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BARBARA JEAN BANNER MD
NPI 1164041026
Psychiatry & Neurology - Psychiatry in Houston, TX

Active since April 10, 2020PECOS EnrolledAccepts Medicare Assignment
5598 NORTH FWY # A-1, HOUSTON, TX 77076(832) 548-5000(713) 559-3255 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 13, 2026, Sep 20, 2025, Apr 10, 2020 (3 updates tracked since 2020).

About Barbara Jean Banner Md NPPES

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

BARBARA JEAN BANNER MD (NPI 1164041026) is an individual psychiatry provider in Houston, Texas, licensed in Texas (W0519) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1164041026
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameBARBARA JEAN BANNERCredential: MD
Location Address5598 NORTH FWY # A-1Houston, TX 77076-4702
Mailing Address5598 North Fwy # A-1Houston, TX 77076-4702 · (832) 548-5000 · Fax (713) 559-3255
Phone(832) 548-5000
Fax(713) 559-3255
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 10, 2020
Last NPPES UpdateMarch 13, 20263 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1164041026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · W0519
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
5598 NORTH FWY # A-1, Houston, TX 77076
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Barbara Jean Banner 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 ID7517446313
PECOS Enrollment IDI20260211003053
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.

Medicare Billing Reassignment

Medicare enrollment records show Barbara Banner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Community Health Services, Inc
7.1 mi
Federally Qualified Health Center (FQHC)
1415 CALIFORNIA ST
Houston, TX 77006
  • Reassigned Medicare billing, Texas enrollment
  • 402 clinicians in this Medicare group
NPI 1679524961 (832) 548-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77076 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
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

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 Barbara Banner's NPI number?

The NPI number for Barbara Banner is 1164041026. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Where is Barbara Banner located?

Barbara Banner practices at 5598 North Fwy # A-1, Houston, TX 77076. The listed phone number is (832) 548-5000.

What is Barbara Banner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Barbara Banner enrolled in Medicare?

Yes. Barbara Banner 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.

Which organization bills Medicare for Barbara Banner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barbara Banner reassigns Medicare benefits to Legacy Community Health Services, Inc (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Barbara Banner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Barbara Banner accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Barbara Banner 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 Barbara Banner was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.