DR. RICHARD A. BANKS JR. MD
NPI 1245289529
Family Medicine in Fairfield, OH

Active since May 06, 2006PECOS EnrolledAccepts Medicare Assignment
741A WESSEL DR, FAIRFIELD, OH 45014(513) 829-2614(513) 829-0177 Get Directions Write a Review

NPPES record last updated: June 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Richard A. Banks Jr. Md NPPES

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

DR. RICHARD A. BANKS JR. MD (NPI 1245289529) is an individual family medicine provider in Fairfield, Ohio, licensed in Ohio (35133415) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Fairfield Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (1984).

NPPES Registry Identity

NPI1245289529
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RICHARD A. BANKS JR.Credential: MD
Location Address741A WESSEL DRFairfield, OH 45014
Mailing Address764 Saco Lowell RdEasley, SC 29640-3880 · (864) 855-5525 · Fax (864) 855-5440
Fax(513) 829-0177
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1984
Enumeration DateMay 6, 2006
Last NPPES UpdateJune 7, 2018
NPI 1245289529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in OH · 35133415 Licensed in SC · 12294
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 12294 (SC)
741A WESSEL DR, Fairfield, OH 45014

Other Identifiers 4

Other12294SC · State License
Other1245289529Npi
OtherD612756089Medicare Id
Medicaid122940SC

Accepted 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. Richard A. Banks Jr. 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 ID2769434497
PECOS Enrollment IDI20180710003411
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 8

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 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.
505 services261 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.
140 services114 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
137 services137 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
42 services40 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
36 services36 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
31 services31 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Fort Hamilton Hughes Memorial Hospital

Acute Care Hospitals · Hamilton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360132
Location630 Eaton AvenueHamilton, OH 45013 · Butler County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45014 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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
12 suppliers43 claims112 services$5.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers20 claims24 services$1.00 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers13 claims13 services$213.21 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers13 claims13 services$17.54 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 5

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

Nurse Practitioner (Family)
741A WESSEL DR
FAIRFIELD, OH 45014
Family Medicine
741A WESSEL DR
FAIRFIELD, OH 45014
Family Medicine
741A WESSEL DR
FAIRFIELD, OH 45014
Family Medicine
741A WESSEL DR
FAIRFIELD, OH 45014
Nurse Practitioner (Family)
741A WESSEL DR
FAIRFIELD, OH 45014

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 Richard Banks's NPI number?

The NPI number for Richard Banks is 1245289529. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Where is Richard Banks located?

Richard Banks practices at 741A Wessel Dr, Fairfield, OH 45014. The listed phone number is (513) 829-2614.

What is Richard Banks's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Richard Banks enrolled in Medicare?

Yes. Richard Banks 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 Richard Banks accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Richard Banks 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 Richard Banks affiliated with any hospitals?

According to CMS data, Richard Banks is affiliated with Mercy Health - Fairfield Hospital, Fort Hamilton Hughes Memorial Hospital, Bethesda North and Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for Richard Banks was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.