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MICHAEL BANKS
NPI 1083024616
Internal Medicine in Ashland, KY

Active since May 05, 2014PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
2201 LEXINGTON AVE, ASHLAND, KY 41101(606) 408-4000 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2020, Mar 11, 2020, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Michael Banks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL BANKS (NPI 1083024616) is an individual internal medicine provider in Ashland, Kentucky, licensed in Kentucky (49874) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083024616
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL BANKS
Location Address2201 LEXINGTON AVEAshland, KY 41101-2843
Mailing Address1249 15th St, Suite 2000Huntington, WV 25701-3662 · (304) 691-1000 · Fax (304) 691-1693
Phone(606) 408-4000
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2013
Enumeration DateMay 5, 2014
Last NPPES UpdateAugust 12, 20205 updates tracked since enumeration
NPPES CertifiedAugust 12, 2020
✔ NPI 1083024616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 49874
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 49874 (KY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2201 LEXINGTON AVE, Ashland, KY 41101
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Secondary Practice Locations 2

Location 11249 15th St, Suite 2000Huntington, WV 25701-3662 · Phone (304) 691-1000 · Fax (304) 691-1693
Location 21000 Saint Christopher DrAshland, KY 41101-7034 · Phone (606) 833-3333 · Fax (606) 833-4269

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Banks is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759508641
PECOS Enrollment IDI20170607000484
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
363 services193 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
245 services152 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
204 services190 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
62 services61 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
51 services51 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
45 services44 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360361
Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers68 claims68 services$20.51 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers66 claims66 services$112.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DALKEITH FITZLAWSON TUCKER D.O.
Emergency Medicine
2201 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 408-0605
ELIZABETH JEAN LOAN APRN
Nurse Practitioner (Family)
2201 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 408-4000
DONALD A KRAFT MD
Emergency Medicine
2201 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 327-4000
DOUGLAS M MOTTLEY M.D.
Specialist
2201 LEXINGTON AVE, SUITE 8B
ASHLAND, KY 41101
Boyd County (606) 327-5190
JASON G. ELLIS CRNA
Nurse Anesthetist, Certified Registered
2201 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 408-4000
ASHLEY LUSTER
Pharmacist
2201 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 408-1225
HASSAN R ABUL-KHOUDOUD MD
Hospitalist
2201 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 408-4000
ASHLAND HOSPITAL CORPORATION
Durable Medical Equipment & Medical Supplies
2201 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 408-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Banks's NPI number?

The NPI number for Michael Banks is 1083024616. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Where is Michael Banks located?

Michael Banks practices at 2201 Lexington Ave, Ashland, KY 41101. The listed phone number is (606) 408-4000.

What is Michael Banks's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Banks enrolled in Medicare?

Yes. Michael Banks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Banks accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Michael Banks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Banks affiliated with any hospitals?

According to CMS data, Michael Banks is affiliated with King's Daughters' Medical Center and Kings Daughters Medical Center Ohio.

When was this NPI record last updated?

The NPPES record for Michael Banks was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.