1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Orthopaedic Surgery
  6. NPI Profile

MICHAEL B. BANFFY MD
NPI 1558497982
Orthopaedic Surgery - Sports Medicine in Los Angeles, CA

Active since February 27, 2007PECOS EnrolledAccepts Medicare Assignment
85.71/100
CMS Quality Rating
6801 PARK TER STE 400, LOS ANGELES, CA 90045(310) 665-7227(888) 972-7130 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 15, 2024, Feb 4, 2021 (2 updates tracked since 2021).

About Michael B. Banffy Md NPPES

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

MICHAEL B. BANFFY MD (NPI 1558497982) is an individual sports medicine provider in Los Angeles, California, licensed in California (A113942) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2006).

NPPES Registry Identity

NPI1558497982
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameMICHAEL B. BANFFYCredential: MD
Location Address6801 PARK TER STE 400Los Angeles, CA 90045-9212
Mailing Address6801 Park TerraceLos Angeles, CA 90045 · (310) 665-7227
Phone(310) 665-7227
Fax(888) 972-7130
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2006
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1558497982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in CA · A113942
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
6801 PARK TER STE 400, Los Angeles, CA 90045
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14644 Lincoln Blvd Ste 102Marina Del Rey, CA 90292-6374 · Phone (424) 314-7760 · Fax (424) 314-7769
Location 2444 S San Vicente Blvd Ste 603Los Angeles, CA 90048-4178 · Phone (310) 423-4566 · Fax (424) 314-8799

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael B. Banffy 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 ID5395992648
PECOS Enrollment IDI20120822000146
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Banffy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kerlan-Jobe Orthopaedic Clinic
Same address
Orthopaedic Surgery
6801 PARK TER, SUITE 500
Los Angeles, CA 90045
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
NPI 1639141153 (310) 665-7235
Cedars-Sinai Medical Care Foundation
6.1 mi
Specialist
6500 WILSHIRE BLVD FL 15
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 2,118 clinicians in this Medicare group
NPI 1316984388 (310) 385-3200
Cedars-Sinai Medical Center
6.9 mi
General Acute Care Hospital
8700 BEVERLY BLVD
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 1,001 clinicians in this Medicare group
NPI 1639172372 (323) 866-8600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
44 services30 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.
42 services31 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
23 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
14 services12 patients

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.

85.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.67
Promoting Interoperability100
Improvement Activities40
Cost61.47

Other Providers at the Same Location NPPES 13

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

MR. LEONARD TIGER ONSEN
Orthopaedic Surgery (Sports Medicine)
6801 PARK TER STE 400
LOS ANGELES, CA 90045
Los Angeles County (310) 665-7200
EMILIA VELMA IVANS PA-C
Physician Assistant
6801 PARK TER STE 400
LOS ANGELES, CA 90045
Los Angeles County (310) 665-7200
ANDREW OKON USORO MD
Orthopaedic Surgery (Sports Medicine)
6801 PARK TER STE 400
LOS ANGELES, CA 90045
Los Angeles County (310) 665-7200
ALAN HWANG
Orthopaedic Surgery (Sports Medicine)
6801 PARK TER STE 400
LOS ANGELES, CA 90045
Los Angeles County (310) 665-7200
JOHANNA M ODA PA-C
Physician Assistant
6801 PARK TER STE 400
LOS ANGELES, CA 90045
Los Angeles County (310) 665-7227
HEBAH S EL-GENDI PA-C
Physician Assistant
6801 PARK TER STE 400
LOS ANGELES, CA 90045
Los Angeles County (310) 665-7227
DR. JOHN VINCENT TIBERI III M.D.
Orthopaedic Surgery
6801 PARK TER STE 400
LOS ANGELES, CA 90045
Los Angeles County (310) 665-7200
ABIGAIL CAMPBELL
Orthopaedic Surgery
6801 PARK TER STE 400
LOS ANGELES, CA 90045
Los Angeles County (310) 665-7235

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 Michael Banffy's NPI number?

The NPI number for Michael Banffy is 1558497982. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Michael Banffy located?

Michael Banffy practices at 6801 Park Ter Ste 400, Los Angeles, CA 90045. The listed phone number is (310) 665-7227.

What is Michael Banffy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Michael Banffy enrolled in Medicare?

Yes. Michael Banffy 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.

Which organizations bill Medicare for Michael Banffy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Banffy reassigns Medicare benefits to 3 organizations: Kerlan-Jobe Orthopaedic Clinic (Los Angeles, CA), Cedars-Sinai Medical Care Foundation (Los Angeles, CA) and Cedars-Sinai Medical Center (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Banffy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Banffy was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.