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DR. DAVID BINION MD
NPI 1548211998
Internal Medicine - Gastroenterology in Pittsburgh, PA

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
200 LOTHROP ST, DIGESTIVE DISORDERS CENTER, PITTSBURGH, PA 15213(412) 647-8666 Get Directions Write a Review

NPPES record last updated: April 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Binion Md NPPES

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

DR. DAVID BINION MD (NPI 1548211998) is an individual gastroenterology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD434391) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Northwest, and is a graduate of State University Of New York At Buffalo School Of Medicine (1988).

NPPES Registry Identity

NPI1548211998
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. DAVID BINIONCredential: MD
Location Address200 LOTHROP ST, DIGESTIVE DISORDERS CENTERPittsburgh, PA 15213-2536
Mailing Address200 Lothrop St, Digestive Disorders CenterPittsburgh, PA 15213-2536 · (412) 647-8666
Phone(412) 647-8666
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1988
Enumeration DateMay 12, 2006
Last NPPES UpdateApril 18, 2014
✔ NPI 1548211998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PA · MD434391
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
200 LOTHROP ST, Pittsburgh, PA 15213
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified0039573601
Medicare UPING58365
Other002000216MHumana
Medicaid32388700WI

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. David Binion 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 ID8325110471
PECOS Enrollment IDI20080707000149
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 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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
151 services70 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Northwest

Acute Care Hospitals · Seneca, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390091
Location100 Fairfield DriveSeneca, PA 16346 · Venango County
Emergency services Birthing friendly

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

St Clair Hospital

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390228
Location1000 Bower Hill RoadPittsburgh, PA 15243 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Referred Medical Equipment & Supplies CMS DME claims 10

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

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
5 suppliers18 claims261 services$4.81 avg. paid by Medicare
Skin barrier; solid, 6 x 6 or equivalent, each A5121
DME-Orthotic Devices · category DF010N
3 suppliers12 claims240 services$6.34 avg. paid by Medicare
Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
9 suppliers367 claims7,143 services$11.07 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix B4189
Other-Enteral and Parenteral · category OB005N
4 suppliers83 claims451 services$178.52 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix B4193
Other-Enteral and Parenteral · category OB005N
1 supplier23 claims113 services$230.31 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
9 suppliers325 claims2,007 services$276.67 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.

CHELSIE DAHL
Nurse Anesthetist, Certified Registered
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-5909
OTHMAN MOHAMED-ASEM ABDUL-MALAK
Surgery (Vascular Surgery)
200 LOTHROP ST, F600 PRESBYTERIAN HOSPITAL
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345
KAITLEN MORGAN
Nurse Practitioner (Critical Care Medicine)
200 LOTHROP ST, 613 SCAIFE HALL
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345
UTPAL JHA M.D.
Internal Medicine (Critical Care Medicine)
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 530-6274
RACHEL IVY FRICK
Occupational Therapist
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-6017
ARTUR ZGUROV MD
Neurological Surgery
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345
KAREN KAIJIE XU MD
Student in an Organized Health Care Education/Training Program
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345
SAM ALLEN MICHELHAUGH MD
Student in an Organized Health Care Education/Training Program
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 770-4949

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 David Binion's NPI number?

The NPI number for David Binion is 1548211998. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is David Binion located?

David Binion practices at 200 Lothrop St Digestive Disorders Center, Pittsburgh, PA 15213. The listed phone number is (412) 647-8666.

What is David Binion's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is David Binion enrolled in Medicare?

Yes. David Binion 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.

Is David Binion affiliated with any hospitals?

According to CMS data, David Binion is affiliated with Upmc Northwest, Upmc Passavant, Magee Womens Hospital Of Upmc Health System, Upmc Presbyterian Shadyside and St Clair Hospital.

When was this NPI record last updated?

The NPPES record for David Binion was last updated on April 18, 2014. 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.