SHONDA BANEGAS D. O.
NPI 1306026703
Surgery - Vascular Surgery in Denison, TX

Active since November 14, 2007PECOS EnrolledAccepts Medicare Assignment
78.17/100
CMS Quality Rating
5012 S US HIGHWAY 75 STE 110, DENISON, TX 75020(903) 416-6419(903) 416-6484 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 25, 2023, Jul 21, 2023, Jun 30, 2021 and 2 more (5 updates tracked since 2018).

About Shonda Banegas D. O. NPPES

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

SHONDA BANEGAS D. O. (NPI 1306026703) is an individual vascular surgery provider in Denison, Texas, licensed in Texas (R7657) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Texoma Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1306026703
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameSHONDA BANEGASCredential: D. O.
Location Address5012 S US HIGHWAY 75 STE 110Denison, TX 75020-4596
Mailing Address5012 S Us Highway 75 Ste 110Denison, TX 75020-4596 · (903) 416-6419 · Fax (903) 416-6484
Fax(903) 416-6484
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 14, 2007
Last NPPES UpdateJuly 25, 20235 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
NPI 1306026703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses Licensed in TX · R7657 Licensed in AZ · 6136
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 5101016869 (MI)
5012 S US HIGHWAY 75 STE 110, Denison, TX 75020

Other Identifiers 1

Medicaid348242401TX

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

Shonda Banegas D. O. 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 ID5294960001
PECOS Enrollment IDI20180924001008
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 22

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.
148 services106 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
118 services77 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
88 services73 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.
72 services72 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
65 services37 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
58 services46 patients

Hospital Affiliations CMS Care Compare

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

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75020 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

78.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.98
Promoting Interoperability100
Improvement Activities40
Cost54.58

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Segmental pneumatic appliance for use with pneumatic compressor, full leg E0667
DME-Other DME · category DE000N
1 supplier11 claims22 services$312.86 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 3

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

Pediatrics
5012 S US HIGHWAY 75 STE 110
DENISON, TX 75020
Nurse Practitioner
5012 S US HIGHWAY 75 STE 110
DENISON, TX 75020
Nurse Practitioner (Family)
5012 S US HIGHWAY 75 STE 110
DENISON, TX 75020

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 Shonda Banegas's NPI number?

The NPI number for Shonda Banegas is 1306026703. It was assigned to this individual provider in the NPPES registry on November 14, 2007.

Where is Shonda Banegas located?

Shonda Banegas practices at 5012 S Us Highway 75 Ste 110, Denison, TX 75020. The listed phone number is (903) 416-6419.

What is Shonda Banegas's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Shonda Banegas enrolled in Medicare?

Yes. Shonda Banegas 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 Shonda Banegas accept?

Health plans from Blue Cross and Blue Shield of Texas, Medica and UnitedHealthcare list Shonda Banegas 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 Shonda Banegas affiliated with any hospitals?

According to CMS data, Shonda Banegas is affiliated with Texoma Medical Center.

When was this NPI record last updated?

The NPPES record for Shonda Banegas was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.