DR. PRATIBHA SAREEN BINDER M.D.
NPI 1174758031
Obstetrics & Gynecology - Gynecologic Oncology in San Diego, CA

Q: What is Pratibha Binder's NPI number?

The NPI number for Pratibha Binder is 1174758031. It was assigned to this individual provider in the NPPES registry on May 21, 2009. The provider is also known as Dr. Pratibha Sareen M.D..

Q: What is Pratibha Binder's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Q: When was this NPI record last updated?

The NPPES record for Pratibha Binder was last updated on October 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 21, 2009PECOS EnrolledAccepts Medicare Assignment

200 W ARBOR DR, SAN DIEGO, CA 92103(858) 822-6275(858) 822-6319 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Pratibha Sareen Binder M.d. NPPES

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

DR. PRATIBHA SAREEN BINDER M.D. (NPI 1174758031) is an individual gynecologic oncology provider in San Diego, California, licensed in California (A149945) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2009).

NPPES Registry Identity

NPI1174758031

Entity TypeIndividualFemale

Primary Taxonomy207VX0201X

Provider Legal NameDR. PRATIBHA SAREEN BINDERCredential: M.D.

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing AddressPo Box 232410San Diego, CA 92193-2410

Phone(858) 822-6275

Fax(858) 822-6319

Sole ProprietorNo

Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2009

Enumeration DateMay 21, 2009

Last NPPES UpdateOctober 22, 2018

✔ NPI 1174758031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207VX0201X

License✔ Licensed in CA · A149945

Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

200 W ARBOR DR, San Diego, CA 92103

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Other Names 1

Professional Name (2)Dr. Pratibha Sareen M.d.

Other Identifiers 1

Medicaid100085949CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pratibha Sareen Binder M.d. 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 ID1658637434

PECOS Enrollment IDI20171110001087

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.

Areas of Expertise CMS Part B claims 8

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

59 services19 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

49 services27 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.

47 services27 patients

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.

35 services27 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

28 services14 patients

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

23 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

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 20

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

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