Active NPI 1144255936 Individual Practitioner Male Practitioner

Dr. Charles D Birnbach , MD

Ophthalmology • Bellevue, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Birnbach, MD is a certified Ophthalmology practicing in Bellevue, WA. With approximately 34 years of clinical experience since graduating from New York University School Of Medicine in 1992, Dr. Birnbach delivers high-quality medical care to the local community at 1750 112TH AVE NE.

Dr. Birnbach is affiliated with Pacific Northwest Retina Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, injection, aflibercept hd, 1 mg, injection, pegcetacoplan, intravitreal, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1750 112th Ave Ne
Suite D050

Bellevue, WA 980043752

Telephone 2062153850

Fax 2062153870

Associated Practice Facility / Clinic

🏢 Northwest Spine & Sports Physicians Facility NPI 1326090721

Medicare Profile & Education

Medical School

New York University School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Bellevue, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +6.2 yrs vs City Avg

City Avg: 27.8 Yrs

State Avg: 26.4 Yrs

Regional Practice Density

38 Specialists

Practicing in Bellevue, WA (552 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Birnbach (34 Years) 34 Yrs

Bellevue Specialty Average (27.8 Years) 27.8 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
J2777 Injection, faricimab-svoa, 0.1 mg	12,600	45	$66.67	$34.40
J0177 Injection, aflibercept hd, 1 mg	3,913	114	$808.97	$329.91
J2781 Injection, pegcetacoplan, intravitreal, 1 mg	2,865	33	$270.00	$147.12
92134 Imaging of retina	2,385	835	$111.00	$44.07
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	1,543	74	$700.00	$232.78
67028 Injection of drug into eye	1,490	322	$621.27	$139.60
J0178 Injection, aflibercept, 1 mg	1,225	130	$2071.69	$826.87
92014 Established patient complete exam of visual system	644	522	$240.00	$138.18
99213 Established patient office or other outpatient visit, typically 15 minutes	561	372	$175.00	$96.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	205	$249.00	$136.97
92004 New patient complete exam of visual system	116	116	$294.00	$165.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$361.00	$177.73
J3490 Unclassified drugs	55	31	$8527.27	$3144.25
92250 Photography of the retina	45	44	$177.00	$39.24
92235 Exam of retinal blood vessels using a special camera after injection of a dye	37	34	$308.00	$188.20
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	31	30	$4393.00	$1196.18
67036 Removal of eye fluid (vitreous) between the lens and retina	23	19	$2967.00	$870.96
67108 Repair of detached retina and drainage of eye fluid between lens and retina	18	18	$4963.00	$1220.04
66820 Removal of recurring cataract in lens capsule	16	15	$986.00	$255.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$237.00	$105.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	8,340	27	$65.71	$36.03
92134 Imaging of retina	2,053	768	$111.00	$44.29
J0178 Injection, aflibercept, 1 mg	2,028	177	$2063.88	$864.45
67028 Injection of drug into eye	1,177	269	$621.35	$141.21
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	679	52	$700.00	$271.48
92014 Established patient complete exam of visual system	537	455	$240.00	$139.49
99213 Established patient office or other outpatient visit, typically 15 minutes	488	326	$175.00	$96.41
J2781 Injection, pegcetacoplan, intravitreal, 1 mg	435	17	$272.18	$151.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	256	181	$249.00	$135.23
92004 New patient complete exam of visual system	112	112	$294.00	$165.77
J3490 Unclassified drugs	72	38	$6500.00	$2864.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$361.00	$178.05
J7999 Compounded drug, not otherwise classified	70	30	$124.00	$92.52
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	43	42	$4393.00	$1212.28
92250 Photography of the retina	36	35	$177.00	$41.40
67036 Removal of eye fluid (vitreous) between the lens and retina	32	27	$2967.00	$889.69
92235 Exam of retinal blood vessels using a special camera after injection of a dye	30	29	$308.00	$157.38
66820 Removal of recurring cataract in lens capsule	23	23	$986.00	$254.53
J3590 Unclassified biologics	20	14	$3360.00	$1323.25
67108 Repair of detached retina and drainage of eye fluid between lens and retina	14	14	$4963.00	$1188.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$237.00	$123.57
76512 Ultrasound of eye disease, growth, or structure	11	11	$312.00	$53.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	2,718	215	$2070.00	$899.47
92134 Imaging of retina	2,122	776	$111.00	$44.78
67028 Injection of drug into eye	1,254	282	$634.81	$144.85
99213 Established patient office or other outpatient visit, typically 15 minutes	639	360	$175.00	$97.79
92014 Established patient complete exam of visual system	456	379	$240.00	$140.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	402	237	$249.00	$137.43
J2778 Injection, ranibizumab, 0.1 mg	355	17	$715.00	$284.38
J7999 Compounded drug, not otherwise classified	235	63	$126.96	$92.84
92004 New patient complete exam of visual system	124	124	$294.00	$165.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$361.00	$179.83
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	44	43	$4393.00	$1207.63
67036 Removal of eye fluid (vitreous) between the lens and retina	29	28	$2967.00	$903.19
92235 Exam of retinal blood vessels using a special camera after injection of a dye	28	28	$308.00	$143.98
66820 Removal of recurring cataract in lens capsule	23	20	$986.00	$254.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$237.00	$122.18
67108 Repair of detached retina and drainage of eye fluid between lens and retina	16	16	$4963.00	$1267.34
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	12	12	$150.00	$35.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	2,862	200	$2085.91	$916.16
92134 Imaging of retina	2,205	722	$111.00	$45.62
67028 Injection of drug into eye	1,443	291	$627.50	$145.87
99213 Established patient office or other outpatient visit, typically 15 minutes	819	323	$154.21	$99.81
92014 Established patient complete exam of visual system	582	404	$240.00	$142.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	539	267	$225.90	$140.02
J2778 Injection, ranibizumab, 0.1 mg	440	20	$715.00	$315.05
J7999 Compounded drug, not otherwise classified	374	93	$129.00	$94.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$334.18	$177.51
92004 New patient complete exam of visual system	92	92	$294.00	$167.44
92235 Exam of retinal blood vessels using a special camera after injection of a dye	28	28	$308.00	$132.50
66820 Removal of recurring cataract in lens capsule	25	23	$986.00	$248.41
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	23	22	$4600.70	$1228.59
67036 Removal of eye fluid (vitreous) between the lens and retina	21	18	$2967.00	$806.33
76512 Ultrasound of eye disease, growth, or structure	17	17	$366.88	$52.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$226.18	$122.07
67145 Photocoagulation treatment to prevent detachment of retina	14	14	$1634.00	$582.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	2,204	169	$2070.00	$930.54
92134 Imaging of retina	1,777	622	$111.00	$44.99
67028 Injection of drug into eye	1,191	257	$617.66	$126.24
92014 Established patient complete exam of visual system	717	408	$240.00	$139.87
99213 Established patient office or other outpatient visit, typically 15 minutes	641	261	$143.00	$81.72
J2778 Injection, ranibizumab, 0.1 mg	520	20	$715.00	$336.20
J7999 Compounded drug, not otherwise classified	305	81	$129.00	$93.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	127	$214.00	$115.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$329.00	$174.51
92012 Established patient problem focused exam of visual system	66	56	$165.00	$98.15
92004 New patient complete exam of visual system	53	53	$294.00	$165.08
92235 Exam of retinal blood vessels using a special camera after injection of a dye	39	39	$308.00	$118.85
92250 Photography of the retina	38	38	$177.00	$48.99
76512 Ultrasound of eye disease, growth, or structure	26	17	$312.00	$57.00
66820 Removal of recurring cataract in lens capsule	23	21	$986.00	$233.26
67036 Removal of eye fluid (vitreous) between the lens and retina	21	21	$2967.00	$999.28
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	18	17	$4674.00	$1234.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	2,384	162	$2070.00	$942.97
92134 Imaging of retina	2,067	671	$111.00	$44.49
67028 Injection of drug into eye	1,355	260	$606.55	$123.77
92014 Established patient complete exam of visual system	939	471	$240.00	$138.04
99213 Established patient office or other outpatient visit, typically 15 minutes	664	247	$143.00	$79.98
J2778 Injection, ranibizumab, 0.1 mg	662	22	$715.00	$354.06
J7999 Compounded drug, not otherwise classified	337	85	$129.00	$83.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	216	137	$214.00	$114.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	155	155	$329.00	$172.96
92012 Established patient problem focused exam of visual system	86	64	$165.00	$95.81
92235 Exam of retinal blood vessels using a special camera after injection of a dye	53	51	$308.00	$95.67
92250 Photography of the retina	46	44	$177.00	$51.23
92004 New patient complete exam of visual system	28	28	$294.00	$164.06
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	21	21	$4674.00	$1218.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$214.00	$112.66
76512 Ultrasound of eye disease, growth, or structure	15	14	$312.00	$63.31
67145 Photocoagulation treatment to prevent detachment of retina	14	13	$1634.00	$567.16
67036 Removal of eye fluid (vitreous) between the lens and retina	14	12	$2967.00	$896.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,196	685	$110.02	$45.26
J0178 Injection, aflibercept, 1 mg	2,038	151	$2057.29	$951.70
67028 Injection of drug into eye	1,341	250	$599.81	$123.08
J2778 Injection, ranibizumab, 0.1 mg	1,110	70	$673.23	$369.81
92014 Established patient complete exam of visual system	984	482	$237.94	$137.87
99213 Established patient office or other outpatient visit, typically 15 minutes	652	266	$141.90	$78.42
J7999 Compounded drug, not otherwise classified	394	88	$128.04	$76.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	252	152	$211.92	$111.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	160	160	$326.80	$171.25
92012 Established patient problem focused exam of visual system	97	70	$163.52	$96.07
92250 Photography of the retina	81	77	$175.59	$59.56
92235 Exam of retinal blood vessels using a special camera after injection of a dye	69	66	$305.83	$92.69
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	36	35	$4643.28	$1139.23
92004 New patient complete exam of visual system	26	26	$291.31	$164.56
66820 Removal of recurring cataract in lens capsule	21	20	$981.29	$208.15
76512 Ultrasound of eye disease, growth, or structure	17	12	$309.41	$76.53
67108 Repair of detached retina and drainage of eye fluid between lens and retina	12	12	$4921.00	$1285.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,828	612	$107.00	$44.37
J0178 Injection, aflibercept, 1 mg	1,808	146	$2000.00	$960.66
67028 Injection of drug into eye	1,121	235	$576.41	$120.33
92014 Established patient complete exam of visual system	849	464	$232.00	$134.57
J2778 Injection, ranibizumab, 0.1 mg	500	20	$660.00	$365.99
J7999 Compounded drug, not otherwise classified	327	81	$125.00	$72.99
99213 Established patient office or other outpatient visit, typically 15 minutes	313	222	$138.00	$77.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	183	141	$207.00	$109.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	155	155	$318.00	$171.65
92012 Established patient problem focused exam of visual system	102	76	$159.00	$93.34
92250 Photography of the retina	95	85	$171.00	$73.46
92235 Exam of retinal blood vessels using a special camera after injection of a dye	79	76	$298.00	$88.83
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	22	21	$4516.00	$1185.45
66820 Removal of recurring cataract in lens capsule	17	17	$953.00	$203.03
92004 New patient complete exam of visual system	15	15	$284.00	$160.22
67036 Removal of eye fluid (vitreous) between the lens and retina	14	14	$2867.00	$915.63

Medical Specialties & State Licenses

CMS Verified: 2023-08-21

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WA MD00033777

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology - Retina Specialist

NUCC Taxonomy Code: 207WX0107X

State License WA MD00033777

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Hospital & Practice Group Affiliations

Pacific Northwest Retina Pllc

1750 112th Ave Ne, Bellevue, WA 980043779

Phone: 2062153850

Practice Associates & Co-Workers

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

22 Associated Practitioners

Dr. Eric Guglielmo , MD

Ophthalmology

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Doctor of Medicine (M.D.)

Dr. Yicheng Chen , MD

Ophthalmology

NPI 1124314653

Doctor of Medicine (M.D.)

Dr. Chu Jian Ma , MD

Ophthalmology

NPI 1245799576

Doctor of Medicine (M.D.)

Dr. Jia Xu , MD

Ophthalmology

NPI 1366000192

Doctor of Medicine (M.D.)

Dr. Todd Klesert , MD, PhD

Ophthalmology

NPI 1386706174

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Sibelle Azar

Registered Nurse

NPI 1417847575

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address August 21, 2023

Registered at 22232 17TH AVE SE STE 308, BOTHELL, WA 980217425 (Tel: 4252963837)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2021

Ophthalmology (License #MD00033777 in WA)

✅

NPI Profile Active February 29, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 29, 2012

Registered at 1750 112TH AVE NE, SUITE D050, BELLEVUE, WA 980043752 (Tel: 2062153850)

📍

Updated Business Mailing Address February 29, 2012

Registered at 805 MADISON ST, SUITE 901, SEATTLE, WA 981041172 (Tel: 2062648100)

👤

Provider Name / Credentials Updated February 29, 2012

Recorded as CHARLES BIRNBACH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 29, 2012

Ophthalmology (License #MD00033777 in WA)

🟢

Initial NPI Registration & Enumeration July 11, 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: 1144255936

Entity Type:

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

Enumeration Date: July 11, 2006

Last Update: August 21, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

22232 17th Ave Se Ste 308

Bothell, WA 980217425

Phone: 4252963837

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.