DEREK A BANYARD M.D.
NPI 1194015313
Surgery in Orange, CA

Active since April 08, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
200 S MANCHESTER AVE, SUITE 650, ORANGE, CA 92868(714) 939-4028 Get Directions Write a Review

NPPES record last updated: July 21, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Derek A Banyard M.d. NPPES

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

DEREK A BANYARD M.D. (NPI 1194015313) is an individual surgery provider in Orange, California, licensed in California (A124088) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (2008).

NPPES Registry Identity

NPI1194015313
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDEREK A BANYARDCredential: M.D.
Location Address200 S MANCHESTER AVE, SUITE 650Orange, CA 92868-3217
Mailing Address200 S Manchester Ave, Suite 650Orange, CA 92868-3217 · (714) 939-4028
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2008
Enumeration DateApril 8, 2011
Last NPPES UpdateJuly 21, 2014
NPI 1194015313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · A124088
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

200 S MANCHESTER AVE, Orange, CA 92868

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

Derek A Banyard M.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 ID8729378674
PECOS Enrollment IDI20160604000048
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 15

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
1,072 services113 patients
Follow-up nursing facility visit per day, typically 35 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
826 services97 patients
Follow-up nursing facility visit per day, typically 25 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
533 services117 patients
Removal of muscle and/or tissue, each additional 20.0 sq cm or less 11046
This procedure involves the removal of muscle and/or tissue, typically to treat disease or injury. An additional 20.0 square cm or less of tissue may be removed if necessary. The process is performed by a skilled medical professional to ensure your safety and recovery.
316 services36 patients
Follow-up nursing facility visit per day, typically 15 minutes 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
201 services52 patients
Removal of bone, each additional 20.0 sq cm or less 11047
This procedure involves the surgical removal of a specified amount of bone, typically due to disease or injury. Each additional 20.0 square cm or less refers to the size of the bone area being removed. It's a precise operation performed by skilled surgeons.
109 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability96
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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

Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
1 supplier29 claims870 services$29.10 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier45 claims1,180 services$19.64 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197
DME-Medical/Surgical Supplies · category DA023N
1 supplier61 claims1,675 services$15.84 avg. paid by Medicare
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6203
DME-Medical/Surgical Supplies · category DA023N
1 supplier16 claims198 services$2.98 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6210
DME-Medical/Surgical Supplies · category DA023N
1 supplier38 claims585 services$18.99 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing A6220
DME-Medical/Surgical Supplies · category DA023N
1 supplier22 claims660 services$2.52 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 20

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

Obstetrics & Gynecology (Maternal & Fetal Medicine)
200 S MANCHESTER AVE, SUITE 600
ORANGE, CA 92868
Physician Assistant
200 S MANCHESTER AVE, SUITE #300
ORANGE, CA 92868
Neuromusculoskeletal Medicine & OMM
200 S MANCHESTER AVE, SUITE 110
ORANGE, CA 92868
Surgery (Plastic and Reconstructive Surgery)
200 S MANCHESTER AVE, 650
ORANGE, CA 92868
Internal Medicine (Infectious Disease)
200 S MANCHESTER AVE, SUITE 514
ORANGE, CA 92868
Plastic Surgery
200 S MANCHESTER AVE, SUITE 650
ORANGE, CA 92868
Family Medicine
200 S MANCHESTER AVE, SUITE 315
ORANGE, CA 92868
Plastic Surgery
200 S MANCHESTER AVE, SUITE 650
ORANGE, CA 92868

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194015313, enumerated as an "individual" on April 08, 2011.

The provider is located at 200 S MANCHESTER AVE SUITE 650 ORANGE, CA 92868 and the phone number is (714) 939-4028.

Surgery with taxonomy code 208600000X.