DR. ELIOT L. BIRNBAUM M.D.
NPI 1609847995
Obstetrics & Gynecology in Saratoga Springs, NY

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
77.38/100
CMS Quality Rating
59 MYRTLE STREET, SUITE 100, SARATOGA SPRINGS, NY 12866(518) 587-2400(518) 581-0141 Get Directions Write a Review

NPPES record last updated: April 5, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Eliot L. Birnbaum M.d. NPPES

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

DR. ELIOT L. BIRNBAUM M.D. (NPI 1609847995) is an individual obstetrics & gynecology provider in Saratoga Springs, New York, licensed in New York (189300) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Glens Falls Hospital, and is a graduate of State University Of New York Downstate Medical Center (1988).

NPPES Registry Identity

NPI1609847995
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. ELIOT L. BIRNBAUMCredential: M.D.
Location Address59 MYRTLE STREET, SUITE 100Saratoga Springs, NY 12866-1044
Mailing Address59 Myrtle Street, Suite 100Saratoga Springs, NY 12866-1044 · (518) 587-2400 · Fax (518) 581-0141
Fax(518) 581-0141
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1988
Enumeration DateJanuary 27, 2006
Last NPPES UpdateApril 5, 2013
NPI 1609847995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NY · 189300
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

59 MYRTLE STREET, Saratoga Springs, NY 12866

Other Identifiers 1

Medicare UPINF43602NY

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. Eliot L. 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 ID3971493602
PECOS Enrollment IDI20040317000748
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
49 services49 patients
Established patient office or other outpatient visit, 20-29 minutes 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 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12866 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

77.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.97
Promoting Interoperability97
Improvement Activities40
Cost39.16

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
43%51 patients2/55-star benchmark: 100%
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

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

Nurse Practitioner (Obstetrics & Gynecology)
59 MYRTLE STREET, SUITE 100
SARATOGA SPRINGS, NY 12866

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609847995, enumerated as an "individual" on January 27, 2006.

The provider is located at 59 MYRTLE STREET SUITE 100 SARATOGA SPRINGS, NY 12866 and the phone number is (518) 587-2400.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Eliot Birnbaum is affiliated with: GLENS FALLS HOSPITAL and SARATOGA HOSPITAL.