DANIELLE O'BANION M.D.
NPI 1346501905
Family Medicine in Boston, MA

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

The NPI number for Danielle O'banion is 1346501905. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Danielle O'banion was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 May 30, 2012PECOS EnrolledAccepts Medicare Assignment

142 BERKELEY ST, BOSTON, MA 02116(617) 247-7555(617) 267-1113 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2017, Dec 15, 2016 (2 updates tracked since 2016).

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About Danielle O'banion M.d. NPPES

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

DANIELLE O'BANION M.D. (NPI 1346501905) is an individual family medicine provider in Boston, Massachusetts, licensed in Massachusetts (264757) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1346501905

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDANIELLE O'BANIONCredential: M.D.

Location Address142 BERKELEY STBoston, MA 02116-5100

Mailing Address142 Berkeley StBoston, MA 02116-5100 · (617) 247-7555 · Fax (617) 267-1113

Phone(617) 247-7555

Fax(617) 267-1113

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMay 30, 2012

Last NPPES UpdateJanuary 6, 20172 updates tracked since enumeration

✔ NPI 1346501905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MA · 264757

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 253036 (MA)

142 BERKELEY ST, Boston, MA 02116

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Accepted Insurance

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

Danielle O'banion 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 ID244548717

PECOS Enrollment IDI20151002000095

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 12

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.

542 services223 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.

85 services69 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.

69 services69 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.

52 services51 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

45 services44 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

39 services39 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

38 services38 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.

25 services18 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

23 services23 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

23 services23 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

21 services18 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

13 services11 patients

Hospital Affiliations CMS Care Compare

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

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220015

Location30 Locust StreetNorthampton, MA 01060 · Hampshire County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02116 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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

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

3 suppliers11 claims13 services$6.58 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 15

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

ELIZABETH LEHMANN

Counselor (Mental Health)

142 BERKELEY ST
BOSTON, MA 02116

Suffolk County (617) 927-6220

DR. JENNIFER JANE RESKE-NIELSEN M.D., M.P.H

Internal Medicine

142 BERKELEY ST
BOSTON, MA 02116

Suffolk County (617) 927-6300

FENWAY COMMUNITY HEALTH CENTER INC

Pharmacy (Community/Retail Pharmacy)

142 BERKELEY ST
BOSTON, MA 02116

Suffolk County (617) 927-6163

MS. KIMBERLY A LAWRENCE LICSW

Social Worker (Clinical)

142 BERKELEY ST, FENWAY HEALTH SOUTH END
BOSTON, MA 02116

Suffolk County (617) 927-6454

JOSEPH W ENGLISH PA

Physician Assistant

142 BERKELEY ST
BOSTON, MA 02116

Suffolk County (617) 247-7555

FEDERICO EREBIA M.D.

Internal Medicine

142 BERKELEY ST
BOSTON, MA 02116

Suffolk County (617) 247-7555

WILLIAM HALPIN LICSW

Social Worker (Clinical)

142 BERKELEY ST
BOSTON, MA 02116

Suffolk County (617) 927-6299

JASON EDWARD TUITE MSW

Social Worker (Clinical)

142 BERKELEY ST, 4TH FLOOR
BOSTON, MA 02116

Suffolk County (617) 257-7555

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 Danielle O'banion's NPI number?

The NPI number for Danielle O'banion is 1346501905. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Where is Danielle O'banion located?

Danielle O'banion practices at 142 Berkeley St, Boston, MA 02116. The listed phone number is (617) 247-7555.

What is Danielle O'banion's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Danielle O'banion enrolled in Medicare?

Yes. Danielle O'banion 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 Danielle O'banion accept?

Health plans from Anthem Blue Cross and Blue Shield list Danielle O'banion 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 Danielle O'banion affiliated with any hospitals?

According to CMS data, Danielle O'banion is affiliated with Cooley Dickinson Hospital Inc,the.

When was this NPI record last updated?

The NPPES record for Danielle O'banion was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.