NPPES file of Aug 9, 2026

Douglas Ross Birns, M.D.

Urology Physician · New York, NY

Douglas Ross Birns, M.D. is a urology physician with a practice address in New York, New York, and NPI 1134158488, issued on Jun 30, 2006. Check the license (New York 153003, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1134158488
Name
Douglas Ross Birns
Credential
M.D.
Primary taxonomy
Urology Physician 208800000X
License number
153003 NY
Self-reported in NPPES; status is on the state search
Practice location
12 E 86TH St Ofc 3, New York, NY 10028
Phone
(212) 744-8700
Enumerated
Jun 30, 2006
Record last updated
May 20, 2026
Fax
(212) 249-2421
Medicare enrollment
Enrolled (PECOS I20050311000957); may accept Medicare assignment
Medical or professional school
State University Of New York Downstate Medical Center, 1981
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 12 E 86TH St Ofc 3

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jay Adlersberg, MDRheumatology Physician1629140033

Verify Douglas Ross Birns in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 153003
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.0 times the Medicare Part D claims of the average urology physician in 2024

2,747 Medicare Part D claims for 650 beneficiaries, against an average of 1,340 among the 10,782 providers of this specialty who prescribed in Part D. Brand-name drugs were 5% of claims.

  1. Douglas Birns2,747
  2. Specialty average1,340

Most prescribed

  1. Tamsulosin Hcl1,294 claims
  2. Finasteride386 claims
  3. Alfuzosin Hcl Er192 claims
  4. Myrbetriq95 claims
  5. Ciprofloxacin Hcl89 claims
  6. Tadalafil80 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): 83.7 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.

  1. Qualityout of 100 · 30% of the final score71.0
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%99.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $645.33

18 payments; by number, the most common kind was food and beverage; the largest payer was Pfizer Inc. The 9,340 providers of this specialty with any payment received $3,800.04 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Douglas Birns$645.33
  2. Specialty average$3,800.04

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. North Shore Hematology Oncology Associates PCSmithtown, NY
  2. Refuah Health Center IncNew Square, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Douglas Ross Birns among 1,091 urology physician records in New York

Douglas Ross Birns, M.D. is one of 1,091 urology physician records with a practice address in New York. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 13% of them.

  • NPI issued2006 · 13% of these records are older, 47% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated1981 · median 2000 among the 735 with a school on file
  • Record last updated2026 · 66% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208800000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Urology Physician providers in New York

There are 1,091 urology physician records in New York.

The 8 urology physician records with the nearest ZIP codes

  1. Jan Bernie, M.D.New York, NY 100281609815398
  2. Eugene Fine, MDNew York, NY 100281699841718
  3. Stephanie Hanchuk, MDNew York, NY 100281255996930
  4. Irwin Leventhal, MDNew York, NY 100281386710192
  5. Arnold Melman, MDNew York, NY 100281437253853
  6. Gerald Zelikovsky, MDNew York, NY 100281235120114
  7. Gregory Amend, M.D.New York, NY 100291588076798
  8. Shivaram Cumarasamy, MDNew York, NY 100291508363359

Common questions

What is Douglas Ross Birns, M.D.'s NPI number?

Douglas Ross Birns, M.D.'s National Provider Identifier (NPI) is 1134158488, issued on Jun 30, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Douglas Ross Birns, M.D. located?

The NPPES record lists a practice address at 12 E 86TH St Ofc 3, New York, NY, 10028. Phone: (212) 744-8700. Providers update this record themselves, so call before visiting.

How can I verify Douglas Ross Birns, M.D.'s license?

NPPES lists New York license number 153003, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Douglas Ross Birns, M.D. prescribe under Medicare Part D?

In 2024, Douglas Ross Birns, M.D. had 2,747 Medicare Part D claims for 650 beneficiaries; the average among urology physician prescribers was 1,340. Part D covers Medicare prescriptions only.

What is Douglas Ross Birns, M.D.'s MIPS final score?

The 2023 MIPS final score is 83.7 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.