DR. ANDREA BANKS MD
NPI 1083836399
Internal Medicine - Infectious Disease in Lexington, KY

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
83.77/100
CMS Quality Rating
1720 NICHOLASVILLE RD STE 602, LEXINGTON, KY 40503(859) 277-4005(859) 278-2507 Get Directions Write a Review

NPPES record last updated: May 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Andrea Banks Md NPPES

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

DR. ANDREA BANKS MD (NPI 1083836399) is an individual infectious disease provider in Lexington, Kentucky, licensed in Kentucky (41845) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and is a graduate of University Of Kentucky College Of Medicine (2004).

NPPES Registry Identity

NPI1083836399
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. ANDREA BANKSCredential: MD
Location Address1720 NICHOLASVILLE RD STE 602Lexington, KY 40503-1488
Mailing Address1720 Nicholasville Rd Ste 602Lexington, KY 40503-1488 · (859) 277-4005 · Fax (859) 278-2507
Fax(859) 278-2507
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2004
Enumeration DateMay 3, 2007
Last NPPES UpdateMay 9, 2015
NPI 1083836399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses Licensed in KY · 41845 Licensed in SC · 34293
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1720 NICHOLASVILLE RD STE 602, Lexington, KY 40503

Other Identifiers 5

Other051541776AL · Blue Cross
Other051541775AL · Blue Cross
Medicaid009910453AL
Medicaid009911114AL
Medicare PIN051541775AL

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

Dr. Andrea Banks Md 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 ID7911090220
PECOS Enrollment IDI20090108000457
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 11

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.

Injection, daptomycin, 1 mg J0878
Daptomycin is an antibiotic injection used to treat severe bacterial infections. It works by stopping bacteria from growing and multiplying. The 1 mg dosage refers to the amount of daptomycin in each injection. It's administered by healthcare professionals.
45,980 services31 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
360 services36 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.
319 services89 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
141 services78 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.
82 services76 patients
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.
79 services33 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180010
LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County
Emergency services

Saint Joseph London

Acute Care Hospitals · London, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180011
Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County
Emergency services Birthing friendly

Saint Joseph Mount Sterling

Acute Care Hospitals · Mount Sterling, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180064
Location225 Falcon DriveMount Sterling, KY 40353 · Montgomery County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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.

83.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.7
Improvement Activities40
Cost57.63

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Infectious Disease)
1720 NICHOLASVILLE RD STE 602
LEXINGTON, KY 40503
Internal Medicine (Infectious Disease)
1720 NICHOLASVILLE RD STE 602
LEXINGTON, KY 40503

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 Andrea Banks's NPI number?

The NPI number for Andrea Banks is 1083836399. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Andrea Banks located?

Andrea Banks practices at 1720 Nicholasville Rd Ste 602, Lexington, KY 40503. The listed phone number is (859) 277-4005.

What is Andrea Banks's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Andrea Banks enrolled in Medicare?

Yes. Andrea 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.

Is Andrea Banks affiliated with any hospitals?

According to CMS data, Andrea Banks is affiliated with Saint Joseph Hospital, Saint Joseph London, Saint Joseph Mount Sterling, Baptist Health Lexington and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Andrea Banks was last updated on May 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.