STEVEN R BINDER DPM
NPI 1053496554
Podiatrist - Foot & Ankle Surgery in Pontiac, MI
NPI Status: Active since October 25, 2006
Contact Information
1701 BALDWIN AVE
B
PONTIAC, MI
ZIP 48340
Phone: (248) 338-3668
Fax: (248) 338-0136
- Individual
- Male
- Years of Experience 43
- Podiatrist
- Foot & Ankle Surgery
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About STEVEN BINDER
This page provides the complete NPI Profile along with additional information for Steven Binder, a provider established in Pontiac, Michigan with a medical specialization in Podiatrist, focusing in foot & ankle surgery and more than 43 years of experience. He graduated from Kent State University College Of Podiatric Medicine in 1983. The healthcare provider is registered in the NPI registry with number 1053496554 assigned on October 2006. The practitioner's primary taxonomy code is 213ES0103X with license number 5901001138 (MI). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1053496554
- Provider Name
- STEVEN R BINDER DPM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1701 BALDWIN AVE B PONTIAC, MI 48340
- Location Phone
- (248) 338-3668
- Location Fax
- (248) 338-0136
- Mailing Address
- 1701 BALDWIN AVE SUITE B PONTIAC, MI 48340
- Mailing Phone
- (248) 338-3668
- Mailing Fax
- (248) 338-0136
- Medical School Name
- KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
- Graduation Year
- 1983
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-25-2006
- Last Update Date
- 08-21-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- 5901001138
- License State
- MI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MHP Bronze - HMO
- MHP Bronze Saver (Expanded) - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| T34152 | MEDICARE UPIN (02) | MI | |
| 5635110 | MEDICARE PIN (08) | MI | |
| 480015203 | MEDICARE PIN (08) | MI | |
| 4783620001 | MEDICARE NSC (07) | MI | |
| 5630125 | OTHER (01) | MI | BCBS |
| 1536220 | MEDICAID (05) | MI |
Medicare Participation & PECOS Enrollment Status
Steven Binder is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Steven Binder is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4789899477
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20110105000101
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Drainage of blood or fluid accumulation
Established patient office or other outpatient visit, 10-19 minutes
Follow-up hospital inpatient care per day, typically 15 minutes
Initial hospital inpatient care per day, typically 30 minutes
Removal of blood accumulation under fingernail or toenail
Removal of fingernails or toenails, 6 or more nails
Removal of noncancer thickened skin growth, 1 growth
Removal of noncancer thickened skin growth, 2-4 growths
Simple or single drainage of skin abscess
Simple separation of fingernail or toenail from nail bed, first nail
This procedure involves removing excess fluid or blood that has collected in the body due to injury, infection, or disease. A small tube is inserted into the affected area to drain the fluid, which can help reduce pain and promote healing.
This service was performed 38 times for 16 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 84 times for 28 patientsFollow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
This service was performed 32 times for 20 patientsInitial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
This service was performed 86 times for 56 patientsThis procedure involves relieving pressure from a blood buildup under a nail, often due to injury. A small hole is made in the nail to drain the blood and reduce pain. The process is quick and usually painless with local anesthesia.
This service was performed 29 times for 16 patientsThis procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
This service was performed 122 times for 49 patientsThis procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
This service was performed 16 times for 12 patientsThis procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
This service was performed 31 times for 14 patientsA simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.
This service was performed 31 times for 20 patientsThis procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.
This service was performed 63 times for 29 patientsReviews for STEVEN R BINDER DPM
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053496554, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
PONTIAC, MI 48340
PONTIAC, MI 48340
PONTIAC, MI 48340
PONTIAC, MI 48340
PONTIAC, MI 48340
PONTIAC, MI 48340
PONTIAC, MI 48340
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053496554, enumerated as an "individual" on October 25, 2006.
The provider is located at 1701 BALDWIN AVE B PONTIAC, MI 48340 and the phone number is (248) 338-3668.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.
The provider might be accepting Accepts: McLaren Health Plan Community, Priority Health,. Please consult your insurance carrier or call the provider to verify.