DR. RAYMOND E BANFER MD
NPI 1093714057
Family Medicine in Cumberland, MD

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
621 KELLY RD, CUMBERLAND, MD 21502(301) 722-3270(301) 722-3276 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Raymond E Banfer Md NPPES

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

DR. RAYMOND E BANFER MD (NPI 1093714057) is an individual family medicine provider in Cumberland, Maryland, licensed in Maryland (D0036371) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Western Maryland Regional Medical Center, and maintains a secondary practice location in Hancock.

NPPES Registry Identity

NPI1093714057
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RAYMOND E BANFERCredential: MD
Location Address621 KELLY RDCumberland, MD 21502-2878
Mailing Address109 Rayloc DrHancock, MD 21750-1518 · (301) 678-5187 · Fax (301) 678-5797
Fax(301) 722-3276
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1985
Enumeration DateJuly 20, 2005
Last NPPES UpdateOctober 6, 2021
NPPES CertifiedOctober 6, 2021
NPI 1093714057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MD · D0036371
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
621 KELLY RD, Cumberland, MD 21502

Secondary Practice Location 1

Location 1130 W High StHancock, MD 21750-1199 · Phone (301) 678-7256 · Fax (301) 678-6396

Other Identifiers 14

Medicaid1007288800003PA
Other2109844Aetna Hmo
Other14572700Federal Workmans Comp
Other0003Bcbs
Other9977Kaiser
Medicaid013087700MD
Other8133446Mamsi
Other53281812Bcbs
Medicaid0035061003WV
Other1362198Aetna Ppo
Other21-1828Medicare Fqhc
Other418623.Upmc
Medicaid217121100MD
OtherE618-0032Carefirst

Accepted 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

Dr. Raymond E Banfer 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 ID7113993478
PECOS Enrollment IDI20040908000655
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 5

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
229 services157 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
147 services101 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
85 services77 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
72 services70 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
70 services67 patients

Hospital Affiliations CMS Care Compare 2

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

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210027
Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County
Emergency services Birthing friendly

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511315
Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21502 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

Referred Medical Equipment & Supplies CMS DME claims 16

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers43 claims134 services$5.80 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers19 claims39 services$1.01 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers15 claims15 services$95.02 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers20 claims36 services$33.76 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers13 claims13 services$55.37 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers18 claims18 services$21.34 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 8

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

Nurse Practitioner (Family)
621 KELLY RD
CUMBERLAND, MD 21502
Family Medicine
621 KELLY RD
CUMBERLAND, MD 21502
Clinic/Center (Federally Qualified Health Center (FQHC))
621 KELLY RD
CUMBERLAND, MD 21502
Nurse Practitioner (Family)
621 KELLY RD
CUMBERLAND, MD 21502
General Practice
621 KELLY RD
CUMBERLAND, MD 21502
Nurse Practitioner (Family)
621 KELLY RD
CUMBERLAND, MD 21502
Family Medicine
621 KELLY RD
CUMBERLAND, MD 21502
Nurse Practitioner (Family)
621 KELLY RD
CUMBERLAND, MD 21502

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 Raymond Banfer's NPI number?

The NPI number for Raymond Banfer is 1093714057. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Raymond Banfer located?

Raymond Banfer practices at 621 Kelly Rd, Cumberland, MD 21502. The listed phone number is (301) 722-3270.

What is Raymond Banfer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raymond Banfer enrolled in Medicare?

Yes. Raymond Banfer 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 Raymond Banfer accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Raymond Banfer 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 Raymond Banfer affiliated with any hospitals?

According to CMS data, Raymond Banfer is affiliated with Western Maryland Regional Medical Center and Potomac Valley Hospital.

When was this NPI record last updated?

The NPPES record for Raymond Banfer was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.