Deactivated NPI 1801845268 Deactivated / Inactive NPI Male Practitioner

Dr. Jack A. Birnbaum , MD

Internal Medicine • Bremerton, WA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Birnbaum has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 10, 2006

NPI Deactivation Date October 23, 2025

Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Birnbaum, MD was a registered Internal Medicine practicing in Bremerton, WA. Throughout an active medical career spanning 19 years, Dr. Birnbaum provided care at the practice location at 2512 WHEATON WAY until profile deactivation on 2025-10-23.

Historical Medicare Part B clinical services included established patient outpatient office visit, injection, denosumab, 1 mg, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2512 Wheaton Way

Bremerton, WA 983103399

Telephone 3607823700

Fax 3607823798

Associated Practice Facility / Clinic

🏢 Doctors Clinic Apc Facility NPI 1356309330

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bremerton, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 28.5 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

33 Specialists

Practicing in Bremerton, WA (3169 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$368.00	$127.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,620	18	$60.67	$22.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	666	341	$366.28	$127.02
99213 Established patient office or other outpatient visit, typically 15 minutes	83	69	$259.51	$86.95
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	20	$66.56	$14.19
76536 Ultrasound of head and neck	19	19	$325.74	$114.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,740	20	$58.34	$21.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	854	386	$364.48	$127.34
99213 Established patient office or other outpatient visit, typically 15 minutes	236	182	$258.27	$90.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	22	$66.00	$14.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$473.60	$167.35
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	29	15	$106.00	$34.76
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	28	15	$431.04	$151.63
76536 Ultrasound of head and neck	20	20	$330.25	$116.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,680	20	$52.00	$20.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	584	243	$297.00	$130.10
99213 Established patient office or other outpatient visit, typically 15 minutes	505	316	$205.00	$91.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$450.00	$168.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	53	26	$62.00	$14.33
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	48	34	$100.00	$35.37
76536 Ultrasound of head and neck	33	33	$318.00	$120.26
G0008 Administration of influenza virus vaccine	15	14	$60.00	$17.15
90662 Influenza vaccine split virus, preservative free	12	11	$151.00	$64.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	780	12	$51.15	$19.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	359	255	$297.00	$108.99
99213 Established patient office or other outpatient visit, typically 15 minutes	358	250	$203.65	$75.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	23	$61.07	$14.34
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	38	30	$98.74	$35.70
76536 Ultrasound of head and neck	26	26	$317.31	$118.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$450.00	$152.75
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	17	14	$413.82	$152.71
G0008 Administration of influenza virus vaccine	14	14	$60.00	$17.02
90662 Influenza vaccine split virus, preservative free	14	14	$151.00	$60.98
82044 Urine microalbumin (protein) analysis	12	12	$17.00	$6.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,260	12	$49.29	$18.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	985	383	$296.12	$107.27
99213 Established patient office or other outpatient visit, typically 15 minutes	787	439	$201.48	$73.83
82044 Urine microalbumin (protein) analysis	158	151	$17.00	$5.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	132	23	$66.92	$16.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$450.94	$162.83
76536 Ultrasound of head and neck	43	39	$323.81	$117.03
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	43	35	$107.63	$34.42
G0008 Administration of influenza virus vaccine	39	39	$59.00	$16.68
90662 Influenza vaccine split virus, preservative free	33	33	$144.00	$54.89
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	29	20	$428.41	$146.99
81003 Automated urinalysis test	14	12	$8.00	$2.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,740	17	$45.10	$17.84
36415 Insertion of needle into vein for collection of blood sample	1,063	540	$8.00	$2.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,004	397	$294.51	$105.97
99213 Established patient office or other outpatient visit, typically 15 minutes	857	457	$200.00	$72.41
83036 Hemoglobin A1C level	589	280	$34.67	$11.56
84443 Blood test, thyroid stimulating hormone (TSH)	470	291	$60.55	$19.83
84439 Thyroxine (thyroid chemical), free	417	254	$32.18	$10.62
84481 Thyroid hormone, t3 measurement, free	203	121	$61.75	$19.79
82044 Urine microalbumin (protein) analysis	180	159	$17.00	$5.99
80048 Blood test, basic group of blood chemicals (calcium, total)	171	135	$30.77	$10.08
80061 Blood test, lipids (cholesterol and triglycerides)	156	128	$63.97	$15.64
80053 Blood test, comprehensive group of blood chemicals	152	130	$37.48	$12.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	131	30	$71.08	$20.70
83721 Ldl cholesterol level	108	104	$34.09	$11.45
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	82	67	$29.62	$9.40
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	53	47	$118.74	$35.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$450.81	$159.79
G0008 Administration of influenza virus vaccine	52	52	$59.00	$19.79
82306 Vitamin d-3 level	51	40	$105.24	$35.82
76536 Ultrasound of head and neck	43	43	$325.91	$118.66
90662 Influenza vaccine split virus, preservative free	38	38	$132.00	$49.55
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	28	26	$447.50	$152.03
G0103 Prostate cancer screening; prostate specific antigen test (psa)	20	20	$65.75	$22.26
84450 Liver enzyme (sgot), level	18	14	$18.89	$6.26
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$52.00	$18.65
81003 Automated urinalysis test	13	12	$8.54	$2.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,860	19	$42.00	$16.58
36415 Insertion of needle into vein for collection of blood sample	1,234	609	$8.00	$2.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,008	405	$291.88	$105.96
99213 Established patient office or other outpatient visit, typically 15 minutes	912	531	$198.52	$71.72
83036 Hemoglobin A1C level	664	296	$36.00	$12.92
84443 Blood test, thyroid stimulating hormone (TSH)	544	337	$62.32	$22.07
84439 Thyroxine (thyroid chemical), free	472	290	$33.00	$11.47
84481 Thyroid hormone, t3 measurement, free	236	152	$62.69	$9.38
80053 Blood test, comprehensive group of blood chemicals	233	177	$39.00	$9.57
80061 Blood test, lipids (cholesterol and triglycerides)	208	166	$72.89	$15.21
82044 Urine microalbumin (protein) analysis	197	159	$17.00	$6.01
80048 Blood test, basic group of blood chemicals (calcium, total)	162	123	$31.30	$8.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	140	31	$69.47	$25.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$447.50	$159.89
83721 Ldl cholesterol level	107	97	$35.00	$12.83
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	99	78	$29.40	$10.15
76536 Ultrasound of head and neck	51	49	$318.35	$117.85
82306 Vitamin d-3 level	48	38	$109.29	$39.80
G0008 Administration of influenza virus vaccine	37	37	$69.00	$25.46
90662 Influenza vaccine split virus, preservative free	34	34	$116.00	$48.05
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	34	33	$119.94	$43.41
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	33	31	$438.36	$158.79
81001 Manual urinalysis test with examination using microscope, automated	24	20	$12.00	$4.26
G0103 Prostate cancer screening; prostate specific antigen test (psa)	24	24	$68.00	$24.73
84450 Liver enzyme (sgot), level	18	14	$20.00	$6.11
87086 Bacterial colony count, urine	15	14	$30.40	$10.85

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA MD00029892

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. John Lamberg , MD

Internal Medicine

NPI 1053353292

Doctor of Medicine (M.D.)

Dr. Anthony Hoovler , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1427009372

Doctor of Medicine (M.D.)

Dr. Benjamin Sy , MD

Internal Medicine - Pulmonary Disease

NPI 1427075183

Doctor of Medicine (M.D.)

Dr. Lai Tan , MD

Internal Medicine

NPI 1720014657

Doctor of Medicine (M.D.)

Dr. Eric Lindstrom , MD

Internal Medicine

NPI 1932143450

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events

⚠️

NPI Profile Deactivated October 23, 2025

Record deactivated on October 23, 2025

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2022

Internal Medicine (License #MD00029892 in WA)

✅

NPI Profile Active December 14, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 14, 2017

Registered at 2011 NW MYHRE PL, SILVERDALE, WA 983838561 (Tel: 3608301600)

📍

Updated Business Mailing Address December 14, 2017

Registered at 9621 RIDGETOP BLVD NW, SILVERDALE, WA 983838502 (Tel: (360) 782-3647)

👤

Provider Name / Credentials Updated December 14, 2017

Recorded as JACK BIRNBAUM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2017

Internal Medicine (License #MD00029892 in WA)

📍

Updated Business Mailing Address May 24, 2017

Registered at 9621 RIDGETOP BLVD NW, SILVERDALE, WA 983838502 (Tel: 3607823647)

✅

NPI Profile Active September 27, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location September 27, 2007

Registered at 2512 WHEATON WAY, BREMERTON, WA 983103399 (Tel: 3607823700)

📍

Updated Business Mailing Address September 27, 2007

Registered at 2512 WHEATON WAY, BREMERTON, WA 983103399

👤

Provider Name / Credentials Updated September 27, 2007

Recorded as JACK BIRNBAUM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2007

Internal Medicine (License #MD00029892 in WA)

🟢

Initial NPI Registration & Enumeration May 10, 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: 1801845268

Entity Type:

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

Enumeration Date: May 10, 2006

Last Update: September 27, 2007

Deactivation Date: October 23, 2025

Update or Correct Profile

Mailing Address

2512 Wheaton Way

Bremerton, WA 983103399

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

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