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LAWRENCE ESTEL BANTA M.D.
NPI 1568440295
Psychiatry & Neurology - Psychiatry in Caldwell, ID

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment
1906 FAIRVIEW AVE, SUITE 200, CALDWELL, ID 83605(208) 459-4667(208) 442-6520 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 10, 2022, Nov 24, 2020 (2 updates tracked since 2020).

About Lawrence Estel Banta M.d. NPPES

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

LAWRENCE ESTEL BANTA M.D. (NPI 1568440295) is an individual psychiatry provider in Caldwell, Idaho, licensed in Idaho (M-5243) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with West Valley Medical Center, and is a graduate of University Of Nebraska College Of Medicine (1978).

NPPES Registry Identity

NPI1568440295
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameLAWRENCE ESTEL BANTACredential: M.D.
Location Address1906 FAIRVIEW AVE, SUITE 200Caldwell, ID 83605-5407
Mailing AddressPo Box 277976Atlanta, GA 30384-7976
Phone(208) 459-4667
Fax(208) 442-6520
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1978
Enumeration DateJanuary 3, 2006
Last NPPES UpdateFebruary 10, 20222 updates tracked since enumeration
NPPES CertifiedNovember 24, 2020
✔ NPI 1568440295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in ID · M-5243
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1906 FAIRVIEW AVE, Caldwell, ID 83605
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Other Names 1

Professional Name (2)Larry Estel Banta M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Select Health.Insurance ›

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

Lawrence Estel Banta 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 ID3678592094
PECOS Enrollment IDI20051115000804
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 Lawrence Banta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Valley Medical Associates Inc
0.1 mi
Internal Medicine
1717 ARLINGTON AVE
Caldwell, ID 83605
  • Reassigned Medicare billing, Idaho enrollment
  • 39 clinicians in this Medicare group
NPI 1164936720 (208) 459-3669
Emmett Counseling And Psychiatric Services, LLC
19 mi
Community/Behavioral Health
2007 E QUAIL RUN RD, SUITE 1
Emmett, ID 83617
  • Reassigned Medicare billing, Idaho enrollment
  • 9 clinicians in this Medicare group
NPI 1992007249 (208) 365-5445
Mindcare Solutions PC
1,660 mi
Psychiatry
3102 W END AVE STE 1150
Nashville, TN 37203
  • Reassigned Medicare billing, Idaho and Utah enrollments
  • 11 clinicians in this Medicare group
NPI 1457015091 (844) 291-4535

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 2

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.
83 services22 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.
19 services12 patients

Hospital Affiliations CMS Care Compare

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

West Valley Medical Center

Acute Care Hospitals · Caldwell, ID
5/5 CMS rating
OwnershipProprietary
CMS Certification Number130014
Location1717 Arlington StreetCaldwell, ID 83605 · Canyon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83605 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
$160.17 typical visit price
range $52.44 – $160.17
Typical copayment $40.04 (range $13.11 – $40.04)
Most-billed visit code 99205
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

Reported Quality Measures

Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
1%83 patients
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
80%1,367 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
82%5,297 patients2/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
75%102 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
93%73 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
97%327 patients5/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
16%57 patients1/55-star benchmark: 90%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%327 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
9%327 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 12% · 49 patients
12%49 patients2/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
7%327 patients
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
98%61 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

HEATHER HOEWING PA-C
Physician Assistant (Medical)
1906 FAIRVIEW AVE, STE 230
CALDWELL, ID 83605
Canyon County (208) 429-4667
CADENCE BRUNZLICK OD
Optometrist
1906 FAIRVIEW AVE
CALDWELL, ID 83605
Canyon County (208) 459-2020
DOUGLAS WAYNE ADAMS OD
Optometrist
1906 FAIRVIEW AVE
CALDWELL, ID 83605
Canyon County (208) 459-2020
KIRSTEN T LEWIS MS,CCC-SLP
Speech-Language Pathologist
1906 FAIRVIEW AVE, SUITE 330
CALDWELL, ID 83605
Canyon County (208) 454-9223
STEFANIE GLASPELL M.S., CCC-SLP
Speech-Language Pathologist
1906 FAIRVIEW AVE
CALDWELL, ID 83605
Canyon County (208) 385-3680
KATIE E DALLAS
Health Educator
1906 FAIRVIEW AVE
CALDWELL, ID 83605
Canyon County (208) 402-0658
TRAVIS REED MOULTON DO
Family Medicine
1906 FAIRVIEW AVE, STE 230
CALDWELL, ID 83605
Canyon County (208) 459-4667
MRS. ANNE BROCK RDN, LD
Dietitian, Registered
1906 FAIRVIEW AVE, SUITE 440A
CALDWELL, ID 83605
Canyon County (208) 402-0636

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 Lawrence Banta's NPI number?

The NPI number for Lawrence Banta is 1568440295. It was assigned to this individual provider in the NPPES registry on January 3, 2006. The provider is also known as Larry Estel Banta M.D..

Where is Lawrence Banta located?

Lawrence Banta practices at 1906 Fairview Ave Suite 200, Caldwell, ID 83605. The listed phone number is (208) 459-4667.

What is Lawrence Banta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Lawrence Banta enrolled in Medicare?

Yes. Lawrence Banta 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 Lawrence Banta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lawrence Banta reassigns Medicare benefits to 3 organizations: West Valley Medical Associates Inc (Caldwell, ID), Emmett Counseling And Psychiatric Services, LLC (Emmett, ID) and Mindcare Solutions PC (Nashville, TN). 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 Lawrence Banta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lawrence Banta accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Select Health list Lawrence Banta 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 Lawrence Banta affiliated with any hospitals?

According to CMS data, Lawrence Banta is affiliated with West Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Lawrence Banta was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.