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DR. LOGAN KALE BANISTER O.D.
NPI 1154551828
Optometrist in Derby, KS

Active since July 16, 2009PECOS EnrolledAccepts Medicare Assignment
89.8/100
CMS Quality Rating
1626 E MADISON AVE, DERBY, KS 67037(316) 788-1535(316) 788-1596 Get Directions Write a Review

NPPES record last updated: August 28, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Logan Kale Banister O.d. NPPES

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

DR. LOGAN KALE BANISTER O.D. (NPI 1154551828) is an individual optometrist in Derby, Kansas, licensed in Kansas (1856) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2009).

NPPES Registry Identity

NPI1154551828
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. LOGAN KALE BANISTERCredential: O.D.
Location Address1626 E MADISON AVEDerby, KS 67037-2076
Mailing Address1626 E Madison AveDerby, KS 67037-2076 · (316) 788-1535 · Fax (316) 788-1596
Phone(316) 788-1535
Fax(316) 788-1596
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 2009
Enumeration DateJuly 16, 2009
Last NPPES UpdateAugust 28, 2009
✔ NPI 1154551828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in KS · 1856
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1626 E MADISON AVE, Derby, KS 67037
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., UnitedHealthcare.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. Logan Kale Banister O.d. 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 ID840346987
PECOS Enrollment IDI20090915000500
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 9

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
559 services556 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
445 services437 patients
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.
136 services110 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
93 services91 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
81 services78 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
73 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67037 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

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.

89.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability88
Improvement Activities40

Reported Quality Measures

e-Prescribing
94%70 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
86%638 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier21 claims21 services$54.80 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier19 claims36 services$50.23 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier20 claims40 services$13.79 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 3

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

DERBY EYECARE LLC
Optometrist
1626 E MADISON AVE
DERBY, KS 67037
Sedgwick County (316) 640-4180
DR. RICHARD MARKS
Optometrist
1626 E MADISON AVE
DERBY, KS 67037
Sedgwick County (316) 788-1535
RONALD L FIEGEL OD PA- DERBY
Optometrist
1626 E MADISON AVE
DERBY, KS 67037
Sedgwick County (316) 788-1535

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 Logan Banister's NPI number?

The NPI number for Logan Banister is 1154551828. It was assigned to this individual provider in the NPPES registry on July 16, 2009.

Where is Logan Banister located?

Logan Banister practices at 1626 E Madison Ave, Derby, KS 67037. The listed phone number is (316) 788-1535.

What is Logan Banister's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Logan Banister enrolled in Medicare?

Yes. Logan Banister 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 Logan Banister accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and UnitedHealthcare list Logan Banister 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 Logan Banister was last updated on August 28, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.