Jeremy K Bingham, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5198 Issued in AZ

Practice address

2855 E Brown Rd Ste 28
Mesa, AZ 85213-4217

Phone

(480) 625-4538

NPI assigned

Jun 25, 2008

Last updated

Jul 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DermatologyAlso: General Practice

Education

Arizona College of Osteopathic Medicine Mid Western University, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bingham Dermatology Group LLCGroup PAC ID 7416199286, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.71 of 100Reported as individual

Quality

70.01

Promoting interoperability

94

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bingham Dermatology Group, LLC

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1083957906
  Medicare reassignment Care Compare group NPD Authorized official
• Red Mountain Dermatology LLC

  • Dermatology Physician
  • Goodyear, AZ
  • NPI 1205542560
  Medicare reassignment NPD
• Red Mountain Dermatology LLC

  • Dermatology Physician
  • Tempe, AZ
  • NPI 1437914819
  NPD
• Vernon T Mackey, PC

  dba Advanced Desert Dermatology

  • Clinical & Laboratory Dermatological Immunology Physician
  • Peoria, AZ
  • NPI 1003204975
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1235391889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 E BROWN RD STE 28",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852134217",
            "telephone_number": "480-625-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 E BROWN RD STE 28",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852134217",
            "telephone_number": "480-625-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "JEREMY",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "5198",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "5198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcie Binford, PHARMD
• Lori Bingaman, CCP
• Laurie T Bingenheimer
• Bingham Dermatology Group, LLC
• Clark Richard Bingham, PA-C
• Ryan Kirk Bingham, PA
• Scott Randall Bingham
• Timothy Bingham, CNA
• Tyler John Bingham, DMD
• Kendal Claire Binion, PHD

• Dermatology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.