
115 services112 patients

Hospital Affiliations CMS Care Compare 2

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

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07726 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

61.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality76.13
Improvement Activities0
Cost77.05

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers95 claims183 services$5.24 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
2 suppliers17 claims17 services$1.30 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
17 suppliers78 claims81 services$0.94 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims720 services$6.33 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
4 suppliers18 claims18 services$11.46 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$21.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Y. Jones August 23, 2024

5/5
My first visit with Dr. Birger was a pleasant surprise. Dr. Birger's thoroughness during the appointment was impressive. She conducted a complete physical exam without rushing, taking the time to address all of my concerns. Dr. Birger also performed a breast exam, ensuring a comprehensive approach to my health. A physician who embodies the caring nature of "old school" practitioners.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

Other Providers at the Same Location NPPES 7

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

THOMAS W. LUDLOW. LCSW, LCADC, LLC
Counselor (Addiction (Substance Use Disorder))
300 CRAIG RD
MANALAPAN, NJ 07726
Monmouth County (732) 780-2448
KATHLEEN SHEEHY-DEZERGA D.C.
Chiropractor
300 CRAIG RD, STE 102
MANALAPAN, NJ 07726
Monmouth County (732) 409-6777
ANTHONY DINONNO D.C.
Chiropractor
300 CRAIG RD
MANALAPAN, NJ 07726
Monmouth County (732) 780-8832
HEAR AT HOME NJ LLC
Audiologist-Hearing Aid Fitter
300 CRAIG RD, SUITE 205
MANALAPAN, NJ 07726
Monmouth County (908) 216-1761
FREEHOLD ARTIFICIAL KIDNEY CENTER LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
300 CRAIG RD
MANALAPAN, NJ 07726
Monmouth County (732) 303-1589
MR. GLENN LIMAS P.T.
Physical Therapist
300 CRAIG RD
MANALAPAN, NJ 07726
Monmouth County (732) 303-1425
MONMOUTH BACK & NECK REHABILITATION, LLC
Specialist
300 CRAIG RD
MANALAPAN, NJ 07726
Monmouth County (732) 780-8832

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 Yelena Birger's NPI number?

The NPI number for Yelena Birger is 1376598136. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Yelena Birger located?

Yelena Birger practices at 300 Craig Rd Suite 208, Manalapan, NJ 07726. The listed phone number is (732) 333-0062.

What is Yelena Birger's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Yelena Birger enrolled in Medicare?

Yes. Yelena Birger 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 Yelena Birger accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Yelena Birger 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 Yelena Birger affiliated with any hospitals?

According to CMS data, Yelena Birger is affiliated with Monmouth Medical Center and Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Yelena Birger was last updated on March 13, 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.