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ROBERT J BANCO M.D.
NPI 1265434948
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Wellesley Hills, MA

Active since August 12, 2005PECOS EnrolledAccepts Medicare Assignment
25 WASHINGTON ST UNIT 1B, WELLESLEY HILLS, MA 02481(617) 219-6300(617) 219-6355 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert J Banco M.d. NPPES

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

ROBERT J BANCO M.D. (NPI 1265434948) is an individual orthopaedic surgery of the spine provider in Wellesley Hills, Massachusetts, licensed in Massachusetts (59668) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Newton-wellesley Hospital, and is a graduate of Georgetown University School Of Medicine (1982).

NPPES Registry Identity

NPI1265434948
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameROBERT J BANCOCredential: M.D.
Location Address25 WASHINGTON ST UNIT 1BWellesley Hills, MA 02481-1752
Mailing Address25 Washington St Unit 1bWellesley Hills, MA 02481-1752 · (617) 219-6300 · Fax (617) 219-6355
Phone(617) 219-6300
Fax(617) 219-6355
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1982
Enumeration DateAugust 12, 2005
Last NPPES UpdateOctober 25, 2022
NPPES CertifiedOctober 25, 2022
✔ NPI 1265434948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in MA · 59668
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
25 WASHINGTON ST UNIT 1B, Wellesley Hills, MA 02481
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Other Identifiers 1

Medicaid3043053MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, WellSense Health Plan.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

Robert J Banco 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 ID9739130865
PECOS Enrollment IDI20050208000151
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 5

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 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.
77 services52 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
30 services17 patients
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.
20 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
17 services14 patients

Hospital Affiliations CMS Care Compare

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

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

ROBERT J. BANCO, MD, PC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
25 WASHINGTON ST UNIT 1B
WELLESLEY, MA 02481
Norfolk County (617) 219-6300

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 Robert Banco's NPI number?

The NPI number for Robert Banco is 1265434948. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Robert Banco located?

Robert Banco practices at 25 Washington St Unit 1B, Wellesley Hills, MA 02481. The listed phone number is (617) 219-6300.

What is Robert Banco's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Robert Banco enrolled in Medicare?

Yes. Robert Banco 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 Robert Banco accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Robert Banco 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 Robert Banco affiliated with any hospitals?

According to CMS data, Robert Banco is affiliated with Newton-Wellesley Hospital.

When was this NPI record last updated?

The NPPES record for Robert Banco was last updated on October 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.