Dr. Peter Simon Birnbaum, DO

  • Anaheim, CA
  • Orthopedic surgeon
NPI1538267042PAC ID1658325733
Medicare services, 2024
2,779
Medicare patients, 2024
164
Part D claims, 2024
300
Hospital affiliations
5
Industry payments
$8,764
Practice address
3010 W Orange Ave, Anaheim, CA 92804
Practice phone
Call (714) 491-3670
Professional email
Get professional email
Personal email
Get personal email
Mobile number
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Social profiles

Primary practice

Peter S Birnbaum DO Inc

Anaheim, California

See all 8 affiliations

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Dr. Peter Simon Birnbaum is an orthopedic surgeon in Anaheim, California

Dr. Birnbaum practices at Peter S Birnbaum DO Inc in Anaheim, California.

Dr. Birnbaum's NPI, 1538267042, was assigned on September 20, 2006. Dr. Birnbaum graduated from WesternU College of Osteopathic Medicine of the Pacific in 1994. Dr. Birnbaum holds California license 20A7133.

NPI and contact details
Medicare PAC ID
1658325733
NPI enumeration date
September 20, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(714) 491-3670
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Male
Estimated age
58
Medical school graduation
1994

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Peter Simon Birnbaum practices at Peter S Birnbaum DO Inc in Anaheim, California

Dr. Birnbaum's primary practice is Peter S Birnbaum DO Inc, at 3010 W Orange Ave, Anaheim, CA 92804 in Orange County. The practice phone is (714) 491-3670.

  • Peter S Birnbaum DO Inc
    3010 W Orange Ave, Anaheim, CA 92804 · Orange CountyPhone(714) 491-3670

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Peter Simon Birnbaum is affiliated with 7 sites of care and 1 medical group

Dr. Birnbaum's primary practice is Peter S Birnbaum DO Inc in Anaheim, California. Dr. Birnbaum is also affiliated with AHMC Anaheim Regional Medical Center. The medical group on file is Peter S. Birnbaum DO Inc. Dmand AI also links Dr. Birnbaum to 4 more hospitals and 1 group practice or clinic, each named with a free account.

See all 8 affiliations for Dr. Birnbaum

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

Dmand AI tracks the EHR system at Dr. Peter Simon Birnbaum's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Birnbaum practices, 6 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Peter S Birnbaum DO IncAvailable with a free account
+6 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Peter Simon Birnbaum is one of 2,056 orthopedic surgeons in California

Orthopaedic surgery is Dr. Birnbaum's primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dr. Birnbaum is board certified in orthopedic surgery by the American Osteopathic Board of Orthopedic Surgery. Dmand AI has Dr. Birnbaum's licenses on file in 5 states: California, New York, Maryland, Pennsylvania and Michigan.

Specialties and state licenses

  • Orthopaedic surgery, CaliforniaPrimaryLicense 20A7133 · 1997 to 2026 · taxonomy 207X00000X
  • New York license2003 to 2005
  • Maryland license1997 to 1998
  • Pennsylvania license1995 to 1997
  • Michigan license1994 to 1995

Clinical focus

Dmand AI lists arm, wrist, hand fracture and dislocation, carpal tunnel syndrome, hand joint or tendon inflammation and minor injury to a limb among the conditions Dr. Birnbaum treats.

Orthopedic surgeons near Dr. Birnbaum

Counts of orthopedic surgeons with a Dmand AI profile, by place and practice. Each opens the list.

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

Dr. Peter Simon Birnbaum billed Medicare for 2,779 services in 2024

CMS data shows 2,779 Medicare services from Dr. Birnbaum across 8 procedure codes in 2024, for 164 Medicare patients. Medicare paid $41,584 for them.

Medicare services, 20242,779
Medicare patients164
Paid by Medicare$41,584
Procedure codes8

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

  • 2023
  • 2024
Drugs given in the office
2023: 782024: 2,2952842%
Office and hospital visits
2023: 4132024: 33718%
Imaging
2023: 942024: 8411%
Surgery
2023: 752024: 6316%

Where Dr. Birnbaum's Medicare services took place, 2024

  • In an office2,73398%
  • In a facility462%

Dr. Birnbaum compared with the California median for orthopedic surgeons, 2024

  • Dr. Birnbaum
  • California median
Medicare services
2,779vs 6834.1 times
Medicare patients
164vs 21524% below
Part D claims
237vs 703.4 times

Medians across 1,844 orthopedic surgeons in California with Dmand AI profiles that report each measure.

Dr. Birnbaum'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. Birnbaum

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

Dr. Peter Simon Birnbaum treated 164 Medicare patients in 2024, average age 75

CMS counts 164 Medicare patients who saw Dr. Birnbaum in 2024. The largest group is 65 to 74, with 56 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 65% are also on Medicaid. Their average risk score is 1.79, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Birnbaum's median patient age at 59, with 61% women.

Medicare patients, 2024164
Average age75
Average risk score1.79
Also on Medicaid65%

Dr. Birnbaum's Medicare patients by age, 2024

Dr. Birnbaum's Medicare patients by sex, 2024

  • Women10162%
  • Men6338%

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

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis60%
  4. Diabetes51%
  5. Mood disorders35%
  6. Depression34%
  7. Chronic kidney disease32%
  8. Ischemic heart disease30%

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

Dr. Birnbaum's patients across all payers

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

Patient panel by age, all payers

Median age 59

Patient panel by sex, all payers

  • Women61%
  • Men38%

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

Dr. Peter Simon Birnbaum wrote 300 Medicare Part D claims in 2024

In 2024, Dr. Birnbaum wrote 300 Medicare Part D claims for 100 patients. 97% of them were for generic drugs. CMS names the drug for 237 of them, across 7 drugs with 11 or more claims each, at $1,637 in total drug cost. In 2023, CMS named 207 claims across 4 drugs.

Part D claims, 2024300
Drugs named by CMS7
Total drug cost$1,637
Part D patients100

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

  • Generic292 claims97%
  • Brand-name and other8 claims3%

Dr. Birnbaum'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. Birnbaum's Part D claims, 2024

  • Opioids56%169 of 300 claims
  • Antibiotics13%39 of 300 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: 2072024: 23714%

Drugs named by CMS: 7 in 2024, 4 in 2023.

See all prescribing by Dr. Birnbaum

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

Dr. Peter Simon Birnbaum ranks in the 81st percentile for lower limb (leg) arthroscopy (minimally invasive joint repair) in Medicare

Dr. Birnbaum accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 11 procedures of lower limb (leg) arthroscopy (minimally invasive joint repair) by Dr. Birnbaum, more than 81% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Where Dr. Birnbaum ranks in Medicare procedure volume

Lower limb (leg) arthroscopy (minimally invasive joint repair)
81st percentile11 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Knee replacement: 1 to 10 procedures (CMS shows small counts as a range)

Removal of tissue: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)

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Dr. Peter Simon Birnbaum received $8,764 in industry payments from 2016 to 2025

CMS Open Payments shows 84 general payments to Dr. Birnbaum from 20 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 52% of the total. Medartis Inc. paid the most, $6,227.

General payments to Dr. Birnbaum by program year, 2016 to 2025

General payments to Dr. Birnbaum by kind, 2016 to 2025

$8.8Kin total
  • Food and beverage$4,56652%
  • Travel and lodging$4,10847%
  • Education$901%

Companies that paid Dr. Birnbaum the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Birnbaum

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

Dr. Peter Simon Birnbaum graduated from WesternU College of Osteopathic Medicine of the Pacific

Dr. Birnbaum graduated from WesternU College of Osteopathic Medicine of the Pacific in 1994. Dr. Birnbaum is a member of American Osteopathic Academy of Orthopedic Surgery and AOA.

  1. Medical schoolWesternU College of Osteopathic Medicine of the Pacific
  2. Board certified in orthopedic surgeryAmerican Osteopathic Board of Orthopedic Surgery
  3. Board certified in orthopedic surgeryAOA Board of Orthopedic Surgery
  4. Board certified in hand surgeryHand Surgery CAQ - AOBOS

Source: Dmand AI Professional Profile Data

Dr. Peter Simon Birnbaum accepts plans from 12 insurance carriers

Dr. Birnbaum is in network with 12 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 10. Check the plan with the practice before a visit.

Plan types Dr. Birnbaum accepts, by number of carriers

  1. Medicare10
  2. PPO8
  3. HMO6
  4. POS5
  5. EPO3

Source: Dmand AI Insurance Network Data

Sources for Dr. Peter Simon Birnbaum'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 phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation 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)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (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. Peter Simon Birnbaum

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. Peter Simon Birnbaum's NPI number?

Dr. Peter Simon Birnbaum's NPI number is 1538267042. It was assigned on September 20, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Peter Simon Birnbaum?

Dr. Peter Simon Birnbaum is an orthopedic surgeon in Anaheim, California. The primary specialty in the NPI Registry is Orthopaedic Surgery Physician (taxonomy code 207X00000X).

Where does Dr. Peter Simon Birnbaum practice?

Dr. Birnbaum practices at 3010 W Orange Ave, Anaheim, CA 92804. Dr. Birnbaum's primary practice is Peter S Birnbaum DO Inc in Anaheim, California. Dmand AI also links Dr. Birnbaum to 4 hospitals and 1 group practice or clinic.

What is Dr. Peter Simon Birnbaum's office phone number?

The practice phone on file for Dr. Birnbaum is (714) 491-3670.

What is Dr. Peter Simon Birnbaum's medical license number?

Dr. Birnbaum holds California license 20A7133, one of the licenses on file in 5 states.

Which states has Dr. Peter Simon Birnbaum been licensed in?

Dmand AI has state licenses on file for Dr. Birnbaum in California (1997 to 2026), New York (2003 to 2005), Maryland (1997 to 1998), Pennsylvania (1995 to 1997) and Michigan (1994 to 1995).

Which hospitals is Dr. Peter Simon Birnbaum affiliated with?

Dr. Birnbaum is affiliated with AHMC Anaheim Regional Medical Center. Dmand AI links Dr. Birnbaum to 4 more hospitals.

What medical group is Dr. Peter Simon Birnbaum part of?

Dr. Birnbaum is linked to Peter S. Birnbaum DO Inc.

Does Dr. Peter Simon Birnbaum accept Medicare?

Yes. CMS data shows Dr. Birnbaum billed Medicare for 2,779 services in 2024, and Dr. Birnbaum accepts Medicare assignment.

How many Medicare patients does Dr. Peter Simon Birnbaum see?

CMS counts 164 Medicare patients who saw Dr. Birnbaum in 2024, with an average age of 75.

Show 7 more questionsShow fewer questions

Is Dr. Peter Simon Birnbaum board certified?

Yes. Dr. Birnbaum is board certified in orthopedic surgery by the American Osteopathic Board of Orthopedic Surgery.

What services does Dr. Peter Simon Birnbaum bill to Medicare?

In 2024, Dr. Birnbaum's most billed Medicare services were injected or infused drug (J1010), office visit, established patient (99214) and diagnostic imaging (76000).

Where did Dr. Peter Simon Birnbaum go to medical school?

Dr. Birnbaum graduated from WesternU College of Osteopathic Medicine of the Pacific in 1994.

What drugs does Dr. Peter Simon Birnbaum prescribe most?

In 2024 Medicare Part D data, Dr. Birnbaum's most prescribed drugs by claims were Hydrocodone-Acetaminophen, Tramadol HCl and Cephalexin.

Has Dr. Peter Simon Birnbaum received payments from drug or device companies?

CMS Open Payments shows $8,764 in general payments to Dr. Birnbaum from 20 companies from 2016 to 2025. The largest total came from Medartis Inc.

How long has Dr. Peter Simon Birnbaum been practicing?

Dr. Birnbaum graduated from medical school in 1994, 32 years ago.

What insurance does Dr. Peter Simon Birnbaum accept?

Dr. Birnbaum is in network with 12 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 10. Check the plan with the practice before a visit.

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