ROBIN UNDERWOOD
NPI 1255955100
Nurse Practitioner in Binghamton, NY

Active since June 05, 2020PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
169 RIVERSIDE DR, BINGHAMTON, NY 13905(607) 658-6772 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2021, Sep 24, 2020, Jun 5, 2020 (3 updates tracked since 2020).

About Robin Underwood NPPES

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

ROBIN UNDERWOOD (NPI 1255955100) is an individual nurse practitioner in Binghamton, New York, licensed in New York (309927) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255955100
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameROBIN UNDERWOOD
Location Address169 RIVERSIDE DRBinghamton, NY 13905-4198
Mailing Address62 Grand BlvdBinghamton, NY 13905-3326 · (607) 658-6772
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 5, 2020
Last NPPES UpdateMay 11, 20213 updates tracked since enumeration
NPPES CertifiedMay 11, 2021
NPI 1255955100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NY · 309927
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 691426-01 (NY)
169 RIVERSIDE DR, Binghamton, NY 13905

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

Robin Underwood 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 ID9335559418
PECOS Enrollment IDI20201030000549
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 5

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
91 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
79 services36 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
65 services61 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
21 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13905 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.57
Promoting Interoperability95
Improvement Activities40
Cost64.87

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.

Nurse Practitioner (Family)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Nurse Practitioner
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Nurse Practitioner (Adult Health)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Nurse Practitioner (Family)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Licensed Practical Nurse
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Urology
169 RIVERSIDE DR, DEPAUL PAVILION
BINGHAMTON, NY 13905

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 Robin Underwood's NPI number?

The NPI number for Robin Underwood is 1255955100. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Where is Robin Underwood located?

Robin Underwood practices at 169 Riverside Dr, Binghamton, NY 13905. The listed phone number is (607) 658-6772.

What is Robin Underwood's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Robin Underwood enrolled in Medicare?

Yes. Robin Underwood 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.

Is Robin Underwood affiliated with any hospitals?

According to CMS data, Robin Underwood is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Robin Underwood was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.