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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLAS GABRIEL BIRO MD
NPI 1497959332
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Santa Clarita, CA

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
23861 MCBEAN PKWY STE E21, SANTA CLARITA, CA 91355(818) 600-1602 Get Directions Write a Review

NPPES record last updated: October 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 11, 2026, Sep 21, 2021, Apr 20, 2017 (3 updates tracked since 2017).

About Nicolas Gabriel Biro Md NPPES

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

NICOLAS GABRIEL BIRO MD (NPI 1497959332) is an individual ophthalmic plastic and reconstructive surgery provider in Santa Clarita, California, licensed in California (C172433) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (2005).

NPPES Registry Identity

NPI1497959332
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameNICOLAS GABRIEL BIROCredential: MD
Location Address23861 MCBEAN PKWY STE E21Santa Clarita, CA 91355-4457
Mailing Address13311 Galewood StSherman Oaks, CA 91423-4907 · (917) 348-1060 · Fax (909) 206-1097
Phone(818) 600-1602
Sole ProprietorYes
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2005
Enumeration DateJune 13, 2007
Last NPPES UpdateOctober 11, 20263 updates tracked since enumeration
NPPES CertifiedOctober 11, 2026
✔ NPI 1497959332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License✔ Licensed in CA · C172433
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
23861 MCBEAN PKWY STE E21, Santa Clarita, CA 91355
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicolas Gabriel Biro 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 ID8820253099
PECOS Enrollment IDI20211005003644
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Nicolas Biro reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

De La Pena Eye Clinic, A Medical Group, Inc
15 mi
Ophthalmology
7100 VAN NUYS BLVD, SUITE 120
Van Nuys, CA 91405
  • Reassigned Medicare billing, California enrollment
  • 36 clinicians in this Medicare group
NPI 1952748501 (818) 988-1111
A Center For Visioncare Surgical & Medical Group
21 mi
Ophthalmology
2031 W ALAMEDA AVE STE 300
Burbank, CA 91506
  • Reassigned Medicare billing, California enrollment
  • 14 clinicians in this Medicare group
NPI 1912058728 (818) 762-0647
Paul J Dougherty M D Inc
22 mi
Ophthalmology
4353 PARK TERRACE DR STE 150
Westlake Village, CA 91361
  • Reassigned Medicare billing, California enrollment
  • 20 clinicians in this Medicare group
NPI 1649203639 (805) 987-5300
Specialty Eye Care Medical Center, Inc.
24 mi
Ophthalmology
409 N CENTRAL AVE
Glendale, CA 91203
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1932137601 (818) 265-7777
Joseph L Lin MD Inc
42 mi
Ophthalmology
1135 S SUNSET AVE, SUITE 210
West Covina, CA 91790
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1386073096 (626) 653-9444
First Choice Physician Partners
50 mi
Gynecology
5152 KATELLA AVE, #106
Los Alamitos, CA 90720
  • Reassigned Medicare billing, California enrollment
  • 488 clinicians in this Medicare group
NPI 1427479203 (562) 431-5000
Pacific Eye Institute, A Medical Group, Inc.
57 mi
Ophthalmology
555 N 13TH AVE
Upland, CA 91786
  • Reassigned Medicare billing, California enrollment
  • 50 clinicians in this Medicare group
NPI 1962422709 (909) 982-8846

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 19

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, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
1,203 services11 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
326 services243 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
171 services143 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.
95 services83 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
72 services15 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.
69 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91355 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
71%1,405 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%589 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%828 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
8%948 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 94% · 233 patients
88%233 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
57%948 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%948 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
16%948 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 3

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

NAVA TALYAI
Optometrist
23861 MCBEAN PKWY STE E21
VALENCIA, CA 91355
Los Angeles County (626) 900-8875
NARIMAN NASSIRI MD INC
Ophthalmology (Glaucoma Specialist)
23861 MCBEAN PKWY STE E21
VALENCIA, CA 91355
Los Angeles County (949) 689-6521
BIRO MEDICAL PC
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
23861 MCBEAN PKWY STE E21
SANTA CLARITA, CA 91355
Los Angeles County (818) 600-1602

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 Nicolas Biro's NPI number?

The NPI number for Nicolas Biro is 1497959332. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Nicolas Biro located?

Nicolas Biro practices at 23861 Mcbean Pkwy Ste E21, Santa Clarita, CA 91355. The listed phone number is (818) 600-1602.

What is Nicolas Biro's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Nicolas Biro enrolled in Medicare?

Yes. Nicolas Biro 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.

Which organizations bill Medicare for Nicolas Biro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolas Biro reassigns Medicare benefits to 7 organizations: De La Pena Eye Clinic, A Medical Group, Inc (Van Nuys, CA), A Center For Visioncare Surgical & Medical Group (Burbank, CA), Paul J Dougherty M D Inc (Westlake Village, CA), Specialty Eye Care Medical Center, Inc. (Glendale, CA), Joseph L Lin MD Inc (West Covina, CA) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicolas Biro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicolas Biro was last updated on October 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.