DR. MARK BILLINSON MD
NPI 1245391440
Obstetrics & Gynecology - Gynecology in Liverpool, NY
NPI Status: Active since December 12, 2006
Contact Information
5100 W TAFT RD
SUITE 3G
LIVERPOOL, NY
ZIP 13088
Phone: (315) 452-2968
Fax: (315) 452-2977
- Individual
- Male
- Obstetrics & Gynecology
- Gynecology
- PECOS Enrolled
About MARK BILLINSON
This page provides the complete NPI Profile along with additional information for Mark Billinson, a women's health care provider established in Liverpool, New York with a medical specialization in Obstetrics & Gynecology, focusing in gynecology . The healthcare provider is registered in the NPI registry with number 1245391440 assigned on December 2006. The practitioner's primary taxonomy code is 207VG0400X with license number 172243 (NY). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1245391440
- Provider Name
- DR. MARK BILLINSON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5100 W TAFT RD SUITE 3G LIVERPOOL, NY 13088
- Location Phone
- (315) 452-2968
- Location Fax
- (315) 452-2977
- Mailing Address
- 5100 W TAFT RD SUITE 3G LIVERPOOL, NY 13088
- Mailing Phone
- (315) 452-2968
- Mailing Fax
- (315) 452-2977
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-12-2006
- Last Update Date
- 12-27-2011
- Code Navigator
Women's health care providers like Mark Billinson treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology Gynecology
- Taxonomy Code
- 207VG0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 172243
- License State
- NY
- Taxonomy Description
- A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| J400060179 | MEDICARE PIN (08) | NY | |
| 10458267 | OTHER (01) | CAQH | |
| 01251225 | MEDICAID (05) | NY | |
| 53150A | MEDICARE PIN (08) | NY | |
| E15670 | MEDICARE UPIN (02) | NY |
Medicare Participation & PECOS Enrollment Status
Mark Billinson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 13088 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.4
- Minimum New Patient Price $54.87
- Maximum New Patient Price $166.88
- Average New Patient Copayment $31.6
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.57
- Minimum Established Patient Price $17.54
- Maximum Established Patient Price $136.14
- Average Established Patient Copayment $17.14
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 3 | 9 | 1 | 4 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 6 | 9 | 2 | 4 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 6 + 9 + 2 + 4 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1245391440 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023015500 | JODY S BLEIER MD Individual | Internal Medicine (Cardiovascular Disease) | 5100 W TAFT RD SUITE 4J LIVERPOOL, NY 13088 (315) 701-2170 |
| 1780683979 | SCOTT D MENDZEF NP Individual | Nurse Practitioner (Adult Health) | 5100 W TAFT RD SUITE 4J LIVERPOOL, NY 13088 (315) 701-2170 |
| 1578564548 | MEGAN C CROSS NP Individual | Nurse Practitioner (Adult Health) | 5100 W TAFT RD SUITE 4J LIVERPOOL, NY 13088 (315) 701-2170 |
| 1548252646 | DR. LAWRENCE CALABRESE M.D. Individual | Radiology (Diagnostic Radiology) | 5100 W TAFT RD SUITE 2A LIVERPOOL, NY 13088 (315) 452-2555 |
| 1891787909 | DR. MARCUS ALLEN MD Individual | Radiology (Diagnostic Radiology) | 5100 W TAFT RD SUITE 2A LIVERPOOL, NY 13088 (315) 452-2555 |
| 1053303040 | DR. GARY D LEAVITT M.D. Individual | Radiology (Diagnostic Radiology) | 5100 W TAFT RD SUITE 2A LIVERPOOL, NY 13088 (315) 452-2555 |
| 1265424261 | DR. STEVEN R LINDEMANN M.D. Individual | Radiology (Diagnostic Radiology) | 5100 W TAFT RD SUITE 2A LIVERPOOL, NY 13088 (315) 452-2555 |
| 1508858408 | DR. BERNARD N RAASCH M.D. Individual | Radiology (Diagnostic Radiology) | 5100 W TAFT RD SUITE 2A LIVERPOOL, NY 13088 (315) 452-2555 |
| 1811989726 | DR. JOHN H VAN SLYKE M.D. Individual | Radiology (Diagnostic Radiology) | 5100 W TAFT RD SUITE 2A LIVERPOOL, NY 13088 (315) 452-2555 |
| 1114919917 | DR. JONATHAN M. JACOBS M.D. Individual | Radiology (Diagnostic Radiology) | 5100 W TAFT RD SUITE 2A LIVERPOOL, NY 13088 (315) 452-2555 |
| 1063404820 | DR. EDWARD RANDOLPH NOBLE JR. M.D. Individual | Radiology (Neuroradiology) | 5100 W TAFT RD SUITE 2A LIVERPOOL, NY 13088 (315) 452-2555 |
| 1215920996 | DR. CARMELITA V SANPEDRO M.D Individual | Radiology (Diagnostic Radiology) | 5100 W TAFT RD SUITE 2A LIVERPOOL, NY 13088 (315) 452-2555 |
| 1093709180 | ST. JOSEPHS IMAGING ASSOCIATES PLLC Organization | Radiology (Diagnostic Radiology) | 5100 W TAFT RD SUITE 2A LIVERPOOL, NY 13088 (315) 452-2555 |
| 1457339350 | DR. DONALD L LEVIN MD Individual | Dermatology | 5100 W TAFT RD STE 1H LIVERPOOL, NY 13088 (315) 452-2600 |
| 1568434454 | DR. BETH MICHELLE BURGHARDT MD Individual | Otolaryngology | 5100 W TAFT RD SUITE 4L LIVERPOOL, NY 13088 (315) 452-2124 |
| 1558335463 | MICHAEL J KENDRICK MD Individual | Urology | 5100 W TAFT RD SUITE 4 D LIVERPOOL, NY 13088 (315) 458-6669 |
| 1811961725 | GINA A BROTHERS ANP Individual | Urology | 5100 W TAFT RD SUITE 4-D LIVERPOOL, NY 13088 (315) 458-6669 |
| 1720052558 | WILLIAM H ROBERTS MD Individual | Urology | 5100 W TAFT RD SUITE 4-D LIVERPOOL, NY 13088 (315) 458-6669 |
| 1124094776 | SANFORD P TEMES MD Individual | Urology | 5100 W TAFT RD STUITE 4-D LIVERPOOL, NY 13088 (315) 458-6669 |
| 1033185251 | PATRICIA J SZYMANOWSKI ANP Individual | Urology | 5100 W TAFT RD SUITE 4-D LIVERPOOL, NY 13088 (315) 458-6669 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245391440, enumerated in the NPI registry as an "individual" on December 12, 2006
The provider is located at 5100 W Taft Rd Suite 3g Liverpool, Ny 13088 and the phone number is (315) 452-2968
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207VG0400X with a focus in Gynecology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $126.4 with an average copayment of $31.6 for new patient appointments. Established patients should expect a typical charge of $68.57 and an average copayment of 17.14. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on December 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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