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JOHN J BANIEWICZ MD
NPI 1285740530
Internal Medicine in Mentor, OH

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
9485 MENTOR AVE, STE 210, MENTOR, OH 44060(440) 205-5835(440) 205-5735 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John J Baniewicz Md NPPES

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

JOHN J BANIEWICZ MD (NPI 1285740530) is an individual internal medicine provider in Mentor, Ohio, licensed in Ohio (35-058500) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Uh Regional Hospitals, and is a graduate of Northeastern Ohio University College Of Medicine (1988).

NPPES Registry Identity

NPI1285740530
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN J BANIEWICZCredential: MD
Location Address9485 MENTOR AVE, STE 210Mentor, OH 44060
Mailing Address36000 Euclid Ave, MsoWilloughby, OH 44094 · (440) 953-6082 · Fax (440) 953-6101
Phone(440) 205-5835
Fax(440) 205-5735
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1988
Enumeration DateAugust 21, 2006
Last NPPES UpdateMarch 1, 2021
NPPES CertifiedMarch 1, 2021
✔ NPI 1285740530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35-058500
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9485 MENTOR AVE, Mentor, OH 44060
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Other Identifiers 1

Medicaid0854160OH

Accepted Insurance

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

John J Baniewicz 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 ID143129114
PECOS Enrollment IDI20040108000322
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.
245 services162 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.
186 services158 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.
158 services158 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.
40 services40 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
36 services16 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.
19 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Uh Regional Hospitals

Acute Care Hospitals · Chardon, OH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number360075
Location13207 Ravenna RoadChardon, OH 44024 · Geauga County
Emergency services Birthing friendly

Lake Health

Acute Care Hospitals · Concord, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360098
Location7590 Auburn RoadConcord, OH 44077 · Lake County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44060 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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 5

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
17 suppliers43 claims118 services$5.91 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers18 claims26 services$0.98 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier11 claims22 services$55.62 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers27 claims27 services$65.93 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 suppliers34 claims34 services$190.14 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.

LAKE HOSPITAL SYSTEM INC
Pediatrics
9485 MENTOR AVE, 101
MENTOR, OH 44060
Lake County (440) 205-5800
JACQUELINE MACY CERAR DDS INC.
Dentist
9485 MENTOR AVE, SUITE 112
MENTOR, OH 44060
Lake County (440) 255-8133
GWYNETH ELLEN MARKOWITZ PA
Physician Assistant
9485 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 701-6612
DR. JACQUELINE MACY CERAR D.D.S.
Dentist (General Practice)
9485 MENTOR AVE, SUITE 112
MENTOR, OH 44060
Lake County (440) 255-8133
MRS. ADRIENNE MARIE COLABUNO PA-C
Physician Assistant
9485 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 205-5716
MARIA ELIZABETH PARKINSON MSN, NP-C
Nurse Practitioner (Family)
9485 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 205-5724
DR. DAWN MARIE PARSONS D.D.S.
Dentist (General Practice)
9485 MENTOR AVE, SUITE #112
MENTOR, OH 44060
Lake County (440) 255-8133
LAKE HEALTH-UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER
Radiology (Radiation Oncology)
9485 MENTOR AVE, SUITE 3
MENTOR, OH 44060
Lake County (440) 205-5759

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 John Baniewicz's NPI number?

The NPI number for John Baniewicz is 1285740530. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is John Baniewicz located?

John Baniewicz practices at 9485 Mentor Ave Ste 210, Mentor, OH 44060. The listed phone number is (440) 205-5835.

What is John Baniewicz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Baniewicz enrolled in Medicare?

Yes. John Baniewicz 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 John Baniewicz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list John Baniewicz 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 John Baniewicz affiliated with any hospitals?

According to CMS data, John Baniewicz is affiliated with Uh Regional Hospitals, Lake Health and Uh Cleveland Medical Center.

When was this NPI record last updated?

The NPPES record for John Baniewicz was last updated on March 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.