SCOTT J. BANNING M.D.
NPI 1487659801
Family Medicine in Newport News, VA

Active since June 14, 2005PECOS EnrolledAccepts Medicare Assignment
12655 WARWICK BLVD, NEWPORT NEWS, VA 23606(757) 595-9880(757) 595-0362 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Scott J. Banning M.d. NPPES

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

SCOTT J. BANNING M.D. (NPI 1487659801) is an individual family medicine provider in Newport News, Virginia, licensed in Virginia (0101048645) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Mary Immaculate Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1487659801
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSCOTT J. BANNINGCredential: M.D.
Location Address12655 WARWICK BLVDNewport News, VA 23606-2501
Mailing Address860 Omni Blvd Ste 101Newport News, VA 23606-4430 · (757) 232-8777 · Fax (757) 232-8866
Fax(757) 595-0362
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJune 14, 2005
Last NPPES UpdateMarch 19, 2021
NPPES CertifiedMarch 19, 2021
NPI 1487659801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 0101048645
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.
12655 WARWICK BLVD, Newport News, VA 23606

Other Identifiers 5

Other080127507Rr/medicare
Other233415VA · Mamsi Prov #
Other250450VA · Anthem Provider Number
Other0102024VA · Uhc
Medicaid5606225VA

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

Scott J. Banning 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 ID5890780712
PECOS Enrollment IDI20100928001689
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 47

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.
914 services317 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
836 services300 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
419 services231 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
413 services271 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
411 services275 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
390 services224 patients

Hospital Affiliations CMS Care Compare 4

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

Mary Immaculate Hospital

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490041
Location2 Bernardine DriveNewport News, VA 23602 · Newport News City County
Emergency services Birthing friendly

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490130
Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 3

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
9 suppliers30 claims57 services$6.35 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers20 claims24 services$1.20 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers24 claims24 services$37.85 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 9

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

Family Medicine
12655 WARWICK BLVD, SUITE A
NEWPORT NEWS, VA 23606
Physical Therapist
12655 WARWICK BLVD, STE B
NEWPORT NEWS, VA 23606
Internal Medicine
12655 WARWICK BLVD, SUITE A
NEWPORT NEWS, VA 23606
Family Medicine
12655 WARWICK BLVD, SUITE A
NEWPORT NEWS, VA 23606
Family Medicine
12655 WARWICK BLVD, SUITE A
NEWPORT NEWS, VA 23606
Family Medicine
12655 WARWICK BLVD, SUITE A
NEWPORT NEWS, VA 23606
Family Medicine
12655 WARWICK BLVD, STE A
NEWPORT NEWS, VA 23606
Family Medicine
12655 WARWICK BLVD
NEWPORT NEWS, VA 23606

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 Scott Banning's NPI number?

The NPI number for Scott Banning is 1487659801. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Scott Banning located?

Scott Banning practices at 12655 Warwick Blvd, Newport News, VA 23606. The listed phone number is (757) 595-9880.

What is Scott Banning's specialty?

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

Is Scott Banning enrolled in Medicare?

Yes. Scott Banning 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.

Is Scott Banning affiliated with any hospitals?

According to CMS data, Scott Banning is affiliated with Mary Immaculate Hospital, Riverside Regional Medical Center, Sentara Careplex Hospital and Riverside Walter Reed Hospital.

When was this NPI record last updated?

The NPPES record for Scott Banning was last updated on March 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.