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DR. GIL BINENBAUM MD
NPI 1316073174
Ophthalmology - Neuro-ophthalmology in Philadelphia, PA

Active since February 26, 2007PECOS EnrolledAccepts Medicare Assignment
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104(215) 590-3440(215) 590-3986 Get Directions Write a Review

NPPES record last updated: April 12, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Gil Binenbaum Md NPPES

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

DR. GIL BINENBAUM MD (NPI 1316073174) is an individual neuro-ophthalmology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD428469) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Penn Presbyterian Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1316073174
Entity TypeIndividualMale
Primary Taxonomy207WX0109X
Provider Legal NameDR. GIL BINENBAUMCredential: MD
Location Address34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIAPhiladelphia, PA 19104-4306
Mailing Address100 E Penn Sq, The Wanamaker Building 9th FlPhila, PA 19107-3323 · (267) 425-9538 · Fax (267) 425-9552
Phone(215) 590-3440
Fax(215) 590-3986
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 26, 2007
Last NPPES UpdateApril 12, 2018
✔ NPI 1316073174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Neuro-ophthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207WX0109X
License✔ Licensed in PA · MD428469
Definition
A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders.
Also ListedOphthalmologyTaxonomy 207W00000X · License MD0428469 (PA)
34TH & CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Identifiers 1

Medicaid101910827-0001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gil Binenbaum 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 ID2769573278
PECOS Enrollment IDI20070813000013, I20240910003461
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 Reassignments

3

Medicare enrollment records show Gil Binenbaum reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Surgical Associates Ltd
Same address
Urology
3401 CIVIC CENTER BLVD
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 178 clinicians in this Medicare group
NPI 1003985854 (215) 590-2754
University Of Penn-Medical Group
0.1 mi
Plastic Surgery
3400 CIVIC CENTER BLVD, SOUTH PAVILLION 1ST FLOOR
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1194113118 (215) 662-7300
Children's Surgical Associates Of New Jersey Inc
14 mi
Otolaryngology
1012 LAUREL OAK RD, SUITE 1
Voorhees, NJ 08043
  • Reassigned Medicare billing, New Jersey enrollment
  • 23 clinicians in this Medicare group
NPI 1184708679 (856) 435-1300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

MARK RIZZI M.D.
Otolaryngology
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-3440
BRIAN LESTINI M.D.
Pediatrics (Pediatric Hematology-Oncology)
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
PATRICK JOHN CAHILL MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1527
STEPHANIE FULLER M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2708
DR. CHERIE D FOSTER MD
Pediatrics (Neonatal-Perinatal Medicine)
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
BONNIE L SERLETTI MD
Obstetrics & Gynecology
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2730
DR. THEODORE J GANLEY M.D.
Orthopaedic Surgery
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1527
JOHN TODD RUTTER LAWRENCE M.D./PH.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1527

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 Gil Binenbaum's NPI number?

The NPI number for Gil Binenbaum is 1316073174. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Gil Binenbaum located?

Gil Binenbaum practices at 34th & Civic Center Blvd Children's Hospital Of Philadelphia, Philadelphia, PA 19104. The listed phone number is (215) 590-3440.

What is Gil Binenbaum's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Neuro-ophthalmology, with taxonomy code 207WX0109X.

Is Gil Binenbaum enrolled in Medicare?

Yes. Gil Binenbaum 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.

Which organizations bill Medicare for Gil Binenbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gil Binenbaum reassigns Medicare benefits to 3 organizations: Children's Surgical Associates Ltd (Philadelphia, PA), University Of Penn-Medical Group (Philadelphia, PA) and Children's Surgical Associates Of New Jersey Inc (Voorhees, NJ). Each 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 Gil Binenbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gil Binenbaum accept?

Health plans from Oscar Health list Gil Binenbaum 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.

Is Gil Binenbaum affiliated with any hospitals?

According to CMS data, Gil Binenbaum is affiliated with Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Gil Binenbaum was last updated on April 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.