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MARTHA E LANGHORNE FNP
NPI 1972563005
Nurse Practitioner in Binghamton, NY

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
84.63/100
CMS Quality Rating
40 MITCHELL AVE, BINGHAMTON, NY 13903(607) 772-0639 Get Directions Write a Review

NPPES record last updated: January 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Martha E Langhorne Fnp NPPES

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

MARTHA E LANGHORNE FNP (NPI 1972563005) is an individual nurse practitioner in Binghamton, New York, licensed in New York (3315841) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1972563005
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARTHA E LANGHORNECredential: FNP
Location Address40 MITCHELL AVEBinghamton, NY 13903
Mailing Address346 Grand Ave, United Medical Assoc PcJohnson City, NY 13790 · (607) 770-0025 · Fax (607) 729-3982
Phone(607) 772-0639
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMarch 24, 2006
Last NPPES UpdateJanuary 23, 2009
✔ NPI 1972563005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 3315841
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
40 MITCHELL AVE, Binghamton, NY 13903
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Other Identifiers 3

Medicaid02370510NY
Medicare ID-Type UnspecifiedDD4030NY
Medicare UPINP77423

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

Martha E Langhorne Fnp 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 ID143370403
PECOS Enrollment IDI20090608000163
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.

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.
165 services163 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.
153 services150 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
28 services28 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.
14 services14 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Chenango Memorial Hospital

Acute Care Hospitals · Norwich, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330033
Location179 North Broad StreetNorwich, NY 13815 · Chenango County
Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13903 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

84.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.96
Promoting Interoperability100
Improvement Activities40
Cost54.42

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%337 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
99%311 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
99%348 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%469 patients4/55-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.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY P SCAGNELLI MD
Pediatrics (Pediatric Gastroenterology)
40 MITCHELL AVE
BINGHAMTON, NY 13903
Broome County (607) 772-0639
ALI MARHABA MD
Internal Medicine (Gastroenterology)
40 MITCHELL AVE
BINGHAMTON, NY 13903
Broome County (607) 772-0639
LESLIE BANK M.D.
Internal Medicine (Gastroenterology)
40 MITCHELL AVE
BINGHAMTON, NY 13903
Broome County (607) 772-0639
YAN LIU MD
Internal Medicine
40 MITCHELL AVE
BINGHAMTON, NY 13903
Broome County (607) 723-1676
MINHAZ AHMAD MD
Internal Medicine (Gastroenterology)
40 MITCHELL AVE, FL 3
BINGHAMTON, NY 13903
Broome County (607) 772-0639
BINGHAMTON GASTROENTEROLOGY ASSOCIATES, PC
Internal Medicine (Gastroenterology)
40 MITCHELL AVE, 3RD FLOOR
BINGHAMTON, NY 13903
Broome County (607) 772-0639
DR. TOSEEF JAVAID M.D.
Internal Medicine (Gastroenterology)
40 MITCHELL AVE, 3RD FL
BINGHAMTON, NY 13903
Broome County (607) 772-0639
MARK SHUMEYKO MD
Internal Medicine (Gastroenterology)
40 MITCHELL AVE
BINGHAMTON, NY 13903
Broome County (607) 772-0639

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 Martha Langhorne's NPI number?

The NPI number for Martha Langhorne is 1972563005. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Martha Langhorne located?

Martha Langhorne practices at 40 Mitchell Ave, Binghamton, NY 13903. The listed phone number is (607) 772-0639.

What is Martha Langhorne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Martha Langhorne enrolled in Medicare?

Yes. Martha Langhorne 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 Martha Langhorne affiliated with any hospitals?

According to CMS data, Martha Langhorne is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, Chenango Memorial Hospital and United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Martha Langhorne was last updated on January 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.