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DR. JOSEPH PETER BINFET M.D.
NPI 1457555716
Family Medicine in Rochester, IN

Active since June 12, 2007PECOS EnrolledAccepts Medicare Assignment
47.86/100
CMS Quality Rating
1400 E 9TH ST, ROCHESTER, IN 46975(574) 223-2020(574) 223-5847 Get Directions Write a Review

NPPES record last updated: November 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Joseph Peter Binfet M.d. NPPES

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

DR. JOSEPH PETER BINFET M.D. (NPI 1457555716) is an individual family medicine provider in Rochester, Indiana, licensed in Indiana (01064929A) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center - Plymouth, and is a graduate of Indiana University School Of Medicine (2006).

NPPES Registry Identity

NPI1457555716
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOSEPH PETER BINFETCredential: M.D.
Location Address1400 E 9TH STRochester, IN 46975-8931
Mailing Address1400 E 9th StRochester, IN 46975-8931 · (574) 223-2020 · Fax (574) 223-5847
Phone(574) 223-2020
Fax(574) 223-5847
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2006
Enumeration DateJune 12, 2007
Last NPPES UpdateNovember 8, 2013
✔ NPI 1457555716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IN · 01064929A✔ Licensed in IN · 11013383A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1400 E 9TH ST, Rochester, IN 46975
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Other Identifiers 4

Medicare PINP00760402IN
Other000000626579IN · Bcbs
Medicare UPIN187730QIN
Medicaid200946920IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Joseph Peter Binfet 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 ID1153474648
PECOS Enrollment IDI20090731000005
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.

Hospital Affiliations CMS Care Compare 3

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

Saint Joseph Regional Medical Center - Plymouth

Acute Care Hospitals · Plymouth, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150076
Location1915 Lake AvePlymouth, IN 46563 · Marshall County
Emergency services

Kosciusko Community Hospital

Acute Care Hospitals · Warsaw, IN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number150133
Location2101 E Dubois DrWarsaw, IN 46580 · Kosciusko County
Emergency services Birthing friendly

Woodlawn Hospital

Critical Access Hospitals · Rochester, IN
OwnershipGovernment - Local
CMS Certification Number151313
Location1400 E 9th StRochester, IN 46975 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46975 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

47.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.13
Promoting Interoperability0
Improvement Activities40
Cost36.4

Referred Medical Equipment & Supplies CMS DME claims 16

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers38 claims100 services$6.05 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers14 claims18 services$1.17 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers19 claims19 services$100.42 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers22 claims55 services$41.55 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers12 claims55 services$18.96 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers15 claims15 services$74.51 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.

MR. JERROD A FELDMAN MD
Pediatrics
1400 E 9TH ST
ROCHESTER, IN 46975
Fulton County (574) 223-2020
OMAZONNA AMADI MD
Family Medicine
1400 E 9TH ST
ROCHESTER, IN 46975
Fulton County (574) 223-2020
JENNIFER LAURO
Occupational Therapist
1400 E 9TH ST
ROCHESTER, IN 46975
Fulton County (574) 224-1160
MR. RICARDO MONTALBO YOUNG MD
Surgery
1400 E 9TH ST
ROCHESTER, IN 46975
Fulton County (574) 224-1048
JENNIFER MARIE SULT MD
Family Medicine
1400 E 9TH ST
ROCHESTER, IN 46975
Fulton County (574) 223-2020
MR. DAVID M FOLK MD
Family Medicine
1400 E 9TH ST
ROCHESTER, IN 46975
Fulton County (574) 223-2020
MRS. KYLE LINN SOMMERS FNP-C
Nurse Practitioner (Family)
1400 E 9TH ST
ROCHESTER, IN 46975
Fulton County (574) 223-3341
WOODLAWN HOSPITAL
Family Medicine
1400 E 9TH ST
ROCHESTER, IN 46975
Fulton County (574) 223-2020

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 Joseph Binfet's NPI number?

The NPI number for Joseph Binfet is 1457555716. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Joseph Binfet located?

Joseph Binfet practices at 1400 E 9th St, Rochester, IN 46975. The listed phone number is (574) 223-2020.

What is Joseph Binfet's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joseph Binfet enrolled in Medicare?

Yes. Joseph Binfet 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 Joseph Binfet accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Joseph Binfet 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 Joseph Binfet affiliated with any hospitals?

According to CMS data, Joseph Binfet is affiliated with Saint Joseph Regional Medical Center - Plymouth, Kosciusko Community Hospital and Woodlawn Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Binfet was last updated on November 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.