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CHARLES JOHN BILLINGTON MD
NPI 1235225160
Internal Medicine - Endocrinology, Diabetes & Metabolism in Minneapolis, MN

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
82.34/100
CMS Quality Rating
MINNEAPOLIS VAMC, METABOLIC SECTION (111G), ONE VETERANS DRIVE, MINNEAPOLIS, MN 55417(612) 725-2000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles John Billington Md NPPES

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

CHARLES JOHN BILLINGTON MD (NPI 1235225160) is an individual endocrinology, diabetes & metabolism provider in Minneapolis, Minnesota, licensed in Minnesota (25965) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1978).

NPPES Registry Identity

NPI1235225160
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameCHARLES JOHN BILLINGTONCredential: MD
Location AddressMINNEAPOLIS VAMC, METABOLIC SECTION (111G), ONE VETERANS DRIVEMinneapolis, MN 55417
Mailing AddressUniversity Of Minnesota Physicians, 420 Delaware St Se Mmc 101Minneapolis, MN 55455 · (612) 725-2000
Phone(612) 725-2000
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1978
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1235225160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MN · 25965
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
MINNEAPOLIS VAMC, METABOLIC SECTION (111G), Minneapolis, MN 55417
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Other Identifiers 11

Medicare ID-Type Unspecified0086139MT
Other132686MN · U Care
Other33-00009MN · Medica-primary
Other33--00167MN · Medica-choice
OtherB575Champus
OtherP00307732Rr Medicare
Other9357615Phcs
OtherHP49943Health Partners
Other1043323MN · Preferred One
Other2274316MN · Arazid
Medicare UPINI21233MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

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

Charles John Billington 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.

PECOS PAC ID4981668027
PECOS Enrollment IDI20041117001001
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

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 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.
27 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55417 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

82.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.54
Promoting Interoperability100
Improvement Activities40
Cost38.17

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 Charles Billington's NPI number?

The NPI number for Charles Billington is 1235225160. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Charles Billington located?

Charles Billington practices at Minneapolis Vamc, Metabolic Section (111g) One Veterans Drive, Minneapolis, MN 55417. The listed phone number is (612) 725-2000.

What is Charles Billington's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Charles Billington enrolled in Medicare?

Yes. Charles Billington 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.

What insurance does Charles Billington accept?

Health plans from Medica and Sanford Health Plan list Charles Billington 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 Charles Billington was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.