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FREDERICK A. BIRNBERG M.D.
NPI 1386683084
Radiology - Diagnostic Radiology in Newport Beach, CA

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
90.92/100
CMS Quality Rating
ONE HOAG DRIVE, NEWPORT BEACH, CA 92663(949) 764-5570(949) 263-0473 Get Directions Write a Review

NPPES record last updated: December 12, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Frederick A. Birnberg M.d. NPPES

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

FREDERICK A. BIRNBERG M.D. (NPI 1386683084) is an individual diagnostic radiology provider in Newport Beach, California, licensed in California (G37627) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1978).

NPPES Registry Identity

NPI1386683084
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameFREDERICK A. BIRNBERGCredential: M.D.
Location AddressONE HOAG DRIVENewport Beach, CA 92663-4162
Mailing AddressDept La 21555Pasadena, CA 91185-1555 · (949) 764-5570 · Fax (949) 263-1639
Phone(949) 764-5570
Fax(949) 263-0473
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1978
Enumeration DateJune 6, 2006
Last NPPES UpdateDecember 12, 2007
✔ NPI 1386683084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · G37627
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
ONE HOAG DRIVE, Newport Beach, CA 92663
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINA47170
Other00G376270CA · Blue Shield
Medicaid00G376270CA
Medicare PINWG37627ACA

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

Frederick A. Birnberg 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 ID3274712526
PECOS Enrollment IDI20110119000872
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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
6,404 services2,953 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
2,842 services2,446 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
2,185 services1,846 patients
X-ray of ribs on side of body, minimum of 3 views 71101
This is a diagnostic procedure where a machine emits a small amount of radiation to capture images of your ribs from at least three different angles. It helps to identify issues like fractures or infections. It's a quick, painless process.
211 services205 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
31 services31 patients
X-ray of ribs on both sides of body, minimum of 4 views 71111
An X-ray of the ribs on both sides of the body, with a minimum of 4 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the ribs and surrounding structures, helping to diagnose conditions like fractures or lung diseases.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

90.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality63.35
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%36 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JAY P. LICHMAN M.D.
Radiology (Diagnostic Radiology)
ONE HOAG DRIVE
NEWPORT BEACH, CA 92663
Orange County (949) 764-5570
NEWPORT HARBOR RADIOLOGY ASSOCIATES MEDICAL GROUP, INC
Radiology (Diagnostic Radiology)
ONE HOAG DRIVE
NEWPORT BEACH, CA 92663
Orange County (949) 764-5570
DR. AJAY MOHAN LALVANI MD
Anesthesiology
ONE HOAG DRIVE, DEPARTMENT OF ANESTHESIOLOGY
NEWPORT BEACH, CA 92663
Orange County (949) 764-6954
DR. LEIGHTON JOHN SMITH MD
Anesthesiology
ONE HOAG DRIVE, DEPARTMENT OF ANESTHESIOLOGY
NEWPORT BEACH, CA 92663
Orange County (949) 764-6954
DR. DAVID C. RICHARDS MD
Anesthesiology
ONE HOAG DRIVE, DEPARTMENT OF ANESTHESIOLOGY
NEWPORT BEACH, CA 92663
Orange County (949) 764-6954
DR. CHRISTOPHER RUSSELL ARKIND MD
Anesthesiology
ONE HOAG DRIVE, DEPARTMENT OF ANESTHESIOLOGY
NEWPORT BEACH, CA 92663
Orange County (949) 764-6954
SUSAN G ROUX M.D.
Radiology (Diagnostic Radiology)
ONE HOAG DRIVE
NEWPORT BEACH, CA 92663
Orange County (949) 263-8620
DR. NELSON MOREL WESTERHOUT MD
Anesthesiology
ONE HOAG DRIVE, DEPARTMENT OF ANESTHESIOLOGY
NEWPORT BEACH, CA 92663
Orange County (949) 764-6954

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 Frederick Birnberg's NPI number?

The NPI number for Frederick Birnberg is 1386683084. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Frederick Birnberg located?

Frederick Birnberg practices at One Hoag Drive, Newport Beach, CA 92663. The listed phone number is (949) 764-5570.

What is Frederick Birnberg's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Frederick Birnberg enrolled in Medicare?

Yes. Frederick Birnberg 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.

When was this NPI record last updated?

The NPPES record for Frederick Birnberg was last updated on December 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.