DR. JACOB BIRNBAUM M.D.
NPI 1437680931
Family Medicine in Mcallen, TX

Q: What is Jacob Birnbaum's NPI number?

The NPI number for Jacob Birnbaum is 1437680931. It was assigned to this individual provider in the NPPES registry on March 26, 2017.

Q: What is Jacob Birnbaum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Birnbaum was last updated on June 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 26, 2017PECOS EnrolledAccepts Medicare Assignment

1000 E DOVE AVE, MCALLEN, TX 78504(956) 362-3520 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jacob Birnbaum M.d. NPPES

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

DR. JACOB BIRNBAUM M.D. (NPI 1437680931) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (S3798) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1437680931

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JACOB BIRNBAUMCredential: M.D.

Location Address1000 E DOVE AVEMcallen, TX 78504-3974

Mailing Address7072 Fm 1960 Rd E Ste 7Humble, TX 77346-2788 · (281) 397-5258

Phone(956) 362-3520

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 26, 2017

Last NPPES UpdateJune 28, 2023

NPPES CertifiedJune 28, 2023

✔ NPI 1437680931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · S3798

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.

1000 E DOVE AVE, Mcallen, TX 78504

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Jacob 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 ID8820410459

PECOS Enrollment IDI20200626001087

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 5

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, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

99 services19 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.

49 services46 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

28 services28 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.

27 services27 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.

26 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78504 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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Other Providers at the Same Location NPPES 16

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

MARIA DE JESUS MUNOZ M.D.

Family Medicine