NICOLAS GABRIEL BIRO (MD) – Ophthalmic Plastic and Reconstructive Surgery Physician, NPI 1497959332
Ophthalmic Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,665 OPHTHALMOLOGY in CA
Provider Addresses for NICOLAS GABRIEL BIRO (MD)
1135 S SUNSET AVE STE 210
WEST COVINA, CA 917903938
Phone: (626) 653-9395
Fax: (909) 206-1097
Type: Location
25, 5th Avenue, Greenwich Village, Manhattan Community Board 2, Manhattan, New York County, New York, 10003, United States
1A
NEW YORK, NY 100034307
Phone: (646) 851-2476
Fax: (646) 851-0329
Type: Mailing
13311 GALEWOOD ST
SHERMAN OAKS, CA 914234907
Phone: (917) 348-1060
Fax: (909) 206-1097
Type: Mailing
1401 N HILL AVE
PASADENA, CA 911042615
Phone: (917) 348-1060
Fax: (909) 206-1097
Type: Mailing
555 N 13TH AVE
UPLAND, CA 917864904
Phone: (909) 277-2420
Fax: (909) 206-1097
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 104 Open Payments records for all available years, with a total value of $47,070.
Total Amount is formed as General ($47,070) + Research ($0) + Ownership ($0) = $47,070.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Horizon Therapeutics plc ($39,310).
Total Amount
$47,070
General + Research + Ownership
Payments
104
Total payment records
General Amount
$47,070
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Horizon Therapeutics plc | $39,310 |
| Amgen Inc. | $7,601 |
| Sun Pharmaceutical Industries Inc. | $125 |
| Alcon Vision LLC | $34 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-10-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211005003644 | I | Ophthalmology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92285 | Photography of content of eyes | 283 | 184 | $0 |
| 92012 | Established patient problem focused exam of visual system | 121 | 93 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 116 | 116 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 115 | 86 | $0 |
| 15823 | Removal of excessive skin and fat of upper eyelid | 53 | 53 | $0 |
Insurance plans in this area (ZIP 91790)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | NY | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 133 | 86 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | CA | |
| O P T O M E T R Y | FL | |
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | CA | |
| O P T O M E T R Y | CA | |
| O P H T H A L M O L O G Y | VA | |
| O P H T H A L M O L O G Y | KY | |
| O P H T H A L M O L O G Y | CA |
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