MICHAEL A BINETTE M.D.
NPI 1386643476
Orthopaedic Surgery in Scarborough, ME

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
49 SPRING ST, SCARBOROUGH, ME 04074(207) 885-0011(207) 885-5851 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 7, 2016, Nov 10, 2015 (2 updates tracked since 2015).

About Michael A Binette M.d. NPPES

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

MICHAEL A BINETTE M.D. (NPI 1386643476) is an individual orthopaedic surgery provider in Scarborough, Maine, licensed in Maine (MD16324) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of University Of Vermont College Of Medicine (1997).

NPPES Registry Identity

NPI1386643476
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL A BINETTECredential: M.D.
Location Address49 SPRING STScarborough, ME 04074-8926
Mailing Address300 Southborough Dr, Suite 201South Portland, ME 04106-6914 · (207) 661-2000
Fax(207) 885-5851
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1997
Enumeration DateJuly 20, 2005
Last NPPES UpdateNovember 7, 20162 updates tracked since enumeration
NPI 1386643476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in ME · MD16324
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

49 SPRING ST, Scarborough, ME 04074

Other Identifiers 2

Medicare PINE400338906ME
Medicare PINE400339080ME

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

Michael A Binette 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 ID3678462272
PECOS Enrollment IDI20040312000055
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 6

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 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.
33 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 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.
29 services27 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
19 services19 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
15 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Lincolnhealth

Critical Access Hospitals · Damariscotta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201302
Location35 Miles StreetDamariscotta, ME 04543 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Pediatrics)
49 SPRING ST
SCARBOROUGH, ME 04074
Physical Therapist
49 SPRING ST, 1ST FLOOR
SCARBOROUGH, ME 04074
Neurological Surgery
49 SPRING ST, 1ST FLOOR
SCARBOROUGH, ME 04074
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
49 SPRING ST
SCARBOROUGH, ME 04074
Neurological Surgery
49 SPRING ST
SCARBOROUGH, ME 04074
Physical Medicine & Rehabilitation
49 SPRING ST
SCARBOROUGH, ME 04074
Physician Assistant (Surgical)
49 SPRING ST, 1ST FLOOR
SCARBOROUGH, ME 04074
Neurological Surgery
49 SPRING ST, 1ST FLOOR
SCARBOROUGH, ME 04074

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 Michael Binette's NPI number?

The NPI number for Michael Binette is 1386643476. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Michael Binette located?

Michael Binette practices at 49 Spring St, Scarborough, ME 04074. The listed phone number is (207) 885-0011.

What is Michael Binette's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Binette enrolled in Medicare?

Yes. Michael Binette 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 Michael Binette accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Michael Binette 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 Michael Binette affiliated with any hospitals?

According to CMS data, Michael Binette is affiliated with Maine Medical Center, Mid Coast Hospital and Lincolnhealth.

When was this NPI record last updated?

The NPPES record for Michael Binette was last updated on November 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.