KEVIN LUNG-WONG BANKS M.D. NPI 1013087535
Urology in Columbus, OH

About KEVIN LUNG-WONG BANKS M.D.

Kevin Banks is a provider established in Columbus, Ohio and his medical specialization is Urology with more than 26 years of experience. He graduated from Ohio State University College Of Medicine in 1997. The NPI number of Kevin Banks is 1013087535 and was assigned on November 2006. The practitioner's primary taxonomy code is 208800000X with license number 35.082920 (OH). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1013087535
Provider Name KEVIN LUNG-WONG BANKS M.D.
Location Address500 THOMAS LN SUITE 3G COLUMBUS, OH 43214
Location Phone(614) 788-2870
Mailing Address5400 FRANTZ RD SUITE 250 DUBLIN, OH 43016
GenderMale
NPI Entity TypeIndividual
Medical School NameOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year1997
Is Sole Proprietor?No
Enumeration Date11-09-2006
Last Update Date06-09-2016

Kevin Banks 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Kevin Banks is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Genesis Hospital, Adena Regional Medical Center and Coshocton Regional Medical Center.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 97.6, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $32.89 for a new patient copayment and $17.8 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code208800000X
ClassificationUrology
TypeAllopathic & Osteopathic Physicians
License No.35.082920
License StateOH
Taxonomy DescriptionA urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

KEVIN LUNG-WONG BANKS M.D.
500 THOMAS LN
SUITE 3G
COLUMBUS, OH
ZIP 43214
Phone: (614) 788-2870
Fax: (614) 533-0177

Get Directions


Mailing Address

KEVIN LUNG-WONG BANKS M.D.
5400 FRANTZ RD
SUITE 250
DUBLIN, OH
ZIP 43016
Phone:


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7113817768
PECOS Enrollment IDI20040317000917
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 43214 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$56.74 $173.94 $131.59
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.18 $43.48 $32.89
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.31 $141.66 $71.2
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.32 $35.41 $17.8

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 80
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 97.6
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kevin Banks is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
GENESIS HOSPITAL2951 MAPLE AVENUE
ZANESVILLE, OH 43701
(740) 454-4000Acute Care Hospitals360039
ADENA REGIONAL MEDICAL CENTER272 HOSPITAL ROAD
CHILLICOTHE, OH 45601
(740) 779-7500Acute Care Hospitals360159
COSHOCTON REGIONAL MEDICAL CENTER1460 ORANGE STREET
COSHOCTON, OH 43812
(740) 623-4144Acute Care Hospitals360109

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
H450370MEDICARE PIN (08)OH
4125301MEDICARE PIN (08)OH
2639078MEDICAID (05)OH

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.
1013087535
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023081456
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 1 + 4 + 5 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1013087535 is valid because the calculated check digit 5 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
1972580181 DIANE TALLO M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)500 THOMAS LN SUITE 3-G
COLUMBUS, OH 43214
(614) 457-7732
1699748343COLUMBUS UROLOGY INC
Organization
Urology500 THOMAS LN STE 3C
COLUMBUS, OH 43214
(614) 538-2222
1578521696DR. JAMES WILLIAM LEWIS M.D.
Individual
Specialist500 THOMAS LN SUITE 4A
COLUMBUS, OH 43214
(614) 538-2250
1285662007MR. JEFFREY GEORGE BELL MD
Individual
Obstetrics & Gynecology (Gynecologic Oncology)500 THOMAS LN COMMUNITY MEDICINE
COLUMBUS, OH 43214
(614) 566-4804
1861568545MRS. KIMBERLY COMPTON KUEHN R.D., L.D.
Individual
Dietitian, Registered500 THOMAS LN
COLUMBUS, OH 43214
(614) 566-5582
1740401405MS. CHERYL ANN WALLER MS,RD,LD
Individual
Dietitian, Registered500 THOMAS LN
COLUMBUS, OH 43214
(614) 566-5582
1942478110RIVERSIDE NEPHROLOGY ASOCIATES, INC.
Organization
Internal Medicine (Nephrology)500 THOMAS LN 4A
COLUMBUS, OH 43214
(614) 538-2250
1245523760 EDWARD CHANG MD
Individual
Student in an Organized Health Care Education/Training Program500 THOMAS LN
COLUMBUS, OH 43214
(614) 566-5456
1780931741OVER MY HEAD, A UNIQUE HEADWARE COMPANY
Organization
Durable Medical Equipment & Medical Supplies500 THOMAS LN SUITE 1A
COLUMBUS, OH 43214
(614) 566-4700
1407283427 BRANDON SMITH MS, LGC
Individual
Genetic Counselor, MS500 THOMAS LN
COLUMBUS, OH 43214
(614) 566-3208
1730171778 KEITH E NICHOLS MD
Individual
Surgery500 THOMAS LN SUITE 2C
COLUMBUS, OH 43214
(614) 566-2370
1649262684 JOHN A MATYAS MD
Individual
Surgery500 THOMAS LN SUITE 2C
COLUMBUS, OH 43214
(614) 566-2370
1740619261 NICHOLE A MORMAN MS, LGC
Individual
Genetic Counselor, MS500 THOMAS LN 1ST FLOOR
COLUMBUS, OH 43214
(614) 566-4363
1043649619 LINDSEY BYRNE MS, LGC
Individual
Genetic Counselor, MS500 THOMAS LN
COLUMBUS, OH 43214
(614) 566-4097
1710344114MRS. ELIZABETH BOWDISH M.S., L.G.C.
Individual
Genetic Counselor, MS500 THOMAS LN SUITE 2D
COLUMBUS, OH 43214
(614) 788-4643
1902255045 MEGAN ENSINGER
Individual
Genetic Counselor, MS500 THOMAS LN STE 2D
COLUMBUS, OH 43214
(614) 788-4645
1992155402 NICK CASE
Individual
Genetic Counselor, MS500 THOMAS LN STE 2D
COLUMBUS, OH 43214
(614) 788-4646
1841649092OHIOHEALTH GENETIC COUNSELING
Organization
Clinic/Center (Genetics)500 THOMAS LN STE 2D
COLUMBUS, OH 43214
(614) 788-4640
1457514903 CHRISTINE HUANG MD
Individual
Internal Medicine500 THOMAS LN
COLUMBUS, OH 43214
(614) 566-5000
1174815708 SARAH ALLISON WALL M.D.
Individual
Internal Medicine (Hematology)500 THOMAS LN
COLUMBUS, OH 43214
(614) 566-5456

Frequently Asked Questions

What is Kevin Banks M.D. NPI number?

The NPI number assigned to Kevin Banks M.D. is 1013087535, registered as an "individual" on November 09, 2006

Where is Kevin Banks M.D. located?

The provider is located at 500 Thomas Ln Suite 3g Columbus, Oh 43214 and the phone number is (614) 788-2870

Which is Kevin Banks M.D. specialty?

The provider's speciality is Urology

How many years of experience does Kevin Banks M.D. have?

The provider has more than 26 years of experience. He graduated from Ohio State University College Of Medicine in 1997.

What insurance does Kevin Banks M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Kevin Banks M.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Kevin Banks M.D.?

Medicare beneficiaries should expect a typical cost of $131.59 with an average copayment of $32.89 for new patient appointments. Established patients should expect a typical charge of $71.2 and an average copayment of 17.8. Please review your insurance plan or contact the provider directly to determine your specific costs.

Is Kevin Banks M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: GENESIS HOSPITAL, ADENA REGIONAL MEDICAL CENTER and COSHOCTON REGIONAL MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Kevin Banks M.D. was last updated on November 09, 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]