2026 NPPES data Emergency Medicine Physician NPI 1497117972 MD
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ANDREW BINGHAM, MD

Emergency Medicine Physician in LOUISVILLE, Kentucky. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
311
Medicare Part D claims · 183 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
73.1977/100
▼ 10 pts below national avg 83.1 · [object Object]
What the federal data reveals: ANDREW BINGHAM, MD is a Emergency Medicine Physician ([object Object]) practicing in LOUISVILLE, Kentucky with a Medicare Part D prescribing footprint of 311 claims across 183 beneficiaries . Their CMS MIPS Final Score of 73.1977/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ANDREW BINGHAM, MD reported a CMS MIPS final score of 73.1977 out of 100, below the 83.1 national average, and filed 311 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ANDREW BINGHAM, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ANDREW BINGHAM, MD at a glance

Below national average

NPI registry status

Active

Issued 03/24/2016

NPI 1497117972

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

311 12% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

73.1977/100 9.902299999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Kentucky

How Emergency Medicine Physician compares to other specialties among Kentucky providers

Kentucky providers

Emergency Medicine Physician share within Kentucky

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within Kentucky

Medicare quality performance — MIPS

ANDREW BINGHAM, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average

Below national average
MIPS Final Score
73.1977/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 73.1977/100 vs national avg 83.1

0%100%National avg83%73.2%
MIPS final score (Emergency Medicine Physician) — 73.1977/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ANDREW BINGHAM, MD is a Emergency Medicine Physician provider practicing in LOUISVILLE, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1497117972. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ANDREW BINGHAM, MD appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding MD credentials at 200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY, 40202, with a listed phone of (502) 587-4421. NPI 1497117972 was issued on 03/24/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BINGHAM most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 311 prescription claims written by this provider, covering 183 Medicare beneficiaries and totaling roughly $7K in drug spend, with an opioid prescribing rate of 7.7%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 73.1977/100 for the 2023 performance year (Quality 58.7401, Cost 51.919), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202

Provider Details

NPI 1497117972
Specialty Emergency Medicine Physician
Credentials MD
Gender Male
NPI Issued 03/24/2016

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

73.1977
Final Score
Avg: 83.1
58.7401
Quality
51.919
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ANDREW BINGHAM, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

UNIVERSITY OF LOUISVILLE PHYSICIANS INC
LOUISVILLE, KY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

311
Total Claims
$7K
Total Drug Cost
183
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
311
Total Day Supply
2,588
Generic Drug Cost
$3K
Opioid Claims
24 (7.7% rate)
Antibiotic Claims
115

Patient Demographics

Average Patient Age
64.3 years
Avg HCC Risk Score
1.49
Gender Split
62% female / 38% male
Age Distribution
<65: 73, 65-74: 66, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Prednisone
37
Ondansetron Odt
Ondansetron
29
Azithromycin
20
Cephalexin
20
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
18
Dicyclomine Hcl
16
Albuterol Sulfate Hfa
Albuterol Sulfate
13
Cefpodoxime Proxetil
13

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Emergency Medicine Physician Overview

How ANDREW BINGHAM, MD fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

ANDREW BINGHAM, MD's 311 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Kentucky

Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as BINGHAM.

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREW BINGHAM, MD's specialty?
ANDREW BINGHAM, MD specializes in Emergency Medicine Physician and practices in LOUISVILLE, Kentucky. Credentials: MD.
How much does ANDREW BINGHAM, MD prescribe under Medicare Part D?
In 2023, ANDREW BINGHAM, MD wrote 311 Medicare Part D claims totaling $7K in drug costs for 183 beneficiaries.
What is ANDREW BINGHAM, MD's Medicare quality score?
ANDREW BINGHAM, MD has a CMS MIPS Final Score of 73.1977/100 (Quality: 58.7401, Cost: 51.919). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDREW BINGHAM, MD located?
ANDREW BINGHAM, MD is located at 200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY, 40202. Phone: (502) 587-4421.
What is ANDREW BINGHAM, MD's NPI number?
ANDREW BINGHAM, MD's National Provider Identifier (NPI) is 1497117972, issued on 03/24/2016.
Does ANDREW BINGHAM, MD prescribe opioids?
Yes, ANDREW BINGHAM, MD had 24 opioid claims in 2023 with an opioid prescribing rate of 7.7%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does ANDREW BINGHAM, MD prescribe most often?
Based on 2023 Medicare Part D data, ANDREW BINGHAM, MD's most frequently prescribed drugs include Prednisone, Ondansetron Odt, Azithromycin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREW BINGHAM, MD accept Medicare?
ANDREW BINGHAM, MD appears in CMS Medicare data with 311 Part D claims and 183 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW BINGHAM, MD's credentials?
ANDREW BINGHAM, MD's NPI is 1497117972 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology