Active NPI 1114943438 Individual Practitioner Female Practitioner

Dr. Elisa H Birnbaum , MD

Colon & Rectal Surgery • Aurora, CO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Elisa Birnbaum, MD is a certified Colon & Rectal Surgery practicing in Aurora, CO. With approximately 41 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1985, Dr. Birnbaum delivers high-quality medical care to the local community at 12605 E 16TH AVE.

Dr. Birnbaum is affiliated with University Physicians Incorporated and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit, fixation of rectum to sacrum, open abdominal procedure, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12605 E 16th Ave

Aurora, CO 800452545

Telephone 7208480000

Associated Practice Facility / Clinic

🏢 University Of Colorado Hospital Authority Facility NPI 1477531580

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Aurora, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +14.6 yrs vs City Avg

City Avg: 26.4 Yrs

State Avg: 22.9 Yrs

Regional Practice Density

8 Specialists

Practicing in Aurora, CO (28 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

84.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Birnbaum (41 Years) 41 Yrs

Aurora Specialty Average (26.4 Years) 26.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$325.00	$80.88
45540 Fixation of rectum to sacrum, open abdominal procedure	38	38	$5403.00	$1011.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$325.00	$79.81
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$263.00	$78.55
57280 Attachment of vagina to rear pelvic bone (sacrum)	21	21	$1803.90	$147.61
57250 Repair of herniated rectum into vaginal wall	18	18	$1135.67	$52.04
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$263.00	$65.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$325.00	$83.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$325.00	$83.39
45540 Fixation of rectum to sacrum, open abdominal procedure	39	39	$5403.00	$1060.83
99213 Established patient office or other outpatient visit, typically 15 minutes	30	24	$263.00	$66.63
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$263.00	$66.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$141.00	$35.82
57280 Attachment of vagina to rear pelvic bone (sacrum)	16	16	$1222.00	$147.34
57250 Repair of herniated rectum into vaginal wall	16	16	$851.75	$50.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$141.00	$35.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$325.00	$84.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$325.00	$84.52
45540 Fixation of rectum to sacrum, open abdominal procedure	27	27	$5403.00	$1076.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	18	$141.00	$36.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$141.00	$36.77
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$263.00	$67.96
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$263.00	$67.88
57280 Attachment of vagina to rear pelvic bone (sacrum)	11	11	$1555.27	$158.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$312.62	$85.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$312.08	$84.98
45540 Fixation of rectum to sacrum, open abdominal procedure	48	48	$5403.00	$1061.22
99213 Established patient office or other outpatient visit, typically 15 minutes	35	28	$235.57	$68.72
99213 Established patient office or other outpatient visit, typically 15 minutes	27	27	$227.44	$68.68
57280 Attachment of vagina to rear pelvic bone (sacrum)	11	11	$1222.00	$144.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$304.00	$76.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$304.00	$77.28
45540 Fixation of rectum to sacrum, open abdominal procedure	42	42	$5403.00	$1102.29
99213 Established patient office or other outpatient visit, typically 15 minutes	26	23	$203.00	$52.37
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$203.00	$52.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$304.00	$76.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$304.00	$76.88
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$203.00	$51.48
45540 Fixation of rectum to sacrum, open abdominal procedure	23	23	$5400.91	$1096.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$310.42	$76.02
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$203.00	$51.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$326.51	$77.27
99213 Established patient office or other outpatient visit, typically 15 minutes	36	31	$223.22	$51.32
45540 Fixation of rectum to sacrum, open abdominal procedure	13	13	$5395.46	$1094.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$336.46	$79.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	96	82	$117.00	$70.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$216.66	$102.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$303.00	$77.33
91122 Study of rectum sensitivity and function	22	22	$284.55	$88.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$84.00	$42.54
44204 Partial removal of large bowel using an endoscope	13	13	$6000.00	$1564.75
76872 Ultrasound scan of pelvic region through rectum	12	12	$265.00	$30.44

Medical Specialties & State Licenses

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License CO 58566

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Hospital & Practice Group Affiliations

University Physicians Incorporated

13123 E 16th Ave, Aurora, CO 800457106

Phone: 7207771234

University Physicians Incorporated

1635 Aurora Ct, Aurora, CO 800452541

Phone: 7208480000

University Physicians Incorporated

9548 Park Meadows Dr, Lone Tree, CO 801245315

Phone: 7208482200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Jonathan Orsborn , MD

Pediatrics - Pediatric Emergency Medicine

NPI 1003013319

Doctor of Medicine (M.D.)

Dr. Emily Jones , MD

Internal Medicine

NPI 1003063140

Doctor of Medicine (M.D.)

Kate Coleman Minahan , FNP

Nurse Practitioner - Pediatrics

NPI 1003068859

Family Nurse Practitioner

Stacey Johnson , APRN

Nurse Practitioner - Adult Health

NPI 1003116997

Advanced Practice Registered Nurse

Andrea Hall , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003125394

Certified Registered Nurse Anesthetist

Kristi Swim , FNP

Nurse Practitioner - Family

NPI 1003126442

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location October 08, 2018

Registered at 12605 E 16TH AVE, AURORA, CO 800452545 (Tel: 7208480000)

📍

Updated Business Mailing Address October 08, 2018

Registered at PO BOX 110429, AURORA, CO 800420429 (Tel: 3034937000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2018

Colon & Rectal Surgery (License #58566 in CO)

✅

NPI Profile Active November 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 14, 2016

Registered at 1040 N MASON RD, STE 120, SAINT LOUIS, MO 631416399 (Tel: 3144548556)

📍

Updated Business Mailing Address November 14, 2016

Registered at 660 S EUCLID AVE, C B 8109, SAINT LOUIS, MO 631101010 (Tel: 3144547177)

👤

Provider Name / Credentials Updated November 14, 2016

Recorded as ELISA BIRNBAUM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2016

Colon & Rectal Surgery (License #R1P34 in MO)

🟢

Initial NPI Registration & Enumeration July 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114943438

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 14, 2006

Last Update: October 08, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 110429

Aurora, CO 800420429

Phone: 3034937000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.