DALE JAMES BINGHAM (PA-C) – Physician Assistant, NPI 1376547935
Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
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Provider Addresses for DALE JAMES BINGHAM (PA-C)
Green River, Sweetwater County, Wyoming, 82935, United States
GREEN RIVER, UT 845250417
Phone: (435) 564-3434
Type: Mailing
123, Greenhurst Village Drive, Sunnyside, Jamestown, Chautauqua County, New York, 14701, United States
SUNNYSIDE, UT 84539
Phone: (435) 888-4411
Type: Location
630 E 1400 N STE 150
LOGAN, UT 843412549
Phone: (435) 915-4465
Fax: (435) 799-3664
Type: Location
609 S Highway 91 # A
Richmond, UT 843331208
Phone: (435) 294-3215
Fax: (435) 294-2960
Type: Location
939 S Hwy 89 Ste 1
Logan, UT 843216581
Phone: (435) 787-8504
Fax: (435) 787-8509
Type: Location
740 S Woodruff Ave
Idaho Falls, ID 834015285
Phone: (208) 542-9111
Fax: (208) 542-9114
Type: Location
7017 Daisy Ln
Idaho Falls, ID 834025753
Phone: (208) 534-5878
Fax: (208) 534-5716
Type: Location
5605 Northside Xing
Chubbuck, ID 832022431
Phone: (208) 547-5062
Fax: (208) 547-5063
Type: Location
2201 Thain Grade
Lewiston, ID 835014118
Phone: (208) 717-3100
Fax: (208) 717-3099
Type: Location
900 N Highway 41 Ste 2
Post Falls, ID 838548823
Phone: (208) 457-7100
Fax: (208) 457-7098
Type: Location
1404 Pomerelle Ave Ste A1
Burley, ID 833182013
Phone: (208) 878-8783
Fax: (208) 878-8786
Type: Location
507 S Main St
Hailey, ID 833338929
Phone: (208) 788-4122
Fax: (208) 788-6430
Type: Location
740 S WOODRUFF AVE
IDAHO FALLS, ID 834015285
Phone: (208) 542-9111
Fax: (208) 542-9114
Type: Mailing
2356 N 400 E STE 201
TOOELE, UT 840743409
Phone: (435) 882-2350
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-04-13 • Largest payer in this snapshot: Boston Scientific Corporation ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $15 |
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: 2023-07-21
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 |
|---|---|---|---|---|
| I20171207000986 | I | Physician Assistant | UT | TBD |
| I20230721003001 | I | Physician Assistant | ID | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 23 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 19 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 84525)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| Nurse Practitioner | ID | |
| Family Practice | MO | |
| Family Practice | ID | |
| Nurse Practitioner | ID | |
| Clinical Social Worker | ID |
Reviews
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