JOHN Q BINHLAM M.D.
NPI 1467596080
Dermatology in Brentwood, TN

Active since February 16, 2007PECOS EnrolledAccepts Medicare Assignment
97.46/100
CMS Quality Rating
1649 WESTGATE CIR, SUITE 100, BRENTWOOD, TN 37027(615) 843-7546(615) 777-3376 Get Directions Write a Review

NPPES record last updated: March 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2021, May 16, 2017 (2 updates tracked since 2017).

About John Q Binhlam M.d. NPPES

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

JOHN Q BINHLAM M.D. (NPI 1467596080) is an individual dermatology provider in Brentwood, Tennessee, licensed in Tennessee (024945) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1467596080
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameJOHN Q BINHLAMCredential: M.D.
Location Address1649 WESTGATE CIR, SUITE 100Brentwood, TN 37027-8019
Mailing Address1649 Westgate Cir Ste 100Brentwood, TN 37027-8573 · (615) 843-7546 · Fax (615) 777-3376
Fax(615) 777-3376
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateFebruary 16, 2007
Last NPPES UpdateMarch 14, 20212 updates tracked since enumeration
NPPES CertifiedMarch 14, 2021
NPI 1467596080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in TN · 024945
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedSpecialistTaxonomy 174400000X · License MD0000024945 (TN)
1649 WESTGATE CIR, Brentwood, TN 37027

Other Identifiers 7

Other363029TN · Usa Mco
Other1124001466TN · Npi Group Number
Other070012873TN · Gba Railroad Medicare
Other51949393TN · Multiplan
Other6050644TN · Bcbs
Other3076923TN · Blue Cross Shield Of Tn
Other6661701TN · Cigna Healthcare

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

John Q Binhlam 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 ID8325009459
PECOS Enrollment IDI20041022000147
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 27

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,493 services192 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.
1,167 services376 patients
Superficial and/or low voltage radiation treatment delivery 77401
Superficial and/or low voltage radiation treatment delivery is a non-invasive procedure used to treat certain diseases like skin cancer. It uses low energy radiation to target and destroy abnormal cells, aiding in halting disease progression.
624 services41 patients
Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved 77290
This procedure involves collecting necessary data to plan the best radiation treatment. It may cover 3 or more areas or any area requiring special attention. Data collection includes imaging scans and tests to understand the disease's extent and to tailor a precise, effective treatment plan.
579 services41 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.
519 services275 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
376 services286 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37027 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

97.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95.38
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
100%3,768 patients5/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%86 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 75% · 640 patients
75%640 patients
Provide Patients Electronic Access to Their Health Information
94%1,040 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
100%106 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 John Binhlam's NPI number?

The NPI number for John Binhlam is 1467596080. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is John Binhlam located?

John Binhlam practices at 1649 Westgate Cir Suite 100, Brentwood, TN 37027. The listed phone number is (615) 843-7546.

What is John Binhlam's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is John Binhlam enrolled in Medicare?

Yes. John Binhlam 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 John Binhlam accept?

Health plans from BlueCross BlueShield of Tennessee list John Binhlam 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.

When was this NPI record last updated?

The NPPES record for John Binhlam was last updated on March 14, 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.