Active NPI 1093705410 Individual Practitioner Male Practitioner

Dr. Charles A Birbara , MD

Specialist • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Birbara, MD is a certified Specialist practicing in Worcester, MA. With approximately 64 years of clinical experience since completing medical education in 1962, Dr. Birbara delivers high-quality medical care to the local community at 25 OAK AVE.

Dr. Birbara accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, injection, tocilizumab, 1 mg, hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

25 Oak Ave

Worcester, MA 016052751

Telephone 5087992674

Fax 5087992586

Associated Practice Facility / Clinic

🏢 Worcester Ophthalmology Associates, Inc Facility NPI 1992755359

Medicare Profile & Education

Medical School

Other

Graduation Year

1962

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

64 Yrs +18.2 yrs vs City Avg

City Avg: 45.8 Yrs

State Avg: 37.9 Yrs

Regional Practice Density

42 Specialists

Practicing in Worcester, MA (1181 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Birbara (64 Years) 64 Yrs

Worcester Specialty Average (45.8 Years) 45.8 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
J1010 Injection, methylprednisolone acetate, 1 mg	101,602	289	$0.28	$0.13
J3262 Injection, tocilizumab, 1 mg	71,520	14	$12.00	$5.93
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	11,762	17	$3.03	$0.53
J0897 Injection, denosumab, 1 mg	11,040	117	$29.67	$25.33
J1745 Injection, infliximab, excludes biosimilar, 10 mg	10,230	25	$112.26	$29.36
20550 Injection into tendon or ligament	1,702	227	$125.00	$38.13
J9260 Injection, methotrexate sodium, 50 mg	1,199	36	$2.19	$1.99
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	1,030	17	$75.00	$31.00
20610 Aspiration and/or injection of fluid from large joint	969	229	$197.37	$61.38
J1100 Injection, dexamethasone sodium phosphate, 1 mg	820	25	$1.00	$0.11
J1030 Injection, methylprednisolone acetate, 40 mg	774	178	$11.00	$6.34
J9250 Methotrexate sodium, 5 mg	509	29	$2.00	$0.30
96415 Administration of chemotherapy into vein, each additional hour	482	31	$100.00	$28.89
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	445	39	$210.00	$75.31
96413 Infusion of chemotherapy into a vein up to 1 hour	350	47	$400.00	$136.09
20600 Aspiration and/or injection of fluid from small joint	347	84	$128.89	$37.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	210	120	$110.00	$14.87
20605 Aspiration and/or injection of medium joint or joint capsule	196	97	$152.14	$40.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	177	92	$200.00	$58.47
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	78	18	$227.24	$65.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$275.00	$114.85
20526 Injection of carpal tunnel	38	21	$132.63	$96.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3262 Injection, tocilizumab, 1 mg	64,920	13	$11.94	$5.86
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	18,984	22	$3.00	$0.68
J0897 Injection, denosumab, 1 mg	11,220	119	$27.27	$23.11
J1745 Injection, infliximab, excludes biosimilar, 10 mg	6,821	24	$106.26	$29.91
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	4,730	22	$75.00	$33.52
J1030 Injection, methylprednisolone acetate, 40 mg	3,304	355	$11.00	$7.65
20550 Injection into tendon or ligament	1,689	257	$125.00	$38.52
J9250 Methotrexate sodium, 5 mg	1,584	38	$2.00	$0.24
20610 Aspiration and/or injection of fluid from large joint	987	247	$195.66	$61.88
96415 Administration of chemotherapy into vein, each additional hour	481	31	$100.00	$29.65
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	397	37	$210.00	$77.07
J1100 Injection, dexamethasone sodium phosphate, 1 mg	371	17	$1.00	$0.12
96413 Infusion of chemotherapy into a vein up to 1 hour	337	46	$400.00	$138.62
20600 Aspiration and/or injection of fluid from small joint	324	85	$125.77	$35.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	217	124	$110.00	$14.72
20605 Aspiration and/or injection of medium joint or joint capsule	211	112	$152.61	$41.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	195	99	$200.00	$58.74
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	99	24	$225.00	$67.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$275.00	$115.74
20526 Injection of carpal tunnel	35	21	$135.00	$95.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3262 Injection, tocilizumab, 1 mg	54,360	11	$12.00	$5.82
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	16,297	19	$3.00	$1.99
J1745 Injection, infliximab, excludes biosimilar, 10 mg	13,061	30	$114.11	$34.22
J0897 Injection, denosumab, 1 mg	11,761	128	$24.87	$21.45
J1030 Injection, methylprednisolone acetate, 40 mg	3,611	339	$9.00	$6.39
J9250 Methotrexate sodium, 5 mg	2,144	38	$2.00	$0.22
20550 Injection into tendon or ligament	2,001	257	$125.00	$39.25
20610 Aspiration and/or injection of fluid from large joint	970	232	$234.01	$63.97
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	576	38	$210.00	$82.35
96415 Administration of chemotherapy into vein, each additional hour	527	34	$100.00	$31.35
J1100 Injection, dexamethasone sodium phosphate, 1 mg	471	20	$1.00	$0.12
96413 Infusion of chemotherapy into a vein up to 1 hour	338	44	$400.00	$148.41
20600 Aspiration and/or injection of fluid from small joint	313	97	$128.19	$36.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	215	129	$110.00	$15.23
20605 Aspiration and/or injection of medium joint or joint capsule	206	95	$152.04	$39.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	171	82	$175.00	$59.77
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	96	21	$225.00	$73.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$225.00	$117.78
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	57	12	$20.00	$5.86
20526 Injection of carpal tunnel	45	25	$130.67	$96.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3262 Injection, tocilizumab, 1 mg	51,280	11	$12.00	$5.52
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	14,952	17	$2.99	$2.13
J1745 Injection, infliximab, excludes biosimilar, 10 mg	14,711	30	$117.95	$41.24
J0897 Injection, denosumab, 1 mg	12,540	132	$24.75	$20.37
J1030 Injection, methylprednisolone acetate, 40 mg	3,610	329	$9.00	$5.67
J9250 Methotrexate sodium, 5 mg	2,997	45	$2.00	$0.21
20550 Injection into tendon or ligament	1,965	263	$125.00	$38.33
20610 Aspiration and/or injection of fluid from large joint	973	218	$191.60	$60.83
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	794	45	$209.92	$87.70
J1100 Injection, dexamethasone sodium phosphate, 1 mg	621	21	$1.00	$0.15
96415 Administration of chemotherapy into vein, each additional hour	551	33	$100.00	$33.31
96413 Infusion of chemotherapy into a vein up to 1 hour	370	52	$400.00	$158.12
20600 Aspiration and/or injection of fluid from small joint	335	99	$127.61	$35.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	225	136	$110.00	$15.06
20605 Aspiration and/or injection of medium joint or joint capsule	183	76	$165.57	$47.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	176	84	$175.00	$59.72
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	75	20	$175.00	$78.41
20526 Injection of carpal tunnel	66	25	$117.73	$90.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$225.00	$118.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1745 Injection, infliximab, excludes biosimilar, 10 mg	15,285	38	$119.58	$52.08
J0897 Injection, denosumab, 1 mg	12,121	129	$23.47	$19.58
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	11,256	17	$2.84	$2.17
J1030 Injection, methylprednisolone acetate, 40 mg	3,290	350	$9.00	$6.05
J9250 Methotrexate sodium, 5 mg	2,949	57	$2.00	$0.23
20550 Injection into tendon or ligament	1,907	258	$125.00	$37.84
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	810	57	$180.00	$85.48
20610 Aspiration and/or injection of fluid from large joint	781	224	$192.16	$61.43
J1100 Injection, dexamethasone sodium phosphate, 1 mg	725	28	$1.00	$0.12
96415 Administration of chemotherapy into vein, each additional hour	557	42	$100.00	$32.46
96413 Infusion of chemotherapy into a vein up to 1 hour	407	59	$400.00	$151.90
20600 Aspiration and/or injection of fluid from small joint	367	105	$129.09	$36.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	291	88	$175.00	$48.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	220	131	$110.00	$15.21
20605 Aspiration and/or injection of medium joint or joint capsule	156	75	$162.44	$43.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$225.00	$114.71
20526 Injection of carpal tunnel	50	27	$119.70	$90.25
J1040 Injection, methylprednisolone acetate, 80 mg	41	19	$12.00	$11.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	23,184	26	$2.47	$2.14
J1745 Injection, infliximab, excludes biosimilar, 10 mg	21,094	41	$119.98	$67.91
J0897 Injection, denosumab, 1 mg	13,980	147	$22.00	$18.63
J1030 Injection, methylprednisolone acetate, 40 mg	3,704	419	$7.85	$6.29
J9250 Methotrexate sodium, 5 mg	3,580	67	$2.00	$0.25
20550 Injection into tendon or ligament	2,097	293	$125.06	$36.80
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	1,022	67	$178.38	$85.34
20610 Aspiration and/or injection of fluid from large joint	1,021	272	$173.83	$60.89
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,003	43	$1.00	$0.12
96415 Administration of chemotherapy into vein, each additional hour	744	48	$100.00	$32.57
96413 Infusion of chemotherapy into a vein up to 1 hour	506	64	$400.00	$151.39
20600 Aspiration and/or injection of fluid from small joint	375	119	$119.49	$35.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	323	120	$175.00	$47.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	254	150	$110.00	$17.69
20605 Aspiration and/or injection of medium joint or joint capsule	198	98	$146.87	$43.31
J1040 Injection, methylprednisolone acetate, 80 mg	95	33	$10.01	$9.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$225.00	$113.95
20526 Injection of carpal tunnel	43	29	$119.65	$86.41
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	38	14	$20.00	$6.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1745 Injection, infliximab, excludes biosimilar, 10 mg	21,271	44	$119.99	$81.74
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	18,984	26	$2.25	$2.12
J0897 Injection, denosumab, 1 mg	15,782	161	$22.00	$17.89
J9250 Methotrexate sodium, 5 mg	3,332	66	$2.00	$0.26
J1030 Injection, methylprednisolone acetate, 40 mg	2,946	383	$6.59	$6.43
20550 Injection into tendon or ligament	1,872	274	$125.00	$34.82
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	959	66	$160.00	$82.92
20610 Aspiration and/or injection of fluid from large joint	919	268	$167.33	$59.70
96415 Administration of chemotherapy into vein, each additional hour	762	51	$100.00	$31.96
J1040 Injection, methylprednisolone acetate, 80 mg	575	134	$8.02	$7.90
96413 Infusion of chemotherapy into a vein up to 1 hour	495	66	$400.00	$146.92
J1100 Injection, dexamethasone sodium phosphate, 1 mg	485	21	$1.00	$0.12
20600 Aspiration and/or injection of fluid from small joint	380	108	$113.47	$32.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	273	162	$110.00	$20.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	228	111	$104.93	$44.81
20605 Aspiration and/or injection of medium joint or joint capsule	178	99	$145.62	$43.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$186.71	$109.64
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	62	17	$20.00	$6.38
20526 Injection of carpal tunnel	31	24	$111.77	$78.23
72110 X-ray of lower and sacral spine, minimum of 4 views	24	24	$80.00	$50.31
73562 X-ray of knee, 3 views	21	21	$100.00	$49.18
77085 Bone density measurement using dedicated x-ray machine	20	20	$260.00	$58.70
73130 X-ray of hand, minimum of 3 views	19	18	$89.47	$58.73
73030 X-ray of shoulder, minimum of 2 views	15	15	$68.00	$34.21
73630 X-ray of foot, minimum of 3 views	12	12	$103.33	$50.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1745 Injection, infliximab, excludes biosimilar, 10 mg	20,950	46	$120.00	$83.79
J0897 Injection, denosumab, 1 mg	16,950	175	$22.00	$16.53
J9250 Methotrexate sodium, 5 mg	3,839	78	$2.00	$0.26
J1030 Injection, methylprednisolone acetate, 40 mg	3,186	473	$6.50	$5.81
20550 Injection into tendon or ligament	2,476	329	$125.00	$34.26
J1040 Injection, methylprednisolone acetate, 80 mg	1,604	271	$8.00	$7.88
20610 Aspiration and/or injection of fluid from large joint	1,472	338	$151.51	$51.32
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	1,295	225	$153.54	$76.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,061	43	$1.00	$0.11
96415 Administration of chemotherapy into vein, each additional hour	783	55	$100.00	$28.77
96413 Infusion of chemotherapy into a vein up to 1 hour	487	71	$359.55	$141.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	424	193	$100.00	$43.97
20600 Aspiration and/or injection of fluid from small joint	400	133	$114.97	$33.07
20605 Aspiration and/or injection of medium joint or joint capsule	276	112	$135.22	$40.92
77085 Bone density measurement using dedicated x-ray machine	170	170	$260.00	$57.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	124	124	$185.00	$108.24
72110 X-ray of lower and sacral spine, minimum of 4 views	123	121	$80.00	$49.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	99	92	$110.00	$25.75
73562 X-ray of knee, 3 views	99	99	$109.85	$53.42
73130 X-ray of hand, minimum of 3 views	87	85	$84.48	$53.03
73030 X-ray of shoulder, minimum of 2 views	81	79	$71.85	$35.38
72050 X-ray of upper spine, 4 or 5 views	67	66	$90.00	$46.05
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	61	18	$20.00	$5.71
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	46	13	$175.00	$70.61
73502 X-ray of hip, 2-3 views	45	45	$80.00	$42.26
73630 X-ray of foot, minimum of 3 views	45	45	$86.80	$41.35
72070 X-ray of middle spine, 2 views	45	43	$70.00	$34.59
20526 Injection of carpal tunnel	41	25	$122.93	$79.56
72170 X-ray of pelvis, 1-2 views	38	38	$45.00	$32.46
73110 X-ray of wrist, minimum of 3 views	23	23	$94.35	$48.67
73610 X-ray of ankle, minimum of 3 views	18	18	$58.33	$37.44
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	13	$85.00	$20.59
73523 X-ray of both hips, minimum of 5 views	14	14	$95.00	$57.74

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MA 32425

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2034697 (MA)

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Richard Eisenberg , MD

Ophthalmology

NPI 1093765455

Doctor of Medicine (M.D.)

Dr. Pamela Anderson , OD

Optometrist

NPI 1093832677

Doctor of Optometry

Dr. Teri Kleinberg , MD

Ophthalmology

NPI 1609187046

Doctor of Medicine (M.D.)

Mary Decesare-Flaherty , NP-C

Nurse Practitioner

NPI 1629357900

Nurse Practitioner (Certified)

Dr. Charles Roberts , MD

Ophthalmology

NPI 1881884914

Doctor of Medicine (M.D.)

Dr. Stuart Weisman , MD

Ophthalmology

NPI 1922023787

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 08, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 08, 2012

Registered at 25 OAK AVE, WORCESTER, MA 016052751 (Tel: 5087992674)

📍

Updated Business Mailing Address June 08, 2012

Registered at 25 OAK AVE, WORCESTER, MA 016052751 (Tel: 5087992674)

👤

Provider Name / Credentials Updated June 08, 2012

Recorded as CHARLES BIRBARA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2012

Specialist (License #32425 in MA)

🟢

Initial NPI Registration & Enumeration October 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1093705410

Entity Type:

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

Enumeration Date: October 26, 2005

Last Update: June 08, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

25 Oak Ave

Worcester, MA 016052751

Phone: 5087992674

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.