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DR. CHARLES JOHN BILLINGTON JR. MD
NPI 1003235367
Medical Genetics - Clinical Genetics (M.D.) in Washington, DC

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
111 MICHIGAN AVE NW, W3.5, 600, WASHINGTON, DC 20010(202) 476-3670(202) 476-4741 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2025, Apr 17, 2020 (2 updates tracked since 2020).

About Dr. Charles John Billington Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES JOHN BILLINGTON JR. MD (NPI 1003235367) is an individual clinical genetics (m.d.) provider in Washington, District Of Columbia, licensed in Minnesota (67510) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003235367
Entity TypeIndividualMale
Primary Taxonomy207SG0201X
Provider Legal NameDR. CHARLES JOHN BILLINGTON JR.Credential: MD
Location Address111 MICHIGAN AVE NW, W3.5, 600Washington, DC 20010-2916
Mailing Address606 24th Ave S Ste 500Minneapolis, MN 55454-1455 · (612) 624-5965 · Fax (612) 626-2993
Phone(202) 476-3670
Fax(202) 476-4741
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2014
Enumeration DateApril 15, 2014
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1003235367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License✔ Licensed in MN · 67510
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Also ListedPediatricsTaxonomy 208000000X · License 67510 (MN)
111 MICHIGAN AVE NW, Washington, DC 20010
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1701 Park AveMinneapolis, MN 55415-1623 · Phone (612) 873-3000
Location 22450 Riverside AveMinneapolis, MN 55454-1450 · Phone (612) 365-6777

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles John Billington Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012339245
PECOS Enrollment IDI20200617000817
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Charles Billington reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Express Care
916 mi
Pediatric Rehabilitation Medicine
9680 TAMARACK RD, SUITE 130
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1700235587 (612) 273-1172
Fairview Specialty Services
928 mi
Point of Service
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
NPI 1912066218 (763) 525-9919
University Of Minnesota Health Clinics And Surgery Center Inc
931 mi
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
NPI 1003485004 (612) 273-8383
University Of Minnesota Physicians
931 mi
Multi-Specialty
720 WASHINGTON AVE SE STE 200
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,453 clinicians in this Medicare group
NPI 1477598118 (612) 672-7422
Hennepin Healthcare System, Inc
933 mi
Home Health
825 S 8TH ST, SL10
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,247 clinicians in this Medicare group
NPI 1962914333 (612) 617-4600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREA BADILLO MD
Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-2451
DR. TALITA MICHELLE JORDAN MD
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-5000
YUE-HIN LOKE MD
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
ELSHADEY YAYEHYERADE BEKELE
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (301) 565-4279
NOURA AL DHAHERI MD
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
JIA LIU MD
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-5000
GINA JIN LEE PHARMD
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-4080
DR. JOY MARIE YUEN M.D.
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Billington's NPI number?

The NPI number for Charles Billington is 1003235367. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Charles Billington located?

Charles Billington practices at 111 Michigan Ave NW W3.5, 600, Washington, DC 20010. The listed phone number is (202) 476-3670.

What is Charles Billington's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Charles Billington enrolled in Medicare?

Yes. Charles Billington is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Charles Billington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Billington reassigns Medicare benefits to 5 organizations: Fairview Express Care (Woodbury, MN), Fairview Specialty Services (Saint Paul, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), University Of Minnesota Physicians (Minneapolis, MN) and Hennepin Healthcare System, Inc (Minneapolis, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Billington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Billington accept?

Health plans from Sanford Health Plan list Charles Billington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charles Billington affiliated with any hospitals?

According to CMS data, Charles Billington is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Charles Billington was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.