Active NPI 1386643476 Individual Practitioner Male Practitioner

Dr. Michael A Binette , MD

Orthopaedic Surgery • Scarborough, ME

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Binette, MD is a certified Orthopaedic Surgery practicing in Scarborough, ME. With approximately 29 years of clinical experience since graduating from University Of Vermont College Of Medicine in 1997, Dr. Binette delivers high-quality medical care to the local community at 49 SPRING ST.

Dr. Binette is affiliated with Mainehealth and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, partial removal of middle spine bone with release of spinal cord and/or nerves. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

49 Spring St

Scarborough, ME 040748926

Telephone 2078850011

Fax 2078855851

Associated Practice Facility / Clinic

🏢 Maine Neurology, P.a. Facility NPI 1194805812

Medicare Profile & Education

Medical School

University Of Vermont College Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Scarborough, ME

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs Matches City Avg

City Avg: 29.0 Yrs

State Avg: 26.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Scarborough, ME (176 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

59.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Binette (29 Years) 29 Yrs

Scarborough Specialty Average (29.0 Years) 29.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$175.64	$77.31
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$137.27	$63.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$289.45	$120.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$202.28	$93.05
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	19	19	$2567.11	$1004.27
63048 Partial removal of spine bone with release of spinal cord and/or nerves	15	12	$494.53	$194.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$272.69	$131.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$178.83	$96.30
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	21	21	$2624.29	$1050.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$162.57	$81.32
63048 Partial removal of spine bone with release of spinal cord and/or nerves	20	14	$499.75	$200.47
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$116.00	$65.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$275.46	$133.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$161.00	$82.84
63048 Partial removal of spine bone with release of spinal cord and/or nerves	28	20	$499.00	$203.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	23	$165.00	$97.65
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	21	21	$2613.00	$1057.54
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$129.42	$64.46
99441 Telephone medical discussion with physician, 5-10 minutes	19	18	$196.00	$34.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$164.78	$83.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$266.50	$136.03
99213 Established patient office or other outpatient visit, typically 15 minutes	32	29	$117.22	$65.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$162.50	$99.86
99442 Telephone medical discussion with physician, 11-20 minutes	21	20	$242.67	$65.41
63048 Partial removal of spine bone with release of spinal cord and/or nerves	18	11	$489.83	$206.49
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	14	$2558.71	$1089.63
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$193.27	$36.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	55	$125.57	$51.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$257.34	$130.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$162.81	$74.61
63048 Partial removal of spine bone with release of spinal cord and/or nerves	28	22	$465.93	$210.95
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	24	24	$2431.13	$1082.63
99442 Telephone medical discussion with physician, 11-20 minutes	21	20	$232.29	$52.03
99443 Telephone medical discussion with physician, 21-30 minutes	18	18	$284.00	$80.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$160.71	$79.80
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	12	11	$564.33	$231.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	112	85	$97.41	$50.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	47	$145.88	$78.77
63048 Partial removal of spine bone with release of spinal cord and/or nerves	33	23	$444.33	$209.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$251.72	$126.12
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	30	29	$2324.00	$1072.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$142.72	$75.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$240.56	$126.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	58	$145.00	$77.72
99213 Established patient office or other outpatient visit, typically 15 minutes	56	46	$94.00	$50.78
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	23	23	$2301.00	$1082.05
20931 Donor bone graft for spine surgery	14	14	$231.00	$109.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$142.00	$75.56
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	12	12	$2254.00	$914.11
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	12	11	$535.00	$246.93
22633 Fusion of spine in lower back with partial removal of spine bone and disc	12	12	$3815.00	$1724.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	121	121	$110.88	$75.01
99213 Established patient office or other outpatient visit, typically 15 minutes	81	61	$80.73	$48.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	33	$110.09	$75.81
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	22	22	$2561.36	$905.49
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	22	22	$2301.00	$1029.18
20931 Donor bone graft for spine surgery	14	14	$231.00	$108.99
63048 Partial removal of spine bone with release of spinal cord and/or nerves	12	11	$439.00	$206.26
22633 Fusion of spine in lower back with partial removal of spine bone and disc	12	12	$3815.00	$1764.36

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License ME MD16324

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Hospital & Practice Group Affiliations

Mainehealth

22 Bramhall St, Portland, ME 041023134

Phone: 2078859905

Mainehealth

84 Campus Dr, Scarborough, ME 040747133

Phone: 2073967000

Mainehealth

92 Campus Dr, Scarborough, ME 040747229

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Daniel Briggi , MD

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1073188314

Doctor of Medicine (M.D.)

Allyson Crasnick , FNP

Nurse Practitioner - Acute Care

NPI 1073926176

Family Nurse Practitioner

Lydia Sommer

Occupational Therapist

NPI 1073966891

Owen Davis , FNP-C

Nurse Practitioner - Family

NPI 1083361026

Family Nurse Practitioner (Certified)

Katie Delorme , PT

Physical Therapist

NPI 1083890131

Physical Therapist

Dr. James Wilson , MD

Neurological Surgery

NPI 1093724916

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 07, 2016

Registered at 49 SPRING ST, SCARBOROUGH, ME 040748926 (Tel: 2078850011)

📍

Updated Business Mailing Address November 07, 2016

Registered at 300 SOUTHBOROUGH DR, SUITE 201, SOUTH PORTLAND, ME 041066914 (Tel: 2076612000)

👤

Provider Name / Credentials Updated November 07, 2016

Recorded as MICHAEL BINETTE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2016

Orthopaedic Surgery (License #MD16324 in ME)

🟢

Initial NPI Registration & Enumeration July 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1386643476

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 20, 2005

Last Update: November 07, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

300 Southborough Dr, Suite 201

South Portland, ME 041066914

Phone: 2076612000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.