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DR. A J BINDER MD
NPI 1235130931
Orthopaedic Surgery in Metairie, LA

Active since August 03, 2005PECOS Enrolled
64.75/100
CMS Quality Rating
4720 S I 10 SERVICE RD W, SUITE 301, METAIRIE, LA 70001(504) 885-8225(504) 885-7642 Get Directions Write a Review

NPPES record last updated: January 15, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. A J Binder Md NPPES

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

DR. A J BINDER MD (NPI 1235130931) is an individual orthopaedic surgery provider in Metairie, Louisiana, licensed in Louisiana (018738) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235130931
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. A J BINDERCredential: MD
Location Address4720 S I 10 SERVICE RD W, SUITE 301Metairie, LA 70001-7404
Mailing Address4720 S I 10 Service Rd W, Suite 301Metairie, LA 70001-7404 · (504) 885-8225 · Fax (504) 885-7642
Phone(504) 885-8225
Fax(504) 885-7642
Sole ProprietorNo
Enumeration DateAugust 3, 2005
Last NPPES UpdateJanuary 15, 2008
✔ NPI 1235130931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in LA · 018738
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.
4720 S I 10 SERVICE RD W, Metairie, LA 70001
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Other Identifiers 2

Medicare UPINB63677LA
Medicare PIN52197LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. A J Binder Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 A Binder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cibola General Hospital Corporation
1,087 mi
Critical Access
1016 E ROOSEVELT AVE
Grants, NM 87020
  • Reassigned Medicare billing, New Mexico enrollment
  • 144 clinicians in this Medicare group
NPI 1780677039 (505) 287-5300

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.

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.
200 services33 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.
88 services68 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.
61 services58 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.
45 services40 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
40 services34 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.
33 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70001 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
$86.76 typical visit price
range $55.50 – $170.30
Typical copayment $21.69 (range $13.87 – $42.57)
Most-billed visit code 99203
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

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.

64.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.31
Promoting Interoperability94
Improvement Activities40
Cost32.2

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,369 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
89%1,247 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
56%909 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%500 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
22%1,073 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
19%999 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 94% · 670 patients
Patients tobacco: 7% · 43 patients
85%670 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
76%1,073 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%1,073 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
34%1,073 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MRS. ANGELA ANN NOYA NNP
Nurse Practitioner (Neonatal)
4720 S I 10 SERVICE RD W
METAIRIE, LA 70001
Jefferson Parish (504) 780-4583
DR. JEFFREY HARRIS SINGER MD
Ophthalmology
4720 S I 10 SERVICE RD W, SUITE 406
METAIRIE, LA 70001
Jefferson Parish (504) 456-3155
BRITTNEY RAY ROBIN FNP
Nurse Practitioner (Family)
4720 S I 10 SERVICE RD W, SUTE 501
METAIRIE, LA 70001
Jefferson Parish (504) 988-6253
MRS. SUSAN MARY WIEGERT VILLALOBOS MPH, LDN, RD
Dietitian, Registered
4720 S I 10 SERVICE RD W, SUITE 200
METAIRIE, LA 70001
Jefferson Parish (504) 988-7542
PATRICE B EVERS MD
Pediatrics
4720 S I 10 SERVICE RD W, SUITE 100
METAIRIE, LA 70001
Jefferson Parish (504) 988-5800
MRS. MEGAN M CASEY RD, LDN, CSOWM
Dietitian, Registered
4720 S I 10 SERVICE RD W
METAIRIE, LA 70001
Jefferson Parish (504) 988-2274
DR. BOBBY L MIMELES MD
Orthopaedic Surgery
4720 S I 10 SERVICE RD W, SUITE 301
METAIRIE, LA 70001
Jefferson Parish (504) 885-8225
CATHY C SWAIN- JONES MD
Obstetrics & Gynecology
4720 S I 10 SERVICE RD W, STE 201A
METAIRIE, LA 70001
Jefferson Parish (504) 889-7181

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 A Binder's NPI number?

The NPI number for A Binder is 1235130931. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is A Binder located?

A Binder practices at 4720 S I 10 Service Rd W Suite 301, Metairie, LA 70001. The listed phone number is (504) 885-8225.

What is A Binder's specialty?

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

Is A Binder enrolled in Medicare?

Yes. A Binder is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for A Binder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), A Binder reassigns Medicare benefits to Cibola General Hospital Corporation (Grants, NM). 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 A Binder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does A Binder accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Select Health list A 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 A Binder was last updated on January 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.