Binni Makkar, MD
NPI 1538721337 · Rheumatology Physician · Lexington, KY
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Binni Makkar, MD is a Rheumatology Physician provider in Lexington, KY (NPI 1538721337).
Provider details
- NPI number
- 1538721337
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- RS2019-0330 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
6 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
23 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 23 | $88 |
Typical Medicare-allowed amounts for these services range $88–$88 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methotrexate Sodiumbrand: Methotrexate | 57 | 17 |
| Hydroxychloroquine Sulfate | 29 | 18 |
| Adalimumabbrand: Humira(cf) Pen | 26 | — |
| Etanerceptbrand: Enbrel Sureclick | 25 | — |
| Prednisone | 20 | 12 |
| Adalimumabbrand: Humira(cf) | 19 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$156 across 6 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
Additional practice locations (1)
- Msc 10-5550 1 University of New MexicoAlbuquerque, NM 87131-0001Phone: (505) 272-4661
Registry dates
- Enumerated
- 2019-07-01
- Last updated
- 2024-06-06
- Certified
- 2024-06-06
Frequently asked questions
- What is Binni Makkar's NPI number?
- Binni Makkar's National Provider Identifier (NPI) is 1538721337, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Binni Makkar's specialty?
- Binni Makkar is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Binni Makkar located?
- Binni Makkar's practice location on file with NPPES is 135 E Maxwell St Fl 3, Lexington, KY 40508-2640.
- What is Binni Makkar's phone number?
- The practice phone number listed in the NPPES registry for Binni Makkar is (859) 218-5350.
- Does Binni Makkar accept Medicare?
- Binni Makkar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Binni Makkar's NPI active?
- Yes — Binni Makkar's NPI (1538721337) is active in the NPPES registry as of the last update on 2024-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.