ASHLEY KAYE BINDER MD
NPI 1265775365
Internal Medicine - Critical Care Medicine in La Jolla, CA

Active since March 27, 2013PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
10666 N TORREY PINES RD, LA JOLLA, CA 92037(858) 554-8860 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2026, May 16, 2022 (2 updates tracked since 2022).

About Ashley Kaye Binder Md NPPES

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

ASHLEY KAYE BINDER MD (NPI 1265775365) is an individual critical care medicine provider in La Jolla, California, licensed in California (A203728) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of Meharry Medical College School Of Medicine (2013).

NPPES Registry Identity

NPI1265775365
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameASHLEY KAYE BINDERCredential: MD
Location Address10666 N TORREY PINES RDLa Jolla, CA 92037-1027
Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (858) 554-8860
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2013
Enumeration DateMarch 27, 2013
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
NPI 1265775365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses Licensed in CA · A203728 Licensed in IL · 036.157117
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 036.157117 (IL)
10666 N TORREY PINES RD, La Jolla, CA 92037

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

Ashley Kaye 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.

PECOS PAC ID3971813346
PECOS Enrollment IDI20260522002690
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 7

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
121 services46 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
55 services55 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
53 services53 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
50 services50 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.
39 services21 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.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

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.

Student in an Organized Health Care Education/Training Program
10666 N TORREY PINES RD
LA JOLLA, CA 92037
Physician Assistant (Medical)
10666 N TORREY PINES RD
LA JOLLA, CA 92037
Radiology (Vascular & Interventional Radiology)
10666 N TORREY PINES RD
LA JOLLA, CA 92037
Internal Medicine (Cardiovascular Disease)
10666 N TORREY PINES RD
LA JOLLA, CA 92037
Internal Medicine (Geriatric Medicine)
10666 N TORREY PINES RD
LA JOLLA, CA 92037
Hospitalist
10666 N TORREY PINES RD
LA JOLLA, CA 92037
Hospitalist
10666 N TORREY PINES RD
LA JOLLA, CA 92037
Podiatrist
10666 N TORREY PINES RD
LA JOLLA, CA 92037

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 Ashley Binder's NPI number?

The NPI number for Ashley Binder is 1265775365. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Where is Ashley Binder located?

Ashley Binder practices at 10666 N Torrey Pines Rd, La Jolla, CA 92037. The listed phone number is (858) 554-8860.

What is Ashley Binder's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Ashley Binder enrolled in Medicare?

Yes. Ashley 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.

Is Ashley Binder affiliated with any hospitals?

According to CMS data, Ashley Binder is affiliated with University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Ashley Binder was last updated on May 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.