Dr. Nancy J. Councelbaum, MD

  • Newport Beach, CA
  • Geriatric medicine (internal medicine) physician
NPI1275635013
Medicare services, 2024
1,446
Medicare patients, 2024
415
Part D claims, 2024
4,868
Industry payments
$1,819
Affiliated sites
2
Practice address
510 Superior Ave, Newport Beach, CA 92663
Practice phone
Call (949) 764-5700
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Hoag Clinic - Newport Beach

Urgent Care Center · Newport Beach, California

See all 3 affiliations

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Dr. Nancy J. Councelbaum is a geriatric medicine (internal medicine) physician in Newport Beach, California

Dr. Councelbaum practices at Hoag Clinic - Newport Beach in Newport Beach, California.

Dr. Councelbaum's NPI, 1275635013, was assigned on September 2, 2006. Dr. Councelbaum graduated from Keck School of Medicine of USC in 1984. Dr. Councelbaum's California license number on file is G57005.

NPI and contact details
NPI enumeration date
September 2, 2006
NPI status
Active
Practice phone
(949) 764-5700
Professional email
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Personal email
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Mobile number
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Sex
Female
Estimated age
68
Medical school graduation
1984

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data

Dr. Nancy J. Councelbaum practices at Hoag Clinic - Newport Beach in Newport Beach, California

Dr. Councelbaum's primary practice is Hoag Clinic - Newport Beach, at 510 Superior Ave, Newport Beach, CA 92663. The practice phone is (949) 764-5700.

  • Hoag Clinic - Newport Beach
    510 Superior Ave, Newport Beach, CA 92663Phone(949) 764-5700

Source: Dmand AI Affiliation Data

Dr. Nancy J. Councelbaum is affiliated with 2 sites of care and 1 medical group

Dr. Councelbaum's primary practice is Hoag Clinic - Newport Beach in Newport Beach, California. The medical group on file is Hoag Clinic. Dmand AI also links Dr. Councelbaum to 1 more group practice or clinic, named with a free account. Dr. Councelbaum's employer is on file too: an urgent care center.

See all 3 affiliations for Dr. Councelbaum

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Nancy J. Councelbaum's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Councelbaum practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Hoag Clinic - Newport BeachAvailable with a free account
+1 more affiliated siteAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Nancy J. Councelbaum is one of 497 geriatric medicine (internal medicine) physicians in California

Geriatric medicine is Dr. Councelbaum's primary specialty in the NPI Registry, under taxonomy code 207RG0300X. Dr. Councelbaum is board certified in internal medicine by the American Board of Internal Medicine. Dr. Councelbaum has a license on file in California.

Specialties and state licenses

  • Geriatric medicine (internal medicine), CaliforniaPrimaryLicense G57005 · 1986 to 2025 · taxonomy 207RG0300X

Clinical focus

Dmand AI lists acid reflux, aneurysm, ankle or foot injury, anxiety, arthritis, asthma, atrial fibrillation and flutter and bladder disease among the conditions Dr. Councelbaum treats.

Geriatric medicine (internal medicine) physicians near Dr. Councelbaum

Counts of geriatric medicine (internal medicine) physicians with a Dmand AI profile, by place and practice. Each opens the list.

497geriatric medicine (internal medicine) physicians in California
4geriatric medicine (internal medicine) physicians in Newport Beach

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Nancy J. Councelbaum billed Medicare for 1,446 services in 2024

CMS data shows 1,446 Medicare services from Dr. Councelbaum across 21 procedure codes in 2024, for 415 Medicare patients. Medicare paid $129,139 for them. Every service was in an office.

Medicare services, 20241,446
Medicare patients415
Paid by Medicare$129,139
Procedure codes21

Dr. Councelbaum's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 9412024: 9064%
Other services
2023: 2582024: 2673%
Tests and treatments
2023: 1972024: 23921%
Surgery
2023: 212024: 225%
Lab and pathology
2023: 152024: 1220%
Drugs given in the office
2023: 232024: 0100%

Dr. Councelbaum compared with the California median for geriatric medicine (internal medicine) physicians, 2024

  • Dr. Councelbaum
  • California median
Medicare services
1,446vs 4243.4 times
Medicare patients
415vs 1782.3 times
Part D claims
4,303vs 9304.6 times

Medians across 466 geriatric medicine (internal medicine) physicians in California with Dmand AI profiles that report each measure.

Dr. Councelbaum's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Councelbaum

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Councelbaum and other geriatric medicine (internal medicine) physicians in California.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Nancy J. Councelbaum treated 415 Medicare patients in 2024, average age 77

CMS counts 415 Medicare patients who saw Dr. Councelbaum in 2024. The largest group is 75 to 84, with 201 patients. 75% of them have high cholesterol, and 65% have high blood pressure. 4% are also on Medicaid. Their average risk score is 0.97, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Councelbaum's median patient age at 75, with 80% women.

Medicare patients, 2024415
Average age77
Average risk score0.97
Also on Medicaid4%

Dr. Councelbaum's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Councelbaum's Medicare patients by sex, 2024

  • Women34282%
  • Men7318%

Chronic conditions among Dr. Councelbaum's Medicare patients, 2024

  1. High cholesterol75%
  2. High blood pressure65%
  3. Arthritis48%
  4. Osteoporosis33%
  5. Anxiety26%
  6. Ischemic heart disease23%
  7. Mood disorders22%
  8. Cancer20%

Share of Medicare patients with each condition. A patient can have several.

Dr. Councelbaum's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 75

Patient panel by sex, all payers

  • Women80%
  • Men19%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Nancy J. Councelbaum wrote 4,868 Medicare Part D claims in 2024

In 2024, Dr. Councelbaum wrote 4,868 Medicare Part D claims for 583 patients. 89% of them were for generic drugs. CMS names the drug for 4,303 of them, across 73 drugs with 11 or more claims each, at $180,257 in total drug cost. In 2023, CMS named 4,288 claims across 71 drugs.

Part D claims, 20244,868
Drugs named by CMS73
Total drug cost$180,257
Part D patients583

Dr. Councelbaum's Part D claims by kind of drug, 2024

  • Generic4,342 claims89%
  • Brand-name513 claims11%
  • Other13 claims0%

Dr. Councelbaum's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Councelbaum's Part D claims, 2024

  • Antibiotics1%40 of 4,868 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 4,2882024: 4,303No change

Drugs named by CMS: 73 in 2024, 71 in 2023.

See all prescribing by Dr. Councelbaum

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

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Dr. Nancy J. Councelbaum received $1,819 in industry payments from 2016 to 2023

CMS Open Payments shows 47 general payments to Dr. Councelbaum from 20 drug and device companies from 2016 to 2023. Food and beverage make up the largest share, 100% of the total. Janssen Pharmaceuticals, Inc paid the most, $742.

General payments to Dr. Councelbaum by program year, 2016 to 2023

General payments to Dr. Councelbaum by kind, 2016 to 2023

$1.8Kin total
  • Food and beverage$1,812100%
  • Education$60%

Companies that paid Dr. Councelbaum the most, 2016 to 2023

Share is of all general payments to this clinician.

See all payments to Dr. Councelbaum

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Nancy J. Councelbaum graduated from Keck School of Medicine of USC

Dr. Councelbaum graduated from Keck School of Medicine of USC in 1984.

  1. Medical schoolKeck School of Medicine of USC
  2. Board certified in internal medicineAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Nancy J. Councelbaum accepts plans from 9 insurance carriers

Dr. Councelbaum is in network with 9 carriers, including Aetna, Excellus BlueCross BlueShield and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.

  • Aetna
  • Excellus BlueCross BlueShield
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • Blue Cross Blue Shield of Massachusetts
  • HCSC
  • Regence Health Plans
  • Blue Cross and Blue Shield of Kansas City
  • +1 more carriersWith a free account

Plan types Dr. Councelbaum accepts, by number of carriers

  1. Medicare8
  2. PPO7
  3. HMO4
  4. POS4
  5. EPO3

Source: Dmand AI Insurance Network Data

Sources for Dr. Nancy J. Councelbaum's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Nancy J. Councelbaum

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Nancy J. Councelbaum's NPI number?

Dr. Nancy J. Councelbaum's NPI number is 1275635013. It was assigned on September 2, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Nancy J. Councelbaum?

Dr. Nancy J. Councelbaum is a geriatric medicine (internal medicine) physician in Newport Beach, California. The primary specialty in the NPI Registry is Geriatric Medicine (Internal Medicine) Physician (taxonomy code 207RG0300X).

Where does Dr. Nancy J. Councelbaum practice?

Dr. Councelbaum practices at 510 Superior Ave, Newport Beach, CA 92663. Dr. Councelbaum's primary practice is Hoag Clinic - Newport Beach in Newport Beach, California. Dmand AI also links Dr. Councelbaum to 1 group practice or clinic.

What is Dr. Nancy J. Councelbaum's office phone number?

The practice phone on file for Dr. Councelbaum is (949) 764-5700.

What is Dr. Nancy J. Councelbaum's medical license number?

Dr. Councelbaum's California license number on file is G57005.

What medical group is Dr. Nancy J. Councelbaum part of?

Dr. Councelbaum is linked to Hoag Clinic.

Does Dr. Nancy J. Councelbaum accept Medicare?

Yes. CMS data shows Dr. Councelbaum billed Medicare for 1,446 services in 2024.

How many Medicare patients does Dr. Nancy J. Councelbaum see?

CMS counts 415 Medicare patients who saw Dr. Councelbaum in 2024, with an average age of 77.

Is Dr. Nancy J. Councelbaum board certified?

Yes. Dr. Councelbaum is board certified in internal medicine by the American Board of Internal Medicine.

What services does Dr. Nancy J. Councelbaum bill to Medicare?

In 2024, Dr. Councelbaum's most billed Medicare services were office visit, established patient (99214), office visit, established patient (99213) and medicare service (G0439).

Show 5 more questionsShow fewer questions

Where did Dr. Nancy J. Councelbaum go to medical school?

Dr. Councelbaum graduated from Keck School of Medicine of USC in 1984.

What drugs does Dr. Nancy J. Councelbaum prescribe most?

In 2024 Medicare Part D data, Dr. Councelbaum's most prescribed drugs by claims were Levothyroxine Sodium, Atorvastatin Calcium and Losartan Potassium.

Has Dr. Nancy J. Councelbaum received payments from drug or device companies?

CMS Open Payments shows $1,819 in general payments to Dr. Councelbaum from 20 companies from 2016 to 2023. The largest total came from Janssen Pharmaceuticals, Inc.

How long has Dr. Nancy J. Councelbaum been practicing?

Dr. Councelbaum graduated from medical school in 1984, 42 years ago.

What insurance does Dr. Nancy J. Councelbaum accept?

Dr. Councelbaum is in network with 9 carriers, including Aetna, Excellus BlueCross BlueShield and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.

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