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JACOB BINGHAM MD
NPI 1144609314
Orthopaedic Surgery in Burley, ID

Active since May 21, 2015PECOS EnrolledAccepts Medicare Assignment
1501 HILAND AVE STE C, BURLEY, ID 83318(208) 677-6080(208) 677-6090 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2022, Oct 8, 2020, Jan 23, 2017 (3 updates tracked since 2017).

About Jacob Bingham Md NPPES

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

JACOB BINGHAM MD (NPI 1144609314) is an individual orthopaedic surgery provider in Burley, Idaho, licensed in Idaho (M15808) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2015).

NPPES Registry Identity

NPI1144609314
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJACOB BINGHAMCredential: MD
Location Address1501 HILAND AVE STE CBurley, ID 83318-2682
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(208) 677-6080
Fax(208) 677-6090
Sole ProprietorYes
Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2015
Enumeration DateMay 21, 2015
Last NPPES UpdateMarch 7, 20223 updates tracked since enumeration
NPPES CertifiedMarch 7, 2022
✔ NPI 1144609314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in ID · M15808
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License A168110 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT208785 (PA)
1501 HILAND AVE STE C, Burley, ID 83318
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Molina Healthcare and more.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

Jacob Bingham 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 ID7012226814
PECOS Enrollment IDI20231109003406
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

4

Medicare enrollment records show Jacob Bingham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ashley Valley Physician Practice, LLC
250 mi
Family Medicine
409 S 200 E
Roosevelt, UT 84066
  • Reassigned Medicare billing, Utah enrollment
  • 57 clinicians in this Medicare group
NPI 1518247709 (435) 725-3327
Providence Hood River Memorial Hospital
438 mi
Urgent Care
14040 HIGHWAY 35
Mt Hood, OR 97041
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Providence Health & Services Oregon
  • 267 clinicians in this Medicare group
NPI 1437355955 (503) 337-2292
Centennial Medical Group Inc.
489 mi
Surgery
201 NW MEDICAL LOOP STE 190
Roseburg, OR 97471
  • Reassigned Medicare billing, Oregon enrollment
  • 90 clinicians in this Medicare group
NPI 1518103274 (541) 644-4319
Providence Health & Services Oregon
556 mi
Rural Health
171 N LARCH ST STE 16
Cannon Beach, OR 97110
  • Reassigned Medicare billing, Oregon enrollment
  • 301 clinicians in this Medicare group
NPI 1841756764 (503) 717-7400

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

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
75 services52 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
70 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services36 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
35 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services24 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380027
Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83318 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

MITCH T ROBINSON PA-C
Physician Assistant
1501 HILAND AVE STE C
BURLEY, ID 83318
Cassia County (208) 677-6080
GARRETT CHILD
Podiatrist
1501 HILAND AVE STE C
BURLEY, ID 83318
Cassia County (208) 677-6080

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 Jacob Bingham's NPI number?

The NPI number for Jacob Bingham is 1144609314. It was assigned to this individual provider in the NPPES registry on May 21, 2015.

Where is Jacob Bingham located?

Jacob Bingham practices at 1501 Hiland Ave Ste C, Burley, ID 83318. The listed phone number is (208) 677-6080.

What is Jacob Bingham's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jacob Bingham enrolled in Medicare?

Yes. Jacob Bingham 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 Jacob Bingham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Bingham reassigns Medicare benefits to 4 organizations: Ashley Valley Physician Practice, LLC (Roosevelt, UT), Providence Hood River Memorial Hospital (Mt Hood, OR), Centennial Medical Group Inc. (Roseburg, OR) and Providence Health & Services Oregon (Cannon Beach, OR). 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 Jacob Bingham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Bingham accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and Providence Health Plan and 4 other insurers list Jacob Bingham 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 Jacob Bingham affiliated with any hospitals?

According to CMS data, Jacob Bingham is affiliated with Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Bingham was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.