DR. ANDREW EDWARD BINGHAM MD
NPI 1497117972
Emergency Medicine in Louisville, KY

Active since March 24, 2016PECOS Enrolled
73.19/100
CMS Quality Rating
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202(502) 587-4421(502) 587-4840 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2020, Jul 16, 2019, Apr 15, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Andrew Edward Bingham Md NPPES

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

DR. ANDREW EDWARD BINGHAM MD (NPI 1497117972) is an individual emergency medicine provider in Louisville, Kentucky, licensed in Kentucky (52981) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497117972
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ANDREW EDWARD BINGHAMCredential: MD
Location Address200 ABRAHAM FLEXNER WAYLouisville, KY 40202-2877
Mailing AddressPo Box 909Louisville, KY 40201-0909
Fax(502) 587-4840
Sole ProprietorNo
Enumeration DateMarch 24, 2016
Last NPPES UpdateNovember 30, 20204 updates tracked since enumeration
NPPES CertifiedNovember 30, 2020
NPI 1497117972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in KY · 52981 Licensed in KY · TP566
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.
Also ListedEmergency Medicine · Sports MedicineTaxonomy 207PS0010X · License TP566 (KY)
200 ABRAHAM FLEXNER WAY, Louisville, KY 40202

Secondary Practice Locations 2

Location 11903 W Hebron LnShepherdsville, KY 40165-7425 · Phone (502) 955-3100 · Fax (502) 955-3830
Location 25454 New Cut Rd Ste 5Louisville, KY 40214-4271 · Phone (502) 361-9900 · Fax (502) 361-9947

Other Identifiers 1

Medicaid7100499260KY

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 (PECOS)

Dr. Andrew Edward Bingham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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.
84 services77 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.
76 services62 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
66 services58 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
53 services33 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

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.

Pharmacist
200 ABRAHAM FLEXNER WAY, ADMINISTRATION
LOUISVILLE, KY 40202
Internal Medicine
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Radiology (Diagnostic Radiology)
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Nurse Practitioner
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Internal Medicine (Nephrology)
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Pharmacy (Community/Retail Pharmacy)
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Nurse Practitioner (Family)
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Emergency Medicine
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202

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 Andrew Bingham's NPI number?

The NPI number for Andrew Bingham is 1497117972. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Andrew Bingham located?

Andrew Bingham practices at 200 Abraham Flexner Way, Louisville, KY 40202. The listed phone number is (502) 587-4421.

What is Andrew Bingham's specialty?

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

Is Andrew Bingham enrolled in Medicare?

Yes. Andrew Bingham is registered in the Medicare PECOS enrollment system.

What insurance does Andrew Bingham accept?

Health plans from CareSource list Andrew Bingham 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 Andrew Bingham was last updated on November 30, 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.