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DR. MARC D. BINGHAM M.D.
NPI 1629049515
Family Medicine in Spartanburg, SC

Active since January 30, 2006PECOS Enrolled
96.08/100
CMS Quality Rating
101 E WOOD ST, SPARTANBURG, SC 29303(864) 560-6193(864) 560-1510 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 25, 2020, Jan 2, 2020, Jul 10, 2019 and 3 more (6 updates tracked since 2017).

About Dr. Marc D. Bingham M.d. NPPES

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

DR. MARC D. BINGHAM M.D. (NPI 1629049515) is an individual family medicine provider in Spartanburg, South Carolina, licensed in South Carolina (SC23540) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629049515
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARC D. BINGHAMCredential: M.D.
Location Address101 E WOOD STSpartanburg, SC 29303-3040
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Phone(864) 560-6193
Fax(864) 560-1510
Sole ProprietorNo
Enumeration DateJanuary 30, 2006
Last NPPES UpdateNovember 25, 20206 updates tracked since enumeration
NPPES CertifiedNovember 25, 2020
✔ NPI 1629049515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · SC23540
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
101 E WOOD ST, Spartanburg, SC 29303
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Other Identifiers 10

Medicaid235405SC
OtherSCA0243365SC · Medicare Ptan
Other3609365SC · Aetna
OtherSCA0245019SC · Medicare Ptan
OtherSCA024J577SC · Medicare Pin
OtherSCA0246084SC · Medicare Pin
OtherD6547SC · Medcost
OtherH765306067SC · Medicare Pin
OtherSCA0245019SC · Medicare Pin
OtherSCA0246121SC · Medicare Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marc D. Bingham M.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Marc Bingham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spartanburg Medical Center
Same address
Thoracic Surgery (Cardiothoracic Vascular Surgery)
225 E WOOD ST
Spartanburg, SC 29303
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1740688191 (South Carolina)
  • 754 clinicians in this Medicare group
NPI 1043307887 (864) 583-4420
Cherokee Medical Center
16 mi
Family Medicine
722 HYATT ST STE C
Gaffney, SC 29341
  • Reassigned Medicare billing, South Carolina enrollment
  • 139 clinicians in this Medicare group
NPI 1821649393 (864) 487-2400
Yale University
657 mi
Health Service
55 LOCK ST
New Haven, CT 06511
  • Reassigned Medicare billing, Connecticut enrollment
  • 149 clinicians in this Medicare group
NPI 1093862740 (203) 432-0076

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.

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.
32 services32 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
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.

DR. TONDRE BUCK M.D.
Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-7050
ADAM KEITH RAYNES
Nurse Anesthetist, Certified Registered
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6000
RAJAN BHATT
Student in an Organized Health Care Education/Training Program
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6285
NICHOLE TACKETT DO
Surgery
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6285
PATRICIA C. GRIFFIN MD
Radiology (Radiation Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6917
DR. VIKAS DEMBLA M.D.
Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-7050
DR. ANDREW OMOIT EKATAN M.D.
Internal Medicine
101 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6654
STETSON REED BICKLEY M.D.
Radiology (Diagnostic Radiology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6522

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 Marc Bingham's NPI number?

The NPI number for Marc Bingham is 1629049515. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Marc Bingham located?

Marc Bingham practices at 101 E Wood St, Spartanburg, SC 29303. The listed phone number is (864) 560-6193.

What is Marc Bingham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marc Bingham enrolled in Medicare?

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

Which organizations bill Medicare for Marc Bingham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Bingham reassigns Medicare benefits to 3 organizations: Spartanburg Medical Center (Spartanburg, SC), Cherokee Medical Center (Gaffney, SC) and Yale University (New Haven, CT). 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 Marc Bingham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Bingham accept?

Health plans from First Choice Next list Marc 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 Marc Bingham was last updated on November 25, 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.