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

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: November 01, 2026.

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
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

Other Names 1

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

Other Identifiers 1

Medicaid100085949CA

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. 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.

Medicare Billing Reassignment

Medicare enrollment records show Pratibha Binder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gastroenterology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Regents Of The University Of California
  • Also billed through NPI 1174626618 (California)
  • 1,051 clinicians in this Medicare group

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 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
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.
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
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.
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.

Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Internal Medicine (Infectious Disease)
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103

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 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..

Where is Pratibha Binder located?

Pratibha Binder practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (858) 822-6275.

What is Pratibha Binder's specialty?

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

Is Pratibha Binder enrolled in Medicare?

Yes. Pratibha Binder 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 organization bills Medicare for Pratibha Binder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pratibha Binder reassigns Medicare benefits to Regents Of The University Of California - Ucsd Medical Group (San Diego, CA). The 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 Pratibha Binder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 8 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.