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EVGENIYA BANINA M.D.
NPI 1205280427
Internal Medicine in Eldon, MO

Active since April 14, 2016PECOS EnrolledAccepts Medicare Assignment
82.13/100
CMS Quality Rating
304A E 4TH ST, ELDON, MO 65026(573) 392-5654(573) 392-5692 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evgeniya Banina M.d. NPPES

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

EVGENIYA BANINA M.D. (NPI 1205280427) is an individual internal medicine provider in Eldon, Missouri, licensed in Missouri (2019024533) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital Jefferson City, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205280427
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameEVGENIYA BANINACredential: M.D.
Location Address304A E 4TH STEldon, MO 65026
Mailing Address701 W 5th StOdessa, TX 79763-4206 · (432) 703-5375
Phone(573) 392-5654
Fax(573) 392-5692
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 14, 2016
Last NPPES UpdateJuly 9, 2019
✔ NPI 1205280427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 2019024533
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
304A E 4TH ST, Eldon, MO 65026
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1701 W 5th StOdessa, TX 79763-4206 · Phone (432) 703-5375
Location 22333 Highway 17Iberia, MO 65486-9331 · Phone (573) 793-6900 · Fax (573) 793-6688

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Evgeniya Banina 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 ID2062707219
PECOS Enrollment IDI20190724000298
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

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
64 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Mary's Hospital Jefferson City

Acute Care Hospitals · Jefferson City, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260011
Location2505 Mission DriveJefferson City, MO 65109 · Cole County
Emergency services Birthing friendly

Lake Regional Health System

Acute Care Hospitals · Osage Beach, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260186
Location54 Hospital DriveOsage Beach, MO 65065 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65026 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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.

82.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.14
Promoting Interoperability100
Improvement Activities40
Cost61.46

Referred Medical Equipment & Supplies CMS DME claims 10

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
11 suppliers57 claims136 services$5.53 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers20 claims22 services$1.04 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier48 claims49 services$20.36 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers17 claims17 services$8.09 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers58 claims59 services$115.71 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 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 15

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

LAKE REGIONAL HEALTH SYSTEM
Clinic/Center (Rural Health)
304A E 4TH ST
ELDON, MO 65026
Miller County (573) 392-5654
MR. HENRY KEILER BLUHM JR. PA-C
Physician Assistant (Medical)
304A E 4TH ST
ELDON, MO 65026
Miller County (573) 557-2400
KRISTEN SHAVAUGHN STAMPEHL NP-C
Nurse Practitioner (Family)
304A E 4TH ST
ELDON, MO 65026
Miller County (573) 392-5654
MICHAEL JAMES LEWIS FNP-BC
Nurse Practitioner (Family)
304A E 4TH ST
ELDON, MO 65026
Miller County (573) 552-5700
CHRISTINE ANN LIVEK M.D.
Family Medicine
304A E 4TH ST
ELDON, MO 65026
Miller County (573) 557-2400
DR. PAUL BERNABE M.D.
Family Medicine
304A E 4TH ST
ELDON, MO 65026
Miller County (573) 392-5654
KAYDIE ANN DIAL FNP
Nurse Practitioner (Family)
304A E 4TH ST
ELDON, MO 65026
Miller County (573) 392-5654
MRS. LAUREN NICOLE FREEZE FNP-C
Nurse Practitioner (Family)
304A E 4TH ST
ELDON, MO 65026
Miller County (573) 392-5654

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 Evgeniya Banina's NPI number?

The NPI number for Evgeniya Banina is 1205280427. It was assigned to this individual provider in the NPPES registry on April 14, 2016.

Where is Evgeniya Banina located?

Evgeniya Banina practices at 304A E 4th St, Eldon, MO 65026. The listed phone number is (573) 392-5654.

What is Evgeniya Banina's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Evgeniya Banina enrolled in Medicare?

Yes. Evgeniya Banina 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 Evgeniya Banina accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Evgeniya Banina 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 Evgeniya Banina affiliated with any hospitals?

According to CMS data, Evgeniya Banina is affiliated with Ssm Health St Mary's Hospital Jefferson City and Lake Regional Health System.

When was this NPI record last updated?

The NPPES record for Evgeniya Banina was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.