NPIMap

Individual provider Active NPI

Adam Lloyd Bingham, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Seaside, OR
National Provider Identifier
1982968574
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DP196700 Issued in OR
Practice address
1111 N Roosevelt Dr Ste 210
Seaside, OR 97138-4604
Phone
(503) 738-3002
Fax
(503) 738-3005
NPI assigned
Jun 27, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X DP196700 OR Primary

Addresses

Primary practice location

1111 N Roosevelt Dr Ste 210
Seaside, OR 97138-4604

Mailing address

2111 Exchange St
Astoria, OR 97103-3329
Phone (503) 325-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181107003246 NE Practitioner - Podiatry 2163743360 Reassigns benefits to 2 organizations
I20200130003048 OR Practitioner - Podiatry 2163743360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Lutheran CharitiesGroup PAC ID 5294643359, shared by 8 NPIs, 110 clinicians

Practice addresses (Care Compare)

1639 SE Ensign LN
Warrenton, OR 97146-7308
Phone (503) 338-4500

2111 Exchange St
Astoria, OR 97103-3329
Phone (503) 325-4321

Hospital & facility affiliations

  • Columbia Memorial Hospital Hospital, Astoria, OR, CCN 381320
  • Providence Seaside Hospital Hospital, Seaside, OR, CCN 381303

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
62.39
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
374NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St Anthonys Hospital CurrentSince Oct 1, 2018 Accepting new patients
Columbia Lutheran Charities CurrentSince Mar 9, 2020 Accepting new patients
Avera St Anthonys Hospital Current Accepting new patients
Columbia Lutheran Charities CurrentSince Mar 9, 2020 Accepting new patients
Avera St Anthonys Hospital CurrentSince Oct 1, 2018 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations

300 N 2nd St
Oneill, NE 68763
Phone (402) 336-2900

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

1111 N Roosevelt Dr
Ste 210
Seaside, OR 97138
Phone (503) 738-3002

Interoperability endpoints

  • Direct secure messaging: adam.bingham@avera.sdhealthlink.net

Organizations & group practices 7

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1982968574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033329",
            "telephone_number": "503-325-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N ROOSEVELT DR STE 210",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971384604",
            "telephone_number": "503-738-3002",
            "fax_number": "503-738-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "ADAM",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP196700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaside, OR

Sources for this page

Verify at the official NPI Registry.