MELISSA ANN O'BANION
NPI 1265071914
Physician Assistant in Ithaca, NY

Q: What is Melissa O'banion's NPI number?

The NPI number for Melissa O'banion is 1265071914. It was assigned to this individual provider in the NPPES registry on December 29, 2019.

Q: What is Melissa O'banion's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa O'banion was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 December 29, 2019PECOS EnrolledAccepts Medicare Assignment

82.9/100

CMS Quality Rating

1780 HANSHAW RD, ITHACA, NY 14850(607) 257-5858 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2022, Dec 15, 2021, Aug 9, 2021 and 2 more (5 updates tracked since 2019).

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About Melissa Ann O'banion NPPES

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

MELISSA ANN O'BANION (NPI 1265071914) is an individual physician assistant in Ithaca, New York, licensed in New York (026223) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Guthrie Cortland Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265071914

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMELISSA ANN O'BANION

Location Address1780 HANSHAW RDIthaca, NY 14850-9105

Mailing Address1780 Hanshaw RdIthaca, NY 14850-9105 · (607) 257-5858

Phone(607) 257-5858

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 29, 2019

Last NPPES UpdateJanuary 7, 20225 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2022

✔ NPI 1265071914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 026223

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1780 HANSHAW RD, Ithaca, NY 14850

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Melissa Ann O'banion 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 ID7416352893

PECOS Enrollment IDI20210824000001

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.

222 services149 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

212 services137 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

56 services44 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

37 services37 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.

36 services32 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.

29 services29 patients

Hospital Affiliations CMS Care Compare 3

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

Guthrie Cortland Regional Medical Center

Acute Care Hospitals · Cortland, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330175

Location134 Homer AvenueCortland, NY 13045 · Cortland County

Emergency services Birthing friendly

Cayuga Medical Center At Ithaca

Acute Care Hospitals · Ithaca, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330307

Location101 Dates DriveIthaca, NY 14850 · Tompkins County

Emergency services Birthing friendly

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390079

LocationOne Guthrie SquareSayre, PA 18840 · Bradford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14850 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

82.9/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.09

Promoting Interoperability

100

Improvement Activities

Cost

65.94

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.

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