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KIMONA ISSA MD
NPI 1982019998
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Binghamton, NY

Active since June 27, 2014PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
65 PENNSYLVANIA AVE, BINGHAMTON, NY 13903(607) 798-9356 Get Directions Write a Review

NPPES record last updated: May 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 2, 2021, Jul 3, 2019 (2 updates tracked since 2019).

About Kimona Issa Md NPPES

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

KIMONA ISSA MD (NPI 1982019998) is an individual orthopaedic surgery of the spine provider in Binghamton, New York, licensed in Kentucky (52114) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1982019998
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameKIMONA ISSACredential: MD
Location Address65 PENNSYLVANIA AVEBinghamton, NY 13903-1651
Mailing Address23 Minnisink RdWayne, NJ 07470-4810 · (661) 645-8397
Phone(607) 798-9356
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 27, 2014
Last NPPES UpdateMay 2, 20212 updates tracked since enumeration
NPPES CertifiedMay 2, 2021
✔ NPI 1982019998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in KY · 52114
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
65 PENNSYLVANIA AVE, Binghamton, NY 13903
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimona Issa 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 ID4082942040
PECOS Enrollment IDI20200729003914
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

7

Medicare enrollment records show Kimona Issa reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Our Lady Of Lourdes Memorial Hospital Inc.
1.1 mi
General Acute Care Hospital
169 RIVERSIDE DR
Binghamton, NY 13905
  • Reassigned Medicare billing, New York enrollment
  • 386 clinicians in this Medicare group
NPI 1629087580 (607) 798-5111
Guthrie Medical Group, P.C.
32 mi
General Practice
1 GUTHRIE SQ
Sayre, PA 18840
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Guthrie Medical Group PC
  • 798 clinicians in this Medicare group
NPI 1245246644 (570) 888-5858
North Country Orthopaedic Group PC
129 mi
Orthopaedic Surgery
1571 WASHINGTON ST, SUITE 201
Watertown, NY 13601
  • Reassigned Medicare billing, New York enrollment
  • 19 clinicians in this Medicare group
NPI 1568445344 (315) 782-1650
Carthage Area Hospital Inc.
131 mi
Urology
3 BRIDGE ST
Carthage, NY 13619
  • Reassigned Medicare billing, New York enrollment
  • 199 clinicians in this Medicare group
NPI 1720269863 (315) 493-4874
Claxton-Hepburn Medical Center
181 mi
Psychiatric Hospital
214 KING ST STE B
Ogdensburg, NY 13669
  • Reassigned Medicare billing, New York enrollment
  • 129 clinicians in this Medicare group
NPI 1891753034 (315) 393-3600
Community Medical Associates, Inc.
573 mi
Multi-Specialty
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1073089850 (502) 588-9490
University Of Louisville Physicians, Inc.
573 mi
Pediatric Critical Care Medicine
9700 PARK PLAZA AVE, SUITE 110
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group
NPI 1972859098 (502) 618-4283

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 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 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.
202 services136 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.
97 services76 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.
43 services43 patients
Computer-assisted spinal procedure 61783
A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.
15 services15 patients
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096
This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
12 services12 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

Guthrie Cortland Regional Medical Center

Acute Care Hospitals · Cortland, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330175
Location134 Homer AvenueCortland, NY 13045 · Cortland County
Emergency services Birthing friendly

Endless Mountains Health Systems

Critical Access Hospitals · Montrose, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391306
Location100 Hospital DriveMontrose, PA 18801 · Susquehanna County
Emergency services

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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.57
Promoting Interoperability95
Improvement Activities40
Cost64.87

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by John ***** April 1, 2025

5/5
Very knowledgeable and caring surgeon
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

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.

JOAN ADLER DPM
Podiatrist
65 PENNSYLVANIA AVE, SUITE 200
BINGHAMTON, NY 13903
Broome County (607) 772-8772
MARK SCHRECK
Orthopaedic Surgery
65 PENNSYLVANIA AVE
BINGHAMTON, NY 13903
Broome County (607) 723-5393
SHANNON HILLIKER PA
Physician Assistant
65 PENNSYLVANIA AVE
BINGHAMTON, NY 13903
Broome County (607) 723-5393
JAMES EDWARD MCNERNEY DPM
Podiatrist
65 PENNSYLVANIA AVE, SUITE 200
BINGHAMTON, NY 13903
Broome County (607) 772-8772
SHARI L NICHOLS DPM
Podiatrist
65 PENNSYLVANIA AVE, SUITE 200
BINGHAMTON, NY 13903
Broome County (607) 772-8772
CASSANDRA ROMA RPA-C
Physician Assistant
65 PENNSYLVANIA AVE
BINGHAMTON, NY 13903
Broome County (607) 723-5393
KATHERINE I FORD P.T.
Physical Therapist
65 PENNSYLVANIA AVE, SUITE 100
BINGHAMTON, NY 13903
Broome County (607) 723-8135
MRS. DORI LYNN MCGOWAN OTR/L
Occupational Therapist (Hand)
65 PENNSYLVANIA AVE
BINGHAMTON, NY 13903
Broome County (607) 762-2176

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 Kimona Issa's NPI number?

The NPI number for Kimona Issa is 1982019998. It was assigned to this individual provider in the NPPES registry on June 27, 2014.

Where is Kimona Issa located?

Kimona Issa practices at 65 Pennsylvania Ave, Binghamton, NY 13903. The listed phone number is (607) 798-9356.

What is Kimona Issa's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Kimona Issa enrolled in Medicare?

Yes. Kimona Issa 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.

Which organizations bill Medicare for Kimona Issa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimona Issa reassigns Medicare benefits to 7 organizations: Our Lady Of Lourdes Memorial Hospital Inc. (Binghamton, NY), Guthrie Medical Group, P.C. (Sayre, PA), North Country Orthopaedic Group PC (Watertown, NY), Carthage Area Hospital Inc. (Carthage, NY), Claxton-Hepburn Medical Center (Ogdensburg, NY) and 2 more organizations, listed in the Medicare section above. 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 Kimona Issa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimona Issa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kimona Issa 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.

Is Kimona Issa affiliated with any hospitals?

According to CMS data, Kimona Issa is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, Guthrie Cortland Regional Medical Center and Endless Mountains Health Systems.

When was this NPI record last updated?

The NPPES record for Kimona Issa was last updated on May 2, 2021. 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.