PAUL M KIRSHBOM MD
NPI 1689763393
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Baltimore, MD

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
22 S GREENE ST, BALTIMORE, MD 21201(667) 214-1718(410) 328-5147 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2026, Oct 7, 2025, Jul 15, 2024 and 60 more (63 updates tracked since 2016).

About Paul M Kirshbom Md NPPES

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

PAUL M KIRSHBOM MD (NPI 1689763393) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Baltimore, Maryland, licensed in Virginia (0101285455) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Charlottesville, and is a graduate of Johns Hopkins University School Of Medicine (1991).

NPPES Registry Identity

NPI1689763393
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NamePAUL M KIRSHBOMCredential: MD
Location Address22 S GREENE STBaltimore, MD 21201-1544
Mailing AddressPo Box 64226Baltimore, MD 21264-4226 · (667) 214-1734 · Fax (410) 706-6976
Fax(410) 328-5147
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1991
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 15, 202663 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1689763393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in VA · 0101285455✔ Licensed in NC · 2015-02472✔ Licensed in MD · D0104688
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedPediatricsTaxonomy 208000000X · License 2015-02472 (NC)
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License 2015-02472 (NC)
Also ListedSurgeryTaxonomy 208600000X · License 2015-02472 (NC)
22 S GREENE ST, Baltimore, MD 21201

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0816 · Phone (434) 924-3627

Accepted Insurance

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

Paul M Kirshbom 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 ID9133290992
PECOS Enrollment IDI20251114002621, I20260629003898
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

2

Medicare enrollment records show Paul Kirshbom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
419 W REDWOOD ST
Baltimore, MD 21201
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 65 clinicians in this Medicare group
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 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
$183.44 typical visit price
range $60.73 – $183.44
Typical copayment $45.86 (range $15.18 – $45.86)
Most-billed visit code 99205
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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
22 S GREENE ST
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, MEDICINE, N3E09
BALTIMORE, MD 21201
Physician Assistant (Medical)
22 S GREENE ST, G2K36
BALTIMORE, MD 21201
Pediatrics (Adolescent Medicine)
22 S GREENE ST
BALTIMORE, MD 21201
Nurse Practitioner (Acute Care)
22 S GREENE ST, SUITE S4D07
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, N3E09
BALTIMORE, MD 21201
Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Internal Medicine
22 S GREENE ST, N3E09
BALTIMORE, MD 21201

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 Paul Kirshbom's NPI number?

The NPI number for Paul Kirshbom is 1689763393. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Paul Kirshbom located?

Paul Kirshbom practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (667) 214-1718.

What is Paul Kirshbom's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Paul Kirshbom enrolled in Medicare?

Yes. Paul Kirshbom 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 Paul Kirshbom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Kirshbom reassigns Medicare benefits to 2 organizations: University Of Maryland Surgical Associates, PA (Baltimore, MD) and University Of Virginia Physicians Group (Charlottesville, VA). 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 Paul Kirshbom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Kirshbom accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Oscar Health list Paul Kirshbom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Kirshbom was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.