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DR. ROBERT BINFORD M.D.
NPI 1427040369
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Bellevue, WA

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment
79.16/100
CMS Quality Rating
1135 116TH AVE NE, STE 605, BELLEVUE, WA 98004(425) 454-8161(425) 454-9304 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert Binford M.d. NPPES

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

DR. ROBERT BINFORD M.D. (NPI 1427040369) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Bellevue, Washington, licensed in Washington (MD60117069) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1992).

NPPES Registry Identity

NPI1427040369
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. ROBERT BINFORDCredential: M.D.
Location Address1135 116TH AVE NE, STE 605Bellevue, WA 98004
Mailing AddressMs 315010, Po Box 3947Seattle, WA 98124-3947 · (425) 467-3655 · Fax (425) 635-6355
Phone(425) 454-8161
Fax(425) 454-9304
Sole ProprietorYes
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1992
Enumeration DateAugust 17, 2005
Last NPPES UpdateDecember 2, 2020
NPPES CertifiedDecember 2, 2020
✔ NPI 1427040369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in WA · MD60117069✔ Licensed in TN · MD35325
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
1135 116TH AVE NE, Bellevue, WA 98004
Open in Google Maps ↗

Other Identifiers 8

Medicaid3864456TN
Other5438275Aetna
Other10071081TN · Amerigroup Community Care
OtherP00010889TN · Railroad Medicare
Other4018326Bcbs
Medicaid2011157WA
Other6404194KY · Ky Medicaid
OtherTN0101TN · Americhoice

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Dr. Robert Binford 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 ID6800939406
PECOS Enrollment IDI20110308000706
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.
45 services38 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
44 services44 patients
Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$189.37 typical visit price
range $63.67 – $189.37
Typical copayment $47.34 (range $15.91 – $47.34)
Most-billed visit code 99205
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

79.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.53
Promoting Interoperability100
Improvement Activities40
Cost56.02

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.

JOSEPH W DOUCETTE M.D.
Internal Medicine (Cardiovascular Disease)
1135 116TH AVE NE, SUITE 600
BELLEVUE, WA 98004
King County (425) 454-2656
WASHINGTON IMAGING SERVICES LLC
Specialist
1135 116TH AVE NE, STE 260
BELLEVUE, WA 98004
King County (425) 688-0100
ROANNE R E SELINGER MD
Internal Medicine (Gastroenterology)
1135 116TH AVE NE, #560
BELLEVUE, WA 98004
King County (425) 454-4768
OVERLAKE BREAST IMAGING LLC
Clinic/Center (Radiology)
1135 116TH AVE NE, SUITE 255
BELLEVUE, WA 98004
King County (425) 467-3754
DAVID C MORTON M.D.
Internal Medicine
1135 116TH AVE NE, SUITE 110A
BELLEVUE, WA 98004
King County (425) 289-3100
SHIE-PON TZUNG MD PHD
Internal Medicine (Gastroenterology)
1135 116TH AVE NE, #560
BELLEVUE, WA 98004
King County (425) 454-4768
PROLIANCE SURGEONS INC., P.S.
Orthopaedic Surgery
1135 116TH AVE NE, SUITE 510
BELLEVUE, WA 98004
King County (425) 455-3600
OVERLAKE MEDICAL TOWER PHARMACY
Pharmacy (Community/Retail Pharmacy)
1135 116TH AVE NE, STE 105
BELLEVUE, WA 98004
King County (425) 688-5958

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 Binford's NPI number?

The NPI number for Robert Binford is 1427040369. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Robert Binford located?

Robert Binford practices at 1135 116th Ave NE Ste 605, Bellevue, WA 98004. The listed phone number is (425) 454-8161.

What is Robert Binford's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Robert Binford enrolled in Medicare?

Yes. Robert Binford 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 Robert Binford accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Robert Binford 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 Robert Binford affiliated with any hospitals?

According to CMS data, Robert Binford is affiliated with Overlake Hospital Medical Center and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Binford was last updated on December 2, 2020. 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.