NEIL S BIRNBAUM MD
NPI 1659378628
Internal Medicine in Norwood, MA

Active since July 05, 2005PECOS Enrolled
1177 BOSTON PROVIDENCE TPKE, NORWOOD, MA 02062(781) 278-5540(781) 762-7623 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Neil S Birnbaum Md NPPES

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

NEIL S BIRNBAUM MD (NPI 1659378628) is an individual internal medicine provider in Norwood, Massachusetts, licensed in Massachusetts (59486) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659378628
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNEIL S BIRNBAUMCredential: MD
Location Address1177 BOSTON PROVIDENCE TPKENorwood, MA 02062-5019
Mailing Address1177 Providence Highway, Route 1Norwood, MA 02062 · (781) 278-5540 · Fax (781) 762-7623
Fax(781) 762-7623
Sole ProprietorNo
Enumeration DateJuly 5, 2005
Last NPPES UpdateJanuary 22, 2021
NPPES CertifiedJanuary 6, 2021
NPI 1659378628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 59486
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.
1177 BOSTON PROVIDENCE TPKE, Norwood, MA 02062

Other Identifiers 11

OtherA66615First Seniority
Other059486Tufts
OtherJ07346Hmo Blue Choice
Other65027Havard Pilgram
Other5970687Cigna
OtherJ07346Blue Shield Indemnity
Other04-40796United Healthcare Ppo
Other3033911Mass Health
Other5970687Healthsource
Other0016042One Health Plan
Other110119266Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Neil S Birnbaum Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 36

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
444 services296 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.
375 services324 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
267 services244 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
211 services177 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.
143 services143 patients
Blood creatinine level 82565
A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.
107 services101 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02062 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 11

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
16 suppliers39 claims114 services$5.92 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers14 claims18 services$1.06 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers48 claims48 services$30.90 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers33 claims33 services$72.82 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers35 claims90 services$29.12 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers27 claims27 services$44.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
1177 BOSTON PROVIDENCE TPKE
NORWOOD, MA 02062
Family Medicine
1177 BOSTON PROVIDENCE TPKE
NORWOOD, MA 02062
Physician Assistant
1177 BOSTON PROVIDENCE TPKE
NORWOOD, MA 02062
Family Medicine
1177 BOSTON PROVIDENCE TPKE
NORWOOD, MA 02062
Nurse Practitioner (Family)
1177 BOSTON PROVIDENCE TPKE
NORWOOD, MA 02062
Internal Medicine
1177 BOSTON PROVIDENCE TPKE
NORWOOD, MA 02062
Family Medicine
1177 BOSTON PROVIDENCE TPKE
NORWOOD, MA 02062
Internal Medicine
1177 BOSTON PROVIDENCE TPKE
NORWOOD, MA 02062

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 Neil Birnbaum's NPI number?

The NPI number for Neil Birnbaum is 1659378628. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Where is Neil Birnbaum located?

Neil Birnbaum practices at 1177 Boston Providence Tpke, Norwood, MA 02062. The listed phone number is (781) 278-5540.

What is Neil Birnbaum's specialty?

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

Is Neil Birnbaum enrolled in Medicare?

Yes. Neil Birnbaum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Neil Birnbaum was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.