BINOY OUSEPH (M.D.) – Gastroenterology Physician, NPI 1497797880
Gastroenterology Physician
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Profile Insights
NPPES metrics only — not quality of care.
448 GASTROENTEROLOGY in IN
Provider Addresses for BINOY OUSEPH (M.D.)
500 Arcade Ave Ste 300
Elkhart, IN 465142486
Phone: (574) 389-7362
Fax: (574) 389-5612
Type: Location
11104 Parkview Circle Dr Ste 310
Fort Wayne, IN 468451733
Phone: (260) 266-5230
Fax: (260) 266-5238
Type: Location
Elkhart General Hospital, 600, East Boulevard, Elkhart, Elkhart County, Indiana, 46514, United States
ELKHART, IN 465142483
Phone: (574) 389-7362
Fax: (574) 389-5612
Type: Location
710, North Niles Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States
SOUTH BEND, IN 466171924
Phone: (574) 647-1610
Fax: (574) 237-6069
Type: Mailing
10600 MONTGOMERY RD STE 300
MONTGOMERY, OH 452424464
Phone: (513) 794-5600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 123 Open Payments records for all available years, with a total value of $2,536.
Total Amount is formed as General ($2,536) + Research ($0) + Ownership ($0) = $2,536.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($767).
Total Amount
$2,536
General + Research + Ownership
Payments
123
Total payment records
General Amount
$2,536
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $767 |
| Takeda Pharmaceuticals U.S.A., Inc. | $439 |
| Phathom Pharmaceuticals, Inc. | $285 |
| ERBE USA Inc | $200 |
| Janssen Biotech, Inc. | $152 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-02-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101013000184 | I | Gastroenterology | IN | TBD |
| I20220221002391 | I | Gastroenterology | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 123 | 123 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 75 | 75 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 65 | 63 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 41 | 41 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 38 | 38 | $0 |
Insurance plans in this area (ZIP 46514)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | IN | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 104 | 104 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | NM | |
| - | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| Infectious Disease | IN | |
| Internal Medicine | IN | |
| - | IN |
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