Andrea Birnbaum, MD, PHD
NPI 1912171364 · Ophthalmology Physician · Chicago, IL
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andrea Birnbaum, MD, PHD is a Ophthalmology Physician provider in Chicago, IL (NPI 1912171364).
Provider details
- NPI number
- 1912171364
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 036.122825 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
558 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Established Patient Complete Exam of Visual System92014 | 163 | $130 |
| Imaging of Retina92134 | 99 | $42 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 85 | $97 |
| Imaging of Optic Nerve92133 | 65 | $38 |
| New Patient Complete Exam of Visual System92004 | 45 | $155 |
| Exam of Visual Field With Extended Testing92083 | 31 | $66 |
| Extended Exam of the Back Part of the Eye With Retinal Drawing |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 120 | 30 |
| Erythromycin Basebrand: Erythromycin | 73 | 36 |
| Brimonidine Tartrate | 38 | 11 |
| Tafluprost/Pfbrand: Tafluprost | 21 | — |
| Doxycycline Hyclate | 18 | — |
| Cyclosporine | 16 | — |
| Dorzolamide Hcl | 13 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include 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 , 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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-04-16
- Last updated
- 2012-03-13
Frequently asked questions
- What is Andrea Birnbaum's NPI number?
- Andrea Birnbaum's National Provider Identifier (NPI) is 1912171364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrea Birnbaum's specialty?
- Andrea Birnbaum is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Andrea Birnbaum located?
- Andrea Birnbaum's practice location on file with NPPES is 1718 W Wolfram St, Chicago, IL 60657-6882.
- What is Andrea Birnbaum's phone number?
- The practice phone number listed in the NPPES registry for Andrea Birnbaum is (773) 248-2071.
- Does Andrea Birnbaum accept Medicare?
- Andrea Birnbaum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andrea Birnbaum's NPI active?
- Yes — Andrea Birnbaum's NPI (1912171364) is active in the NPPES registry as of the last update on 2012-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.