NICHOLAS RICHARD BINDER MD
NPI 1306076716
Ophthalmology in Escondido, CA

Active since July 20, 2009PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
700 W. EL NORTE PKWY., STE 200, ESCONDIDO, CA 92026(760) 743-5872(760) 743-5879 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2024, Mar 17, 2018 (2 updates tracked since 2018).

About Nicholas Richard Binder Md NPPES

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

NICHOLAS RICHARD BINDER MD (NPI 1306076716) is an individual ophthalmology provider in Escondido, California, licensed in California (A124698) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, Irvine, California College Of Medicine (2009).

NPPES Registry Identity

NPI1306076716
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameNICHOLAS RICHARD BINDERCredential: MD
Location Address700 W. EL NORTE PKWY., STE 200Escondido, CA 92026-3923
Mailing Address320 Santa Fe Drive #104Encinitas, CA 92024-5138 · (760) 943-7141 · Fax (760) 943-0371
Fax(760) 743-5879
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2009
Enumeration DateJuly 20, 2009
Last NPPES UpdateOctober 9, 20242 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
NPI 1306076716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A124698
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistTaxonomy 207WX0110X · License A124698 (CA)
700 W. EL NORTE PKWY., Escondido, CA 92026

Secondary Practice Locations 2

Location 1320 Santa Fe Drive., 104Encinitas, CA 92024 · Phone (760) 943-7141 · Fax (760) 943-0371
Location 25565 Grossmont Center Dr., Bldg3 Ste 551La Mesa, CA 91942 · Phone (619) 465-2020 · Fax (619) 698-1189

Other Identifiers 1

Medicaid1306076716CA

Accepted 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

Nicholas Richard 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 ID3173763174
PECOS Enrollment IDI20130716000735
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 15

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
318 services305 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
295 services218 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
189 services141 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.
154 services127 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
128 services117 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
92 services87 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92026 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
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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 Nicholas Binder's NPI number?

The NPI number for Nicholas Binder is 1306076716. It was assigned to this individual provider in the NPPES registry on July 20, 2009.

Where is Nicholas Binder located?

Nicholas Binder practices at 700 W. El Norte Pkwy. Ste 200, Escondido, CA 92026. The listed phone number is (760) 743-5872.

What is Nicholas Binder's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Nicholas Binder enrolled in Medicare?

Yes. Nicholas 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.

What insurance does Nicholas Binder accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Nicholas 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 Nicholas Binder was last updated on October 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.