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: August 30, 2026.

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

Accepted Insurance & Health Plans Health Insurance Marketplace

Marketplace plan participation on file for this provider · 2026 plan year

DR. STEVEN BRIAN BIRNBAUM MD, a radiology provider in Worcester, MA, is listed as in-network for 18 health insurance plans from Ambetter from NH Healthy Families. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.

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.
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Insurance Company
18
Plan Options
1
Network Type
18 plans · 18 plan IDs · 2026 plan year

Ambetter from NH Healthy Families

18 plans · Individual market · listed as Preferred

Choice Bronze HSA + Vision + Adult Dental

BronzeEPONew Hampshire
Plan ID75841NH0100002

Choice Bronze HSA

BronzeEPONew Hampshire
Plan ID75841NH0090006

Clear Silver + Vision + Adult Dental

SilverEPONew Hampshire
Plan ID75841NH0100010

Clear Silver

SilverEPONew Hampshire
Plan ID75841NH0090013

Complete Gold + Vision + Adult Dental

GoldEPONew Hampshire
Plan ID75841NH0100009

Complete Gold

GoldEPONew Hampshire
Plan ID75841NH0090005

Complete Silver + Vision + Adult Dental

SilverEPONew Hampshire
Plan ID75841NH0100011

Complete Silver

SilverEPONew Hampshire
Plan ID75841NH0090011

Elite Bronze + Vision + Adult Dental

BronzeEPONew Hampshire
Plan ID75841NH0100021

Elite Bronze

BronzeEPONew Hampshire
Plan ID75841NH0090021

Everyday Gold + Vision + Adult Dental

GoldEPONew Hampshire
Plan ID75841NH0100026

Everyday Gold

GoldEPONew Hampshire
Plan ID75841NH0090026

Standard Expanded Bronze + Vision + Adult Dental

BronzeEPONew Hampshire
Plan ID75841NH0100029

Standard Expanded Bronze

BronzeEPONew Hampshire
Plan ID75841NH0090028

Standard Gold + Vision + Adult Dental

GoldEPONew Hampshire
Plan ID75841NH0100031

Standard Gold

GoldEPONew Hampshire
Plan ID75841NH0090030

Standard Silver + Vision + Adult Dental

SilverEPONew Hampshire
Plan ID75841NH0100030

Standard Silver

SilverEPONew Hampshire
Plan ID75841NH0090029
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Coverage Questions FAQs

Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.

What insurance does DR. STEVEN BRIAN BIRNBAUM MD accept?

Marketplace files for the 2026 plan year list DR. STEVEN BRIAN BIRNBAUM MD as in-network for 18 plans from Ambetter from NH Healthy Families. The full list above shows each plan's metal level, network type, and plan IDs.

Is DR. STEVEN BRIAN BIRNBAUM MD enrolled in Medicare?

Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.

What network types does DR. STEVEN BRIAN BIRNBAUM MD participate in?

The accepted plans include 18 EPO plans. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements.

Where does this insurance data come from and how current is it?

Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.