Active NPI 1992795207 Individual Practitioner Male Practitioner

Dr. William David Binder , MD

Emergency Medicine • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Binder, MD is a certified Emergency Medicine practicing in Providence, RI. With approximately 36 years of clinical experience since graduating from George Washington University School Of Medicine in 1990, Dr. Binder delivers high-quality medical care to the local community at 593 EDDY STREET, CLAVERICK 2.

Dr. Binder maintains professional affiliations with Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc, Brown Emergency Medicine, Beth Israel Deaconess Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

593 Eddy Street, Claverick 2

Providence, RI 029034923

Telephone 4014444000

Associated Practice Facility / Clinic

🏢 Brown Emergency Medicine Facility NPI 1962455022

Medicare Profile & Education

Medical School

George Washington University School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Providence, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +20.8 yrs vs City Avg

City Avg: 15.2 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

246 Specialists

Practicing in Providence, RI (427 Statewide)

Telehealth Adoption Rate

0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Binder (36 Years) 36 Yrs

Providence Specialty Average (15.2 Years) 15.2 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
99285 Emergency department visit for life threatening or functioning severity	164	163	$1375.99	$171.25
99284 Emergency department visit with moderate level of medical decision making	57	55	$947.06	$119.01
99291 Critical care, first 30-74 minutes	33	33	$1792.90	$209.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$404.23	$139.14
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$296.36	$99.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$1504.66	$171.11
99283 Emergency department visit with low level of medical decision making	11	11	$500.98	$70.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	132	130	$1264.70	$176.81
99284 Emergency department visit with moderate level of medical decision making	74	74	$870.46	$121.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	37	$370.70	$140.22
99291 Critical care, first 30-74 minutes	29	29	$1647.89	$214.70
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$266.63	$99.80
99283 Emergency department visit with low level of medical decision making	15	15	$460.46	$72.32
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	14	14	$1955.39	$210.49
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	13	13	$46.31	$7.61
81003 Automated urinalysis test	12	12	$11.92	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	121	121	$1183.18	$180.61
99284 Emergency department visit with moderate level of medical decision making	84	82	$814.35	$124.40
99291 Critical care, first 30-74 minutes	47	47	$1541.67	$222.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$340.64	$142.85
99283 Emergency department visit with low level of medical decision making	29	29	$430.78	$73.76
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$227.28	$101.38
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	13	12	$50.92	$7.67
99220 Hospital observation care, typically 70 minutes	12	12	$1293.82	$181.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	109	109	$1089.48	$185.37
99284 Emergency department visit with moderate level of medical decision making	85	83	$749.86	$127.07
99283 Emergency department visit with low level of medical decision making	26	25	$396.67	$74.83
99291 Critical care, first 30-74 minutes	25	25	$1419.59	$227.18
99220 Hospital observation care, typically 70 minutes	17	17	$1191.36	$187.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$305.38	$147.34
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$258.50	$104.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	126	125	$996.78	$180.56
99284 Emergency department visit with moderate level of medical decision making	67	64	$686.06	$124.59
99283 Emergency department visit with low level of medical decision making	33	33	$362.92	$67.93
99291 Critical care, first 30-74 minutes	25	25	$1298.80	$231.47
99220 Hospital observation care, typically 70 minutes	14	14	$1089.99	$191.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	108	106	$922.09	$178.38
99284 Emergency department visit with moderate level of medical decision making	73	72	$634.65	$119.87
99291 Critical care, first 30-74 minutes	44	44	$1201.48	$229.46
99283 Emergency department visit with low level of medical decision making	33	33	$335.73	$63.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	166	165	$811.65	$174.53
99284 Emergency department visit with moderate level of medical decision making	120	120	$560.68	$118.37
99291 Critical care, first 30-74 minutes	39	39	$1076.27	$226.31
99283 Emergency department visit with low level of medical decision making	28	28	$308.46	$62.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	199	198	$773.95	$169.33
99284 Emergency department visit with moderate level of medical decision making	128	127	$520.19	$115.45
99283 Emergency department visit with low level of medical decision making	44	44	$290.80	$60.58
99291 Critical care, first 30-74 minutes	28	28	$1022.34	$219.17

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License RI MD08682

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.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License MA 157262

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MA 157262

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3181341 (MA)

Commercial Insurance / Payer ID Tufts Health Plan

791579 (MA)

Commercial Insurance / Payer ID Bcbs Ma

J19122 (MA)

Hospital & Practice Group Affiliations

Bid-Milton Physician Associates Inc

100 Walter J Hannon Pkwy, Quincy, MA 021691105

Phone: 6176154000

Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc

330 Brookline Ave, Boston, MA 022155400

Brown Emergency Medicine

593 Eddy St, Providence, RI 029034923

Phone: 4014444000

Beth Israel Deaconess Medical Center Inc

330 Brookline Ave, Boston, MA 022155400

Phone: 6176672000

Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc

910 Washington St, Dedham, MA 020266031

Phone: 6179756060

Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc

330 Brookline Ave, Boston, MA 022155400

Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc

910 Washington St, Dedham, MA 020266022

Phone: 7819839088

Practice Associates & Co-Workers

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

40 Associated Practitioners

Kelsey Heck , PA

Physician Assistant

NPI 1003503459

Physician Assistant

Bret Caulfield

Physician Assistant

NPI 1003512476

Dr. Gregory Lockhart , MD

Pediatrics - Pediatric Emergency Medicine

NPI 1003855339

Doctor of Medicine (M.D.)

Dr. Daniel Shanin , MD

Emergency Medicine

NPI 1013322486

Doctor of Medicine (M.D.)

Christopher Cureton , NP

Nurse Practitioner - Family

NPI 1013416353

Nurse Practitioner

Shannon Whittemore , NP

Nurse Practitioner

NPI 1013443878

Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location June 21, 2018

Registered at 593 EDDY STREET, CLAVERICK 2, PROVIDENCE, RI 029034923 (Tel: 4014444000)

📍

Updated Business Mailing Address June 21, 2018

Registered at PO BOX 9484, PROVIDENCE, RI 029409484 (Tel: 4018542500)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2018

Emergency Medicine (License #MD08682 in RI)

✅

NPI Profile Active May 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 17, 2016

Registered at 55 FRUIT STREET, WHT 1, BOSTON, MA 021142696 (Tel: 6177244123)

📍

Updated Business Mailing Address May 17, 2016

Registered at PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 021299142 (Tel: 6177240287)

👤

Provider Name / Credentials Updated May 17, 2016

Recorded as WILLIAM BINDER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2016

Emergency Medicine (License #157262 in MA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2016

Internal Medicine (License #157262 in MA)

🟢

Initial NPI Registration & Enumeration October 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. William Binder. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1992795207

Entity Type:

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

Enumeration Date: October 27, 2005

Last Update: June 21, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 9484

Providence, RI 029409484

Phone: 4018542500

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.