TODD L BINGEMANN M.D.
NPI 1346227311
Internal Medicine in Rochester, NY

Q: What is Todd Bingemann's NPI number?

The NPI number for Todd Bingemann is 1346227311. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Q: What is Todd Bingemann's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Todd Bingemann was last updated on July 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment

85.17/100

CMS Quality Rating

913 CULVER RD, ROCHESTER, NY 14609(585) 654-5432(585) 288-7871 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 5, 2023, Oct 31, 2016 (2 updates tracked since 2016).

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About Todd L Bingemann M.d. NPPES

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

TODD L BINGEMANN M.D. (NPI 1346227311) is an individual internal medicine provider in Rochester, New York, licensed in New York (218692) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of Rutgers New Jersey Medical School (1999).

NPPES Registry Identity

NPI1346227311

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameTODD L BINGEMANNCredential: M.D.

Location Address913 CULVER RDRochester, NY 14609-7141

Mailing Address601 Elmwood Ave, Box 278980Rochester, NY 14642-0001

Phone(585) 654-5432

Fax(585) 288-7871

Sole ProprietorNo

Medical School CMSRutgers New Jersey Medical SchoolGraduated 1999

Enumeration DateDecember 29, 2005

Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration

✔ NPI 1346227311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 218692

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 218692 (NY)

Also ListedPediatricsTaxonomy 208000000X · License 218692 (NY)

913 CULVER RD, Rochester, NY 14609

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Other Identifiers 1

OtherP00791352NY · Medicare Railroad

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

Todd L Bingemann M.d. 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 ID1850281106

PECOS Enrollment IDI20040318001519

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 4

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.

54 services38 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.

40 services24 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

33 services14 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Highland Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330164

Location1000 South AvenueRochester, NY 14617 · Monroe County

Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330285

Location601 Elmwood AveRochester, NY 14642 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14609 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

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.

85.17/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.92

Promoting Interoperability

100

Improvement Activities

Cost

62.98

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$61.89 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$33.69 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. HEATHER JEANNINE BUSICK M.D.

Internal Medicine