Elliott Birnstein, M.D.
NPI 1265703300 · Gastroenterology Physician · Los Angeles, CA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elliott Birnstein, M.D. is a Gastroenterology Physician provider in Los Angeles, CA (NPI 1265703300).
Provider details
- NPI number
- 1265703300
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- A122533 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
665 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 133 | $87 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 102 | $146 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 95 | $147 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 60 | $103 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 51 | $129 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 79 | 37 |
| Omeprazole | 44 | 22 |
| Famotidine | 14 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$20 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (4)
- 1200 N State StCt-A7dLos Angeles, CA 90033-1029Phone: (323) 226-7556Fax: (323) 226-3867
- 2403 Castillo St Ste 201Santa Barbara, CA 93105Phone: (805) 682-3585
- 2403 Castillo St Ste 201Santa Barbara, CA 93105Phone: (805) 682-3585
- 3 Richland Medical Park Dr Ste 120Columbia, SC 29203-6850Phone: (803) 434-8866
Registry dates
- Enumerated
- 2012-01-20
- Last updated
- 2021-03-23
- Certified
- 2021-03-23
Frequently asked questions
- What is Elliott Birnstein's NPI number?
- Elliott Birnstein's National Provider Identifier (NPI) is 1265703300, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elliott Birnstein's specialty?
- Elliott Birnstein is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Elliott Birnstein located?
- Elliott Birnstein's practice location on file with NPPES is 700 W 7th St # S270-D, Los Angeles, CA 90017-3768.
- What is Elliott Birnstein's phone number?
- The practice phone number listed in the NPPES registry for Elliott Birnstein is (213) 988-8380.
- Does Elliott Birnstein accept Medicare?
- Elliott Birnstein is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elliott Birnstein's NPI active?
- Yes — Elliott Birnstein's NPI (1265703300) is active in the NPPES registry as of the last update on 2021-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.