BINOY SHETH DPM
NPI 1710346101
Podiatrist in Allen, TX

Active since February 15, 2016PECOS EnrolledAccepts Medicare Assignment
83.15/100
CMS Quality Rating
977 RAINTREE CIR STE 120, ALLEN, TX 75013(832) 483-9278(972) 612-3926 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2021, Feb 27, 2020, Feb 15, 2016 (3 updates tracked since 2016).

About Binoy Sheth Dpm NPPES

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

BINOY SHETH DPM (NPI 1710346101) is an individual podiatrist in Allen, Texas, licensed in Texas (2268) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS and is a graduate of Western University Of Health Sciences College Of Dental Med (2014).

NPPES Registry Identity

NPI1710346101
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameBINOY SHETHCredential: DPM
Location Address977 RAINTREE CIR STE 120Allen, TX 75013-5024
Mailing Address6309 Preston Rd Ste 1200Plano, TX 75024-2741 · (972) 424-9999 · Fax (972) 612-3926
Fax(972) 612-3926
Sole ProprietorNo
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2014
Enumeration DateFebruary 15, 2016
Last NPPES UpdateJuly 7, 20213 updates tracked since enumeration
NPPES CertifiedJuly 7, 2021
NPI 1710346101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in TX · 2268
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

977 RAINTREE CIR STE 120, Allen, TX 75013

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 and accepts Medicare assignment

Binoy Sheth Dpm 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 ID2769768217
PECOS Enrollment IDI20170525002646
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 14

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 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.
536 services283 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
253 services89 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
176 services130 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
90 services90 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.
90 services80 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
84 services84 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75013 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

83.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.92
Promoting Interoperability77
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
74%43 patients4/55-star benchmark: 91%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
55%295 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%175 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%2,943 patients4/55-star benchmark: 100%
e-Prescribing
93%262 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
93%686 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
88%1,563 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
8%2,894 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 941 patients
Patients screened: 98% · 941 patients
71%38 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
47%699 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
70%241 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 709 patients
Patients totalRate: 0% · 709 patients
0%709 patients5/55-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 2

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

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
4 suppliers29 claims29 services$209.22 avg. paid by Medicare
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf L4397
DME-Orthotic Devices · category DF000N
4 suppliers21 claims21 services$136.56 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.

Student in an Organized Health Care Education/Training Program
977 RAINTREE CIR STE 120
ALLEN, TX 75013
Dermatology
977 RAINTREE CIR STE 120
ALLEN, TX 75013

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 Binoy Sheth's NPI number?

The NPI number for Binoy Sheth is 1710346101. It was assigned to this individual provider in the NPPES registry on February 15, 2016.

Where is Binoy Sheth located?

Binoy Sheth practices at 977 Raintree Cir Ste 120, Allen, TX 75013. The listed phone number is (832) 483-9278.

What is Binoy Sheth's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Binoy Sheth enrolled in Medicare?

Yes. Binoy Sheth 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 Binoy Sheth accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Binoy Sheth 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 Binoy Sheth was last updated on July 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.