Andrea Diane Birnbaum, MD, PHD
Ophthalmology Physician · Chicago, IL
Andrea Diane Birnbaum, MD, PHD is an ophthalmology physician with a practice address in Chicago, Illinois, and NPI 1912171364, issued on Apr 16, 2008. Check the license (Illinois 036.122825, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Andrea Diane Birnbaum
- Credential
- MD, PHD
- Primary taxonomy
- Ophthalmology Physician 207W00000X
- License number
- 036.122825 IL
Self-reported in NPPES; status is on the state search - Practice location
- 1718 W Wolfram St, Chicago, IL 60657
- Phone
- (773) 248-2071
- Enumerated
- Apr 16, 2008
- Record last updated
- Mar 13, 2012 (not updated in 14 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20090717000613); accepts Medicare assignment
- Medical or professional school
- University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb), 2005
- Entity
- Type 1 · individual
8 nearest ophthalmology physician records → All 898 in Illinois → Look up another NPI →
Verify Andrea Diane Birnbaum in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036.122825Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
76% fewer Medicare Part D claims than the average ophthalmology physician in 2024
360 Medicare Part D claims for 83 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 35% of claims.
Most prescribed
- Latanoprost120 claims
- Erythromycin73 claims
- Brimonidine Tartrate38 claims
- Tafluprost21 claims
- Doxycycline Hyclate18 claims
- Cyclosporine16 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 94.1 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Northwestern Medical Faculty FoundationChicago, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Andrea Diane Birnbaum among 898 ophthalmology physician records in Illinois
Andrea Diane Birnbaum, MD, PHD is one of 898 ophthalmology physician records with a practice address in Illinois. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 64% of them.
- NPI issued2008 · 64% of these records are older, 31% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated2005 · median 1999 among the 551 with a school on file
- Record last updated2012 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Ophthalmology Physician providers in Illinois
There are 898 ophthalmology physician records in Illinois.
All 898 in Illinois → Every provider in Chicago → Ophthalmology Physician nationwide →
The 8 ophthalmology physician records with the nearest ZIP codes
- Ema AvdagicChicago, IL 606571497287148
- Kelley Bohm, M.D.Chicago, IL 606571609238443
- Gregory Doren, M.D.Chicago, IL 606571851411847
- Joseph Garber, MDChicago, IL 606571306910542
- Barry Herst, MDChicago, IL 606571295809259
- Brian Herst, M.D.Chicago, IL 606571801235734
- Gina Rogers, M.D.Chicago, IL 606571609042902
- Bryan Traubert, MDChicago, IL 606571336213495
Common questions
What is Andrea Diane Birnbaum, MD, PHD's NPI number?
Andrea Diane Birnbaum, MD, PHD's National Provider Identifier (NPI) is 1912171364, issued on Apr 16, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Andrea Diane Birnbaum, MD, PHD located?
The NPPES record lists a practice address at 1718 W Wolfram St, Chicago, IL, 60657. Phone: (773) 248-2071. Providers update this record themselves, so call before visiting.
How can I verify Andrea Diane Birnbaum, MD, PHD's license?
NPPES lists Illinois license number 036.122825, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Andrea Diane Birnbaum, MD, PHD prescribe under Medicare Part D?
In 2024, Andrea Diane Birnbaum, MD, PHD had 360 Medicare Part D claims for 83 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.
What is Andrea Diane Birnbaum, MD, PHD's MIPS final score?
The 2023 MIPS final score is 94.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.