DR. KATHY A BANKS DMD
NPI 1124090212
Dentist - Oral and Maxillofacial Surgery in Barnegat, NJ

Active since February 03, 2006Opted out of Medicare · through Sep 12, 2027
249 S MAIN ST, UNIT 4, BARNEGAT, NJ 08005(609) 488-2325(609) 488-2342 Get Directions Write a Review

NPPES record last updated: September 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kathy A Banks Dmd NPPES

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

DR. KATHY A BANKS DMD (NPI 1124090212) is an individual oral and maxillofacial surgery provider in Barnegat, New Jersey, licensed in New Jersey (17792) and active in the NPI registry since February 2006. She has opted out of Medicare through September 12, 2027 and remains eligible to order and refer, is affiliated with Southern Ocean Medical Center, and is a graduate of Temple University School Of Medicine (1991).

NPPES Registry Identity

NPI1124090212
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. KATHY A BANKSCredential: DMD
Location Address249 S MAIN ST, UNIT 4Barnegat, NJ 08005-2301
Mailing Address905 Laurel BlvdLanoka Harbor, NJ 08734-2720 · (609) 488-2325 · Fax (609) 488-2342
Fax(609) 488-2342
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 1991
Enumeration DateFebruary 3, 2006
Last NPPES UpdateSeptember 30, 2013
NPI 1124090212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NJ · 17792
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
249 S MAIN ST, Barnegat, NJ 08005

Other Identifiers 2

Medicare UPINU73971NJ
Medicare ID-Type Unspecified023967NJ

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Kathy A Banks Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 12, 2017 through September 12, 2027.

Opt-Out Effective DateSeptember 12, 2017
Opt-Out In Effect ThroughSeptember 12, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Hospital Affiliations CMS Care Compare

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

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08005 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

Physical Therapist
249 S MAIN ST
BARNEGAT, NJ 08005
Physical Therapist
249 S MAIN ST, SUITE 1
BARNEGAT, NJ 08005
Physical Therapist
249 S MAIN ST, SUITE 1
BARNEGAT, NJ 08005
Physical Therapist
249 S MAIN ST, SUITE 1
BARNEGAT, NJ 08005
Physical Therapist
249 S MAIN ST, SUITE 1
BARNEGAT, NJ 08005
Pediatrics
249 S MAIN ST, SUITE 2
BARNEGAT, NJ 08005
Pediatrics
249 S MAIN ST, SUITE 2
BARNEGAT, NJ 08005
Physical Therapist
249 S MAIN ST
BARNEGAT, NJ 08005

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 Kathy Banks's NPI number?

The NPI number for Kathy Banks is 1124090212. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Kathy Banks located?

Kathy Banks practices at 249 S Main St Unit 4, Barnegat, NJ 08005. The listed phone number is (609) 488-2325.

What is Kathy Banks's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Kathy Banks enrolled in Medicare?

No. Kathy Banks has opted out of Medicare through September 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kathy Banks accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Kathy 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 Kathy Banks affiliated with any hospitals?

According to CMS data, Kathy Banks is affiliated with Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Kathy Banks was last updated on September 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.