JOHN CHRISTOPHER BINFORD M.D.
NPI 1497013734
Emergency Medicine in New Haven, CT

Active since April 24, 2012PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
20 YORK ST # T-209, YALE NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510(203) 688-2259(203) 688-5599 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2019, Feb 19, 2019, Aug 21, 2018 (3 updates tracked since 2018).

About John Christopher Binford M.d. NPPES

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

JOHN CHRISTOPHER BINFORD M.D. (NPI 1497013734) is an individual emergency medicine provider in New Haven, Connecticut, licensed in North Carolina (2016-00801) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Margaret R Pardee Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497013734
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOHN CHRISTOPHER BINFORDCredential: M.D.
Location Address20 YORK ST # T-209, YALE NEW HAVEN HOSPITALNew Haven, CT 06510
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Fax(203) 688-5599
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2012
Enumeration DateApril 24, 2012
Last NPPES UpdateApril 30, 20193 updates tracked since enumeration
✔ NPI 1497013734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NC · 2016-00801
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
20 YORK ST # T-209, New Haven, CT 06510

Secondary Practice Locations 2

Location 1101 Hospital DrColumbus, NC 28722-6418 · Phone (828) 894-3311
Location 2800 N Justice StHendersonville, NC 28791-3410 · Phone (828) 696-1000 · Fax (828) 694-1314

Other Identifiers 1

OtherNCS788ANC · Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Christopher 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 ID6002127453
PECOS Enrollment IDI20160627002488
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.

Medicare Billing Reassignments

4

Medicare enrollment records show John Binford reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
557 BROOKDALE DR
Statesville, NC 28677
  • Reassigned Medicare billing, North Carolina enrollment
  • 580 clinicians in this Medicare group
Emergency Medicine
451 EAST CHARLOTTE AVENUE
Mount Holly, NC 28120
  • Reassigned Medicare billing, North Carolina enrollment
  • 200 clinicians in this Medicare group
Sports Medicine
89 W MILLS ST STE A
Columbus, NC 28722
  • Reassigned Medicare billing, North Carolina enrollment
  • 349 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
2775 HENDERSONVILLE RD
Arden, NC 28704
  • Reassigned Medicare billing, North Carolina enrollment
  • 401 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
17 services16 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340017
Location800 N Justice StHendersonville, NC 28791 · Henderson County
Emergency services Birthing friendly

St Lukes Hospital

Critical Access Hospitals · Columbus, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341322
Location101 Hospital DriveColumbus, NC 28722 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
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.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
Student in an Organized Health Care Education/Training Program
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
Pathology (Anatomic Pathology & Clinical Pathology)
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
Psychiatry & Neurology (Psychiatry)
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
Psychiatry & Neurology (Psychiatry)
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
Psychiatry & Neurology (Addiction Psychiatry)
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
Student in an Organized Health Care Education/Training Program
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
Internal Medicine (Gastroenterology)
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510

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 Binford's NPI number?

The NPI number for John Binford is 1497013734. It was assigned to this individual provider in the NPPES registry on April 24, 2012.

Where is John Binford located?

John Binford practices at 20 York St # T-209 Yale New Haven Hospital, New Haven, CT 06510. The listed phone number is (203) 688-2259.

What is John Binford's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Binford enrolled in Medicare?

Yes. John 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.

Which organizations bill Medicare for John Binford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Binford reassigns Medicare benefits to 4 organizations: Wake Forest Emergency Providers (Statesville, NC), Gastonia Physician Services, PLLC (Mount Holly, NC), Fletcher Hospital Inc (Columbus, NC) and Henderson County Hospital Corporation (Arden, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Binford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Binford accept?

Health plans from Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list John 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 John Binford affiliated with any hospitals?

According to CMS data, John Binford is affiliated with Margaret R Pardee Memorial Hospital and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for John Binford was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.