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ROBERT BINGHAM M.D.
NPI 1376501494
Internal Medicine - Endocrinology, Diabetes & Metabolism in Rochester, NY

Active since May 01, 2006PECOS Enrolled
95.19/100
CMS Quality Rating
2655 RIDGEWAY AVE, SUITE 220, ROCHESTER, NY 14626(585) 368-4560(585) 368-4565 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2021, Jun 5, 2019 (2 updates tracked since 2019).

About Robert Bingham M.d. NPPES

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

ROBERT BINGHAM M.D. (NPI 1376501494) is an individual endocrinology, diabetes & metabolism provider in Rochester, New York, licensed in New York (197942) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376501494
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameROBERT BINGHAMCredential: M.D.
Location Address2655 RIDGEWAY AVE, SUITE 220Rochester, NY 14626-4296
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-1900 · Fax (585) 922-1002
Phone(585) 368-4560
Fax(585) 368-4565
Sole ProprietorNo
Enumeration DateMay 1, 2006
Last NPPES UpdateApril 29, 20212 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
✔ NPI 1376501494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NY · 197942
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
2655 RIDGEWAY AVE, Rochester, NY 14626
Open in Google Maps ↗

Other Identifiers 2

OtherP00026209NY · Railroad Medicare
Medicaid02048786NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Bingham M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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 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.
86 services69 patients
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.
84 services75 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14626 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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers32 claims379 services$18.28 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
7 suppliers33 claims1,036 services$2.33 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
38 suppliers167 claims659 services$6.05 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
18 suppliers65 claims110 services$1.02 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers23 claims23 services$313.16 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
14 suppliers298 claims300 services$186.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ELVA PARKER CDE
Dietitian, Registered
2655 RIDGEWAY AVE, SUITE 220
ROCHESTER, NY 14626
Monroe County (585) 368-4560
MRS. COLLEEN MARIE MITRANO MS PT
Physical Therapist
2655 RIDGEWAY AVE
ROCHESTER, NY 14626
Monroe County (585) 368-6600
MS. AMY ELIZABETH KONOPKA RD
Dietitian, Registered
2655 RIDGEWAY AVE
ROCHESTER, NY 14626
Monroe County (585) 368-4560
ANTHONY PETRAGLIA M.D.
Neurological Surgery
2655 RIDGEWAY AVE, SUITE 340
ROCHESTER, NY 14626
Monroe County (585) 368-6545
PATRICK J. REID M.D.
Neurological Surgery
2655 RIDGEWAY AVE, SUITE 340
ROCHESTER, NY 14626
Monroe County (585) 368-6545
NITHYANANDINI NAMASSIVAYA MD
Physical Medicine & Rehabilitation (Spinal Cord Injury Medicine)
2655 RIDGEWAY AVE, SUITE 420
ROCHESTER, NY 14626
Monroe County (585) 723-7972
KATHARINE R WILSON MSPT, CHT
Physical Therapist
2655 RIDGEWAY AVE, SUITE 320
ROCHESTER, NY 14626
Monroe County (585) 368-6600
SKYLER WHIPPLE
Physical Therapist
2655 RIDGEWAY AVE
ROCHESTER, NY 14626
Monroe County (585) 368-6600

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 Robert Bingham's NPI number?

The NPI number for Robert Bingham is 1376501494. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Robert Bingham located?

Robert Bingham practices at 2655 Ridgeway Ave Suite 220, Rochester, NY 14626. The listed phone number is (585) 368-4560.

What is Robert Bingham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Robert Bingham enrolled in Medicare?

Yes. Robert Bingham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Bingham was last updated on April 29, 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.