GARTH ALLEN WILBANKS MD
NPI 1265420640
Ophthalmology in Bangor, ME

Active since October 11, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
900 HAMMOND ST # A, BANGOR, ME 04401(207) 947-6743(207) 945-4397 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Garth Allen Wilbanks Md NPPES

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

GARTH ALLEN WILBANKS MD (NPI 1265420640) is an individual ophthalmology provider in Bangor, Maine, licensed in Maine (014063) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1265420640
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameGARTH ALLEN WILBANKSCredential: MD
Location Address900 HAMMOND ST # ABangor, ME 04401-4378
Mailing Address900 Hammond St # ABangor, ME 04401-4378 · (207) 947-6743 · Fax (207) 945-4397
Fax(207) 945-4397
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateOctober 11, 2005
Last NPPES UpdateJune 7, 2016
NPI 1265420640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in ME · 014063
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
900 HAMMOND ST # A, Bangor, ME 04401

Other Identifiers 3

Medicare UPING11675ME
Medicare PINWIMM6025ME
Medicaid339050099ME

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

Garth Allen Wilbanks 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 ID7911940713
PECOS Enrollment IDI20050815000772
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 13

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
283 services234 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
127 services121 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
111 services70 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
92 services91 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
84 services84 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
81 services71 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 4

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

Ophthalmology
900 HAMMOND ST # A
BANGOR, ME 04401
Ophthalmology
900 HAMMOND ST # A
BANGOR, ME 04401
Ophthalmology
900 HAMMOND ST # A
BANGOR, ME 04401
Ophthalmology
900 HAMMOND ST # A
BANGOR, ME 04401

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 Garth Wilbanks's NPI number?

The NPI number for Garth Wilbanks is 1265420640. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Garth Wilbanks located?

Garth Wilbanks practices at 900 Hammond St # A, Bangor, ME 04401. The listed phone number is (207) 947-6743.

What is Garth Wilbanks's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Garth Wilbanks enrolled in Medicare?

Yes. Garth Wilbanks 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 Garth Wilbanks accept?

Health plans from Anthem Blue Cross and Blue Shield list Garth Wilbanks 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 Garth Wilbanks affiliated with any hospitals?

According to CMS data, Garth Wilbanks is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Garth Wilbanks was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.