DR. STEVEN BRIAN BIRNBAUM MD
Accepted Insurance for NPI 1831177310
Radiology - Diagnostic Radiology in Worcester, MA

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment
55 LAKE AVE N, WORCESTER, MA 01655(508) 334-3850 Get Directions

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 29, 2022, Nov 16, 2017 (2 updates tracked since 2017).

Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with DR. STEVEN BRIAN BIRNBAUM MD, a practicing radiology professional in Worcester, MA. Compiled from official Health Insurance Marketplace public data and sources from participating insurance companies for the current plan year, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 18 individual coverage options managed by medical networks, including networks like Ambetter from NH Healthy Families. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.

Verify before you schedule: insurance networks change throughout the plan year. Confirm coverage directly with your insurance company or this practice’s billing office before booking an appointment.

Ambetter from NH Healthy Families

Choice Bronze HSA
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

75841NH0090006
Choice Bronze HSA + Vision + Adult Dental
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

75841NH0100002
Clear Silver
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

75841NH0090013
Clear Silver + Vision + Adult Dental
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

75841NH0100010
Complete Gold
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

75841NH0090005
Complete Gold + Vision + Adult Dental
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

75841NH0100009
Complete Silver
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

75841NH0090011
Complete Silver + Vision + Adult Dental
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

75841NH0100011
Elite Bronze
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

75841NH0090021
Elite Bronze + Vision + Adult Dental
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

75841NH0100021
Everyday Gold
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

75841NH0090026
Everyday Gold + Vision + Adult Dental
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

75841NH0100026
Standard Expanded Bronze
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

75841NH0090028
Standard Expanded Bronze + Vision + Adult Dental
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

75841NH0100029
Standard Gold
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

75841NH0090030
Standard Gold + Vision + Adult Dental
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

75841NH0100031
Standard Silver
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

75841NH0090029
Standard Silver + Vision + Adult Dental
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

75841NH0100030
No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

This provider accepts health insurance plans managed by the following insurance companies: Ambetter from NH Healthy Families. You can filter specific policies or search for unique plans using the open dashboard controls located above.
Yes, registry files confirm this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. Additionally, the provider is officially enrolled in the PECOS program (Provider Enrollment, Chain, and Ownership System), verifying that they are certified to order, refer, or prescribe services to Medicare beneficiaries.
DR. STEVEN BRIAN BIRNBAUM MD is enrolled across the following managed care network types: EPO.
  • EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.
The accepted plan information on this page is compiled from official Health Insurance Marketplace public data and insurance companies sources for the current plan year, and it is refreshed as updated files are published. Because insurance networks change frequently throughout the year, always verify coverage directly with the insurance company or the provider’s office before scheduling care.