DR. ZACHARY W BINDER MD
NPI 1184069197
Pediatrics - Pediatric Emergency Medicine in Worcester, MA
About Dr. Zachary W Binder Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ZACHARY W BINDER MD (NPI 1184069197) is an individual pediatric emergency medicine provider in Worcester, Massachusetts, licensed in Massachusetts (268202) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Tufts University School Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 1
Accepted 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. Zachary W Binder 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.
Medicare Billing Reassignment
Medicare enrollment records show Zachary Binder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 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.
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.
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.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Zachary Binder's NPI number?
The NPI number for Zachary Binder is 1184069197. It was assigned to this individual provider in the NPPES registry on May 3, 2013.
Where is Zachary Binder located?
Zachary Binder practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 442-2599.
What is Zachary Binder's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Zachary Binder enrolled in Medicare?
Yes. Zachary 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 Zachary Binder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Binder reassigns Medicare benefits to Umass Memorial Medical Group Inc (Worcester, MA). 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 Zachary Binder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Zachary Binder accept?
Health plans from Taro Health list Zachary Binder 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.
When was this NPI record last updated?
The NPPES record for Zachary Binder was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.
# Dr. Zachary W Binder, MD · NPI 1184069197
Pediatric Emergency Medicine physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since May 3, 2013.
## Identity
- **NPI:** 1184069197 (Entity type: Individual)
- **Enumerated:** May 3, 2013
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** 268202 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (774) 442-2599 · **Fax:** (774) 442-2510
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Umass Memorial Medical Group Inc (NPI 1760445373, Worcester, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tufts University School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** September 30, 2026
- **Other identifiers:** Medicaid 110116133A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1184069197) · Data from the CMS NPPES public registry.