MILLARD F BANKER IV MD
NPI 1245223197
Hospitalist in New Bern, NC

Q: What is Millard Banker's NPI number?

The NPI number for Millard Banker is 1245223197. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Q: What is Millard Banker's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Millard Banker was last updated on January 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since August 25, 2005PECOS Enrolled

2000 NEUSE BLVD, NEW BERN, NC 28560(252) 633-8000(252) 635-6951 Get Directions Write a Review

NPPES record last updated: January 3, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Millard F Banker Iv Md NPPES

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

MILLARD F BANKER IV MD (NPI 1245223197) is an individual hospitalist provider in New Bern, North Carolina, licensed in North Carolina (36647) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245223197

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameMILLARD F BANKER IVCredential: MD

Location Address2000 NEUSE BLVDNew Bern, NC 28560-3449

Mailing AddressPo Box 602463Charlotte, NC 28260-2463 · (252) 447-7088 · Fax (252) 447-2752

Phone(252) 633-8000

Fax(252) 635-6951

Sole ProprietorNo

Enumeration DateAugust 25, 2005

Last NPPES UpdateJanuary 3, 2011

✔ NPI 1245223197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in NC · 36647

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 36647 (NC)

2000 NEUSE BLVD, New Bern, NC 28560

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Other Identifiers 5

Medicare PIN110090027NC

Medicaid8913205NC

Medicare ID-Type Unspecified2189156NC

Other13205NC · Blue Cross

Medicare UPINF10430

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Millard F Banker Iv Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Millard Banker reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolina East Physicians

Same address

Anatomic Pathology & Clinical Pathology

2000 NEUSE BLVD
New Bern, NC 28560

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Carolinaeast Physicians
320 clinicians in this Medicare group

NPI 1114524519 (252) 637-9298

Cogent Healthcare Of North Carolina, PC

74 mi

Internal Medicine

2460 CURTIS ELLIS DR
Rocky Mount, NC 27804

Reassigned Medicare billing, North Carolina enrollment
393 clinicians in this Medicare group

NPI 1548207483 (828) 456-7311

Sound Physicians Of North Carolina, PLLC

94 mi

Hospitalist

1144 N ROAD ST
Elizabeth City, NC 27909

Reassigned Medicare billing, North Carolina enrollment
77 clinicians in this Medicare group

NPI 1346661493 (252) 335-0531

Hospitalist Medicine Physicians Of North Carolina PLLC

167 mi

Internal Medicine

1200 N ELM ST, 5TH FLOOR
Greensboro, NC 27401

Reassigned Medicare billing, North Carolina enrollment
254 clinicians in this Medicare group

NPI 1164724902 (336) 832-5777

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

43 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28560 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

85%260 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

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier11 claims11 services$923.20 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.

REBECCA SAENZ DUBAY M.D.

Emergency Medicine