NICHOLAS D. BINGHAM (M.D.) – Occupational Medicine Physician, NPI 1861697609

NICHOLAS D. BINGHAM (M.D.) is a healthcare provider. based in Ankeny, Iowa. specializing in PREVENTIVE MEDICINE. They hold the professional credentials M.D.. They hold a License No. 40093 (IA). The NPI Number for NICHOLAS D. BINGHAM (M.D.) is 1861697609

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS D. BINGHAM (M.D.)
NPI
1861697609
Phone
(515) 964-6974
Address
2515 SW STATE ST
Enumeration Date
20 June 2007
Last Update Date
25 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3193788362
Graduation Year
2004 (22 years ago)
PAC ID
2062723281
Group Practice PAC ID
1355242496
Professional Enrollment ID
I20150615001746
Address ID
IA522332033HI1790XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

15 PREVENTIVE MEDICINE in IA

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Provider Addresses for NICHOLAS D. BINGHAM (M.D.)

  • Southwest State Street, Ankeny, Polk County, Iowa, 50023-7235, United States

    ANKENY, IA 500237079

    Phone: (515) 964-6974

    Fax: (515) 964-6986

    Type: Mailing

  • MERCY CARE OCCUPATIONAL HEALTH AT PRAIRIE CREEK

    777 76TH AVE DR SW, SUITE 400

    CEDAR RAPIDS, IA 52404

    Phone: (319) 558-0342

    Fax: (319) 558-0343

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-06-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150615001746IPreventive MedicineIATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50023)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355242496View full group profile
NameSpecialtyState
Nurse PractitionerIA
Family PracticeIA
Nurse PractitionerIA
Internal MedicineOR
-IA
Physician AssistantIA
Nurse PractitionerIA
Nephrology, Internal MedicineIA
Physician AssistantIA
Pulmonary Disease, Internal MedicineIA

Reviews

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Frequently asked questions

Is NICHOLAS D. BINGHAM (M.D.) listed with a National Provider Identifier?
Yes — NICHOLAS D. BINGHAM (M.D.) has NPI 1861697609 on file in the registry.
Is there an active status for NICHOLAS D. BINGHAM (M.D.)?
For scheduling context, NICHOLAS D. BINGHAM (M.D.) is shown as active in the registry.
What expertise is attributed to NICHOLAS D. BINGHAM (M.D.)?
NICHOLAS D. BINGHAM (M.D.)'s specialty line reads Occupational Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for NICHOLAS D. BINGHAM (M.D.)?
Travel planning: use Ankeny, Iowa as the reference point for NICHOLAS D. BINGHAM (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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