DR. PETER MATTHIAS BINGHAM MD
NPI 1215955430
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Burlington, VT
About Dr. Peter Matthias Bingham Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PETER MATTHIAS BINGHAM MD (NPI 1215955430) is an individual neurology with special qualifications in child neurology provider in Burlington, Vermont, licensed in Vermont (0420010083) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1987).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
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. Peter Matthias 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.
Medicare Billing Reassignments
4Medicare enrollment records show Peter Bingham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Burlington, VT 05401
- Reassigned Medicare billing, Vermont enrollment
- 1,643 clinicians in this Medicare group
Plattsburgh, NY 12901
- Reassigned Medicare billing, New York enrollment
- 675 clinicians in this Medicare group
Berlin, VT 05602
- Reassigned Medicare billing, Vermont enrollment
- 562 clinicians in this Medicare group
Bronx, NY 10457
- Reassigned Medicare billing, New York enrollment
- 795 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 05401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Peter Bingham's NPI number?
The NPI number for Peter Bingham is 1215955430. It was assigned to this individual provider in the NPPES registry on July 17, 2006.
Where is Peter Bingham located?
Peter Bingham practices at 110 Colchester Ave East Pavilon, Level 4, Burlington, VT 05401. The listed phone number is (802) 847-4589.
What is Peter Bingham's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.
Is Peter Bingham enrolled in Medicare?
Yes. Peter 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 Peter Bingham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Bingham reassigns Medicare benefits to 4 organizations: University Of Vermont Medical Center Inc (Burlington, VT), Champlain Valley Physicians Hospital Medical Center (Plattsburgh, NY), Central Vermont Medical Center Inc (Berlin, VT) and Bronxcare Health System (Bronx, NY). 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 Peter Bingham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Peter Bingham accept?
Health plans from Anthem Blue Cross and Blue Shield list Peter 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.
When was this NPI record last updated?
The NPPES record for Peter Bingham was last updated on October 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Peter Matthias Bingham, MD · NPI 1215955430
Neurology with Special Qualifications in Child Neurology physician in Burlington, Vermont. Individual provider, active in the CMS NPPES registry since July 17, 2006.
## Identity
- **NPI:** 1215955430 (Entity type: Individual)
- **Enumerated:** July 17, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **State license:** 0420010083 (Vermont)
- **Sole proprietor:** No
## Practice location
- **Address:** 110 COLCHESTER AVE, EAST PAVILON, LEVEL 4, Burlington, VT 05401-1473
- **Phone:** (802) 847-4589
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): University Of Vermont Medical Center Inc (NPI 1659309615, Burlington, VT); Champlain Valley Physicians Hospital Medical Center (NPI 1033270699, Plattsburgh, NY); Central Vermont Medical Center Inc (NPI 1023028784, Berlin, VT); Bronxcare Health System (NPI 1073858296, Bronx, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Columbia University College Of Physicians And Surgeons, class of 1987
## Record status
- **NPPES last updated:** October 10, 2013
- **Other identifiers:** Medicare UPIN E85194; Medicare ID-Type Unspecified VN2367 (VT); Medicaid OVN2367 (VT)
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Source: [NPI Profile](https://npiprofile.com/npi/1215955430) · Data from the CMS NPPES public registry.