DR. JOHN SAMUEL BANERJI MD, M.CH
NPI 1497144562
Urology in Du Bois, PA

Active since January 13, 2015PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
100 HOSPITAL AVE, DU BOIS, PA 15801(814) 371-2200 Get Directions Write a Review

NPPES record last updated: November 3, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John Samuel Banerji Md, M.ch NPPES

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

DR. JOHN SAMUEL BANERJI MD, M.CH (NPI 1497144562) is an individual urology provider in Du Bois, Pennsylvania, licensed in Pennsylvania (MD457337) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1497144562
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. JOHN SAMUEL BANERJICredential: MD, M.CH
Location Address100 HOSPITAL AVEDu Bois, PA 15801-1440
Mailing Address3273 Silver Ridge CtHermitage, PA 16148-6083 · (206) 582-8834
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 13, 2015
Last NPPES UpdateNovember 3, 2018
NPI 1497144562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in PA · MD457337 Licensed in WA · FE60520498
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
100 HOSPITAL AVE, Du Bois, PA 15801

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

Dr. John Samuel Banerji Md, M.ch 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 ID1850619412
PECOS Enrollment IDI20161003001882
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 14

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.
290 services249 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.
93 services81 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
45 services39 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
38 services38 patients
Insertion of tube into ureter using an endoscope through bladder area 52005
This procedure involves the use of a thin, flexible tool called an endoscope. It's inserted through the body's natural pathways to reach the area where urine is transported. A small tube is then placed in this area to help with urine flow or to remove blockages.
24 services24 patients
Electronic assessment of bladder emptying 51741
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
19 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Penn Highlands Brookville

Critical Access Hospitals · Brookville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391312
Location100 Hospital RoadBrookville, PA 15825 · Jefferson County
Emergency services

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95.96
Improvement Activities40

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.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers13 claims2,670 services$6.20 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.

Nurse Practitioner
100 HOSPITAL AVE
DU BOIS, PA 15801
Physician Assistant
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner (Family)
100 HOSPITAL AVE
DU BOIS, PA 15801
Radiology (Diagnostic Radiology)
100 HOSPITAL AVE
DU BOIS, PA 15801
Anesthesiology
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner
100 HOSPITAL AVE
DU BOIS, PA 15801
Registered Nurse
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner (Gerontology)
100 HOSPITAL AVE
DU BOIS, PA 15801

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 Banerji's NPI number?

The NPI number for John Banerji is 1497144562. It was assigned to this individual provider in the NPPES registry on January 13, 2015.

Where is John Banerji located?

John Banerji practices at 100 Hospital Ave, Du Bois, PA 15801. The listed phone number is (814) 371-2200.

What is John Banerji's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is John Banerji enrolled in Medicare?

Yes. John Banerji 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 John Banerji affiliated with any hospitals?

According to CMS data, John Banerji is affiliated with Penn Highlands Dubois, Upmc Presbyterian Shadyside, Mount Nittany Medical Center, Penn Highlands Brookville and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for John Banerji was last updated on November 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.