Pratibha Binder, M.D.
NPI 1174758031 · Gynecologic Oncology Physician · San Diego, CA
Enrolled with Medicare as Practitioner - Gynecological Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pratibha Binder, M.D. is a Gynecologic Oncology Physician provider in San Diego, CA (NPI 1174758031).
Provider details
- NPI number
- 1174758031
- Entity type
- Individual
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A149945 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
278 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 59 | $148 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 49 | $187 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 47 | $133 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 35 | $93 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 28 | $80 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ondansetron Hcl | 25 | 16 |
| Apixabanbrand: Eliquis | 23 | — |
| Prochlorperazine Maleate | 20 | 13 |
| Megestrol Acetate | 16 | — |
| Gabapentin | 15 | — |
| Ibuprofen | 12 | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$8,003 across 10 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-05-21
- Last updated
- 2018-10-22
Frequently asked questions
- What is Pratibha Binder's NPI number?
- Pratibha Binder's National Provider Identifier (NPI) is 1174758031, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pratibha Binder's specialty?
- Pratibha Binder is listed in the NPPES registry with a primary specialty of Gynecologic Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Pratibha Binder located?
- Pratibha Binder's practice location on file with NPPES is 200 W Arbor Dr, San Diego, CA 92103-9000.
- What is Pratibha Binder's phone number?
- The practice phone number listed in the NPPES registry for Pratibha Binder is (858) 822-6275.
- Does Pratibha Binder accept Medicare?
- Pratibha Binder is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pratibha Binder's NPI active?
- Yes — Pratibha Binder's NPI (1174758031) is active in the NPPES registry as of the last update on 2018-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.