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TERRANCE EDWARD BANASZAK JR. DO
NPI 1083918361
Emergency Medicine in Hilliard, OH

Active since December 31, 2010PECOS EnrolledAccepts Medicare Assignment
90.5/100
CMS Quality Rating
4343 ALL SEASONS DR STE 160, HILLIARD, OH 43026(614) 541-2676(614) 541-2678 Get Directions Write a Review

NPPES record last updated: August 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Terrance Edward Banaszak Jr. Do NPPES

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

TERRANCE EDWARD BANASZAK JR. DO (NPI 1083918361) is an individual emergency medicine provider in Hilliard, Ohio, licensed in Ohio (58003673) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1083918361
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTERRANCE EDWARD BANASZAK JR.Credential: DO
Location Address4343 ALL SEASONS DR STE 160Hilliard, OH 43026
Mailing Address335 Glessner Ave Rm 325eMansfield, OH 44903-2269 · (419) 520-2495 · Fax (419) 520-2496
Phone(614) 541-2676
Fax(614) 541-2678
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 31, 2010
Last NPPES UpdateAugust 28, 2018
✔ NPI 1083918361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OH · 58003673
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4343 ALL SEASONS DR STE 160, Hilliard, OH 43026
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Other Identifiers 1

Medicaid0106005OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Terrance Edward Banaszak Jr. Do 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 ID4486870466
PECOS Enrollment IDI20140728002261
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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services45 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
14 services14 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43026 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.75
Promoting Interoperability100
Improvement Activities40
Cost77.59

Other Providers at the Same Location NPPES 4

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

RONALD JOHNSEN DO
Emergency Medicine
4343 ALL SEASONS DR STE 160
HILLIARD, OH 43026
Franklin County (614) 541-2676
KYLE R LAU MD
Family Medicine
4343 ALL SEASONS DR STE 160
HILLIARD, OH 43026
Franklin County (614) 541-2676
DR. DONALD LEE WEST MD
Family Medicine
4343 ALL SEASONS DR STE 160
HILLIARD, OH 43026
Franklin County (614) 541-2676
MRS. JAIME LYNN HEISTERKAMP NP-C
Nurse Practitioner (Family)
4343 ALL SEASONS DR STE 160
HILLIARD, OH 43026
Franklin County (614) 541-2676

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 Terrance Banaszak's NPI number?

The NPI number for Terrance Banaszak is 1083918361. It was assigned to this individual provider in the NPPES registry on December 31, 2010.

Where is Terrance Banaszak located?

Terrance Banaszak practices at 4343 All Seasons Dr Ste 160, Hilliard, OH 43026. The listed phone number is (614) 541-2676.

What is Terrance Banaszak's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Terrance Banaszak enrolled in Medicare?

Yes. Terrance Banaszak 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 Terrance Banaszak accept?

Health plans from CareSource list Terrance Banaszak 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.

When was this NPI record last updated?

The NPPES record for Terrance Banaszak was last updated on August 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.