1. Home
  2. Directory
  3. North Carolina
  4. Wilson
  5. Internal Medicine
  6. NPI Profile

ROBERT WILLIAM BYNUM IV MD
NPI 1477525111
Internal Medicine - Nephrology in Wilson, NC

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment
2605 FOREST HILLS RD SW STE A, WILSON, NC 27893(252) 293-9898(252) 293-9915 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert William Bynum Iv Md NPPES

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

ROBERT WILLIAM BYNUM IV MD (NPI 1477525111) is an individual nephrology provider in Wilson, North Carolina, licensed in North Carolina (24731) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Wilson Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1979).

NPPES Registry Identity

NPI1477525111
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameROBERT WILLIAM BYNUM IVCredential: MD
Location Address2605 FOREST HILLS RD SW STE AWilson, NC 27893-4448
Mailing Address2605 Forest Hills Rd Sw Ste AWilson, NC 27893-4448 · (252) 293-9898 · Fax (252) 293-9915
Phone(252) 293-9898
Fax(252) 293-9915
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1979
Enumeration DateFebruary 6, 2006
Last NPPES UpdateMay 11, 2023
NPPES CertifiedNovember 17, 2021
✔ NPI 1477525111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NC · 24731
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2605 FOREST HILLS RD SW STE A, Wilson, NC 27893
Open in Google Maps ↗

Other Identifiers 2

Medicaid8920580NC
Other20580NC · Blue Cross Blue Sheild

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Robert William Bynum Iv Md 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 ID1951207810
PECOS Enrollment IDI20101124000083
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.

Dialysis services, per day, less than full month service (20 years or older) 90970
Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.
496 services15 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
156 services28 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
74 services74 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
71 services71 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
67 services12 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.
39 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Wilson Medical Center

Acute Care Hospitals · Wilson, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340126
Location1705 S Tarboro StWilson, NC 27893 · Wilson County
Emergency services Birthing friendly

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340147
Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27893 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
6%559 patients1/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
60%260 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%3,019 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
55%559 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
25%801 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
4%1,218 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 84% · 713 patients
84%713 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 559 patients
3%559 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 13

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
18 suppliers75 claims230 services$6.05 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers29 claims45 services$0.98 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers13 claims13 services$91.43 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers16 claims31 services$38.56 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
3 suppliers11 claims11 services$61.96 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers12 claims12 services$18.84 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIRAV MANUBHAI JASANI MD
Internal Medicine (Nephrology)
2605 FOREST HILLS RD SW STE A
WILSON, NC 27893
Wilson County (252) 293-9898
N.C. KIDNEY CARE, P.A.
Internal Medicine (Nephrology)
2605 FOREST HILLS RD SW STE A
WILSON, NC 27893
Wilson County (252) 293-9898

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 Bynum's NPI number?

The NPI number for Robert Bynum is 1477525111. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Robert Bynum located?

Robert Bynum practices at 2605 Forest Hills Rd SW Ste A, Wilson, NC 27893. The listed phone number is (252) 293-9898.

What is Robert Bynum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Robert Bynum enrolled in Medicare?

Yes. Robert Bynum 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 Bynum accept?

Health plans from Blue Cross and Blue Shield of NC list Robert Bynum 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 Bynum affiliated with any hospitals?

According to CMS data, Robert Bynum is affiliated with Wilson Medical Center and Unc Health Nash.

When was this NPI record last updated?

The NPPES record for Robert Bynum was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.