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DR. KEVIN BINSELL
NPI 1992112858
Emergency Medicine in Macomb, MI

Active since July 11, 2014PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
17700 23 MILE RD, MACOMB, MI 48044(586) 416-7500(248) 893-6952 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2025, Jul 21, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2015).

About Dr. Kevin Binsell NPPES

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

DR. KEVIN BINSELL (NPI 1992112858) is an individual emergency medicine provider in Macomb, Michigan, licensed in Michigan (4301105900) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1992112858
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. KEVIN BINSELL
Location Address17700 23 MILE RDMacomb, MI 48044-1154
Mailing Address33333 W 12 Mile Rd Ste AFarmington Hills, MI 48334-3312 · (248) 536-2127 · Fax (248) 893-6952
Phone(586) 416-7500
Fax(248) 893-6952
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 11, 2014
Last NPPES UpdateSeptember 9, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1992112858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 4301105900
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301105900 (MI)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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

Dr. Kevin Binsell 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 ID2264704220
PECOS Enrollment IDI20170825001283
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
88 services80 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
86 services77 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
31 services25 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
29 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension River District Hospital

Acute Care Hospitals · East China, MI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230241
Location4100 River RdEast China, MI 48054 · St. Clair County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48044 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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

Other Providers at the Same Location NPPES 7

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

ST JOHN MEDICAL CENTER MACOMB TOWNSHIP
Clinic/Center (Urgent Care)
17700 23 MILE RD
MACOMB, MI 48044
Macomb County (586) 753-0011
DR. SCOTT MICHAEL BRUCE SIKORSKI D.O.
Emergency Medicine
17700 23 MILE RD
MACOMB, MI 48044
Macomb County (586) 416-7500
GEORGIA TIBBITTS D.O.
Emergency Medicine
17700 23 MILE RD
MACOMB, MI 48044
Macomb County (586) 416-7520
MR. ACE JAMES TACDERAS NP
Nurse Practitioner (Adult Health)
17700 23 MILE RD
MACOMB, MI 48044
Macomb County (586) 868-9120
NORTHERN MACOMB SURGICAL CENTER, LLC
Clinic/Center (Ambulatory Surgical)
17700 23 MILE RD, SUITE 200
MACOMB, MI 48044
Macomb County (586) 416-7569
HENRY FORD HEALTH ST. JOHN HOSPITAL
Clinic/Center (Ambulatory Surgical)
17700 23 MILE RD, STE 200
MACOMB, MI 48044
Macomb County (586) 753-0011
MR. FLOYD FIORINO VITALE RPH
Pharmacist
17700 23 MILE RD
MACOMB, MI 48044
Macomb County (586) 868-9053

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 Kevin Binsell's NPI number?

The NPI number for Kevin Binsell is 1992112858. It was assigned to this individual provider in the NPPES registry on July 11, 2014.

Where is Kevin Binsell located?

Kevin Binsell practices at 17700 23 Mile Rd, Macomb, MI 48044. The listed phone number is (586) 416-7500.

What is Kevin Binsell's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kevin Binsell enrolled in Medicare?

Yes. Kevin Binsell 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 Kevin Binsell accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kevin Binsell 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 Kevin Binsell affiliated with any hospitals?

According to CMS data, Kevin Binsell is affiliated with Ascension St John Hospital and Ascension River District Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Binsell was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.