Dr. Elliott A. Birnstein, MD

  • Roslyn, NY
  • Gastroenterologist
NPI1265703300PAC ID9335494681
Medicare services, 2024
665
Medicare patients, 2024
342
Part D claims, 2024
209
MIPS score, 2024
88
Hospital affiliations
2
Practice address
100 Port Washington Boulevard, Roslyn, NY 11576
Practice phone
Call (516) 562-6000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

St. Francis Hospital & Heart Center

Hospital · Roslyn, New York

See all 4 affiliations

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Dr. Elliott A. Birnstein is a gastroenterologist in Roslyn, New York

Dr. Birnstein practices at St. Francis Hospital & Heart Center in Roslyn, New York, part of Diocese of Rockville Centre.

Dr. Birnstein's NPI, 1265703300, was assigned on January 20, 2012. Dr. Birnstein holds California license A122533.

NPI and contact details
Medicare PAC ID
9335494681
NPI enumeration date
January 20, 2012
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(516) 562-6000
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
41
Medical school graduation
2011

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

Dr. Elliott A. Birnstein practices at St. Francis Hospital & Heart Center in Roslyn, New York

Dr. Birnstein's primary practice is St. Francis Hospital & Heart Center, at 100 Port Washington Boulevard, Roslyn, NY 11576 in Nassau County. The practice phone is (516) 562-6000.

Source: Dmand AI Affiliation Data

Dr. Elliott A. Birnstein is affiliated with 2 sites of care and 2 medical groups

Dr. Birnstein's primary practice is St. Francis Hospital & Heart Center in Roslyn, New York, part of Diocese of Rockville Centre. Dr. Birnstein is also affiliated with Good Samaritan University Hospital. The medical group on file is Cardiac Interventional Group. Dmand AI also links Dr. Birnstein to 1 more medical group, named with a free account.

See all 4 affiliations for Dr. Birnstein

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

Dmand AI tracks the EHR system at Dr. Elliott A. Birnstein's practice

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

EHR by site
SiteEHR vendor and product
St. Francis Hospital & Heart CenterAvailable with a free account
+1 more site and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Elliott A. Birnstein is one of 1,583 gastroenterologists in New York

Gastroenterology is Dr. Birnstein's primary specialty in the NPI Registry, under taxonomy code 207RG0100X. Dmand AI has Dr. Birnstein's licenses on file in 2 states: California and South Carolina.

Specialties and state licenses

  • Gastroenterology, CaliforniaPrimaryLicense A122533 · taxonomy 207RG0100X
  • South Carolina licenseLicense 84078

Gastroenterologists near Dr. Birnstein

Counts of gastroenterologists 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. Elliott A. Birnstein billed Medicare for 665 services in 2024

CMS data shows 665 Medicare services from Dr. Birnstein across 13 procedure codes in 2024, for 342 Medicare patients. Medicare paid $68,207 for them.

Medicare services, 2024665
Medicare patients342
Paid by Medicare$68,207
Procedure codes13

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

  • 2023
  • 2024
Office and hospital visits
2023: 1982024: 505155%
Surgery
2023: 1352024: 16019%
Other services
2023: 382024: 0100%

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

  • In an office28242%
  • In a facility38358%

Dr. Birnstein compared with the New York median for gastroenterologists, 2024

  • Dr. Birnstein
  • New York median
Medicare services
665vs 42158% above
Medicare patients
342vs 23645% above
Part D claims
137vs 38264% below

Medians across 1,551 gastroenterologists in New York with Dmand AI profiles that report each measure.

Dr. Birnstein'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. Birnstein

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

Dr. Elliott A. Birnstein treated 342 Medicare patients in 2024, average age 78

CMS counts 342 Medicare patients who saw Dr. Birnstein in 2024. The largest group is 75 to 84, with 141 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 15% are also on Medicaid. Their average risk score is 1.88, 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. Birnstein's median patient age at 69, with 48% women.

Medicare patients, 2024342
Average age78
Average risk score1.88
Also on Medicaid15%

Dr. Birnstein's Medicare patients by age, 2024

Dr. Birnstein's Medicare patients by sex, 2024

  • Women18253%
  • Men16047%

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

  1. High blood pressure75%
  2. High cholesterol75%
  3. Ischemic heart disease66%
  4. Arthritis62%
  5. Atrial fibrillation47%
  6. Heart failure45%
  7. Diabetes44%
  8. Chronic kidney disease43%

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

Dr. Birnstein's patients across all payers

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

Patient panel by age, all payers

Median age 69

Patient panel by sex, all payers

  • Women48%
  • Men49%

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

Dr. Elliott A. Birnstein wrote 209 Medicare Part D claims in 2024

In 2024, Dr. Birnstein wrote 209 Medicare Part D claims for 90 patients. 91% of them were for generic drugs. CMS names the drug for 137 of them, across 3 drugs with 11 or more claims each, at $1,629 in total drug cost. In 2023, CMS named 192 claims across 7 drugs.

Part D claims, 2024209
Drugs named by CMS3
Total drug cost$1,629
Part D patients90

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

  • Generic191 claims91%
  • Brand-name18 claims9%

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

  • Antibiotics11%22 of 209 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: 1922024: 13729%

Drugs named by CMS: 3 in 2024, 7 in 2023.

See all prescribing by Dr. Birnstein

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. Elliott A. Birnstein scored 88 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 88 out of 100 for Dr. Birnstein for performance year 2024, reported as part of a group. Dr. Birnstein accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Birnstein as offering telehealth. CMS counts 149 procedures of upper gastrointestinal (gi) endoscopy for acid reflux by Dr. Birnstein, more than 85% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Dr. Birnstein's MIPS scores, performance year 2024

  • 88of 100Final score
  • 79.4of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 74of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Birnstein ranks in Medicare procedure volume

Upper gastrointestinal (GI) endoscopy for acid reflux
85th percentile149 procedures
Colonoscopy
76th percentile84 procedures

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

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Elliott A. Birnstein received $296 in industry payments from 2018 to 2025

CMS Open Payments shows 7 general payments to Dr. Birnstein from 4 drug and device companies from 2018 to 2025. Food and beverage make up the largest share, 100% of the total. Janssen Pharmaceuticals, Inc paid the most, $124.

General payments to Dr. Birnstein by program year, 2018 to 2025

Companies that paid Dr. Birnstein the most, 2018 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Birnstein

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

Sources for Dr. Elliott A. Birnstein'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)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (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)
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. Elliott A. Birnstein

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. Elliott A. Birnstein's NPI number?

Dr. Elliott A. Birnstein's NPI number is 1265703300. It was assigned on January 20, 2012, and it is active in the NPI Registry.

What kind of doctor is Dr. Elliott A. Birnstein?

Dr. Elliott A. Birnstein is a gastroenterologist in Roslyn, New York. The primary specialty in the NPI Registry is Gastroenterology Physician (taxonomy code 207RG0100X).

Where does Dr. Elliott A. Birnstein practice?

Dr. Birnstein practices at 100 Port Washington Boulevard, Roslyn, NY 11576. Dr. Birnstein's primary practice is St. Francis Hospital & Heart Center in Roslyn, New York, part of Diocese of Rockville Centre. Dmand AI also links Dr. Birnstein to 1 medical group.

What is Dr. Elliott A. Birnstein's office phone number?

The practice phone on file for Dr. Birnstein is (516) 562-6000.

What is Dr. Elliott A. Birnstein's medical license number?

Dr. Birnstein holds California license A122533, one of the licenses on file in 2 states.

Which states has Dr. Elliott A. Birnstein been licensed in?

Dmand AI has state licenses on file for Dr. Birnstein in California and South Carolina.

Which hospitals is Dr. Elliott A. Birnstein affiliated with?

Dr. Birnstein practices at St. Francis Hospital & Heart Center in Roslyn, New York. Dr. Birnstein is also affiliated with Good Samaritan University Hospital.

What medical group is Dr. Elliott A. Birnstein part of?

Dr. Birnstein is linked to Cardiac Interventional Group. Dmand AI links Dr. Birnstein to 1 more medical group.

Does Dr. Elliott A. Birnstein accept Medicare?

Yes. CMS data shows Dr. Birnstein billed Medicare for 665 services in 2024, and Dr. Birnstein accepts Medicare assignment.

Does Dr. Elliott A. Birnstein offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Birnstein as offering telehealth services.

Show 6 more questionsShow fewer questions

What is Dr. Elliott A. Birnstein's MIPS score?

Dr. Birnstein's MIPS final score for performance year 2024 is 88 out of 100, reported as part of a group.

How many Medicare patients does Dr. Elliott A. Birnstein see?

CMS counts 342 Medicare patients who saw Dr. Birnstein in 2024, with an average age of 78.

What services does Dr. Elliott A. Birnstein bill to Medicare?

In 2024, Dr. Birnstein's most billed Medicare services were hospital inpatient care (99232), office visit, established patient (99214) and hospital inpatient care (99222).

What drugs does Dr. Elliott A. Birnstein prescribe most?

In 2024 Medicare Part D data, Dr. Birnstein's most prescribed drugs by claims were Pantoprazole Sodium, Omeprazole and Famotidine.

Has Dr. Elliott A. Birnstein received payments from drug or device companies?

CMS Open Payments shows $296 in general payments to Dr. Birnstein from 4 companies from 2018 to 2025. The largest total came from Janssen Pharmaceuticals, Inc.

How long has Dr. Elliott A. Birnstein been practicing?

Dr. Birnstein graduated from medical school in 2011, 15 years ago.

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