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LEO A BANWART PA-C
NPI 1598747891
Emergency Medicine in West Burlington, IA

Active since November 14, 2005PECOS Enrolled
77.81/100
CMS Quality Rating
1221 S GEAR AVE, WEST BURLINGTON, IA 52655(319) 768-3628(319) 768-3633 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Leo A Banwart Pa-c NPPES

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

LEO A BANWART PA-C (NPI 1598747891) is an individual emergency medicine provider in West Burlington, Iowa, licensed in Iowa (0010881) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598747891
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameLEO A BANWARTCredential: PA-C
Location Address1221 S GEAR AVEWest Burlington, IA 52655
Mailing AddressPo Box 668West Burlington, IA 52655-0668 · (319) 768-3628 · Fax (319) 768-3633
Phone(319) 768-3628
Fax(319) 768-3633
Sole ProprietorNo
Enumeration DateNovember 14, 2005
Last NPPES UpdateJune 4, 2018
✔ NPI 1598747891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IA · 0010881
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X · License 001088 (IA)
1221 S GEAR AVE, West Burlington, IA 52655
Open in Google Maps ↗

Other Identifiers 2

Other930097503IA · Rr Mc
Other49776IA · Bx

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leo A Banwart Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
263 services246 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
85 services83 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52655 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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.

77.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.62
Promoting Interoperability100
Improvement Activities40
Cost58.43

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.

MS. SHEVANI UVENI GANESH M.D
Psychiatry & Neurology (Psychosomatic Medicine)
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-1000
RACHEL CROOKS
Nurse Anesthetist, Certified Registered
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-1000
SOUTHEAST IOWA ANESTHESIA PLC
Anesthesiology
1221 S GEAR AVE
W BURLINGTON, IA 52655
Des Moines County (319) 768-1000
HALEY HINES PA-C
Physician Assistant
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 329-5752
DR. SIVA GADDE M.D.,
Hospitalist
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-3471
JILL ANN NEALEY
Occupational Therapist
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 850-0281
VIVIAN ANDERSON
Nurse Anesthetist, Certified Registered
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-1000
MARK WALZ CRNA
Nurse Anesthetist, Certified Registered
1221 S GEAR AVE
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-1000

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 Leo Banwart's NPI number?

The NPI number for Leo Banwart is 1598747891. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Leo Banwart located?

Leo Banwart practices at 1221 S Gear Ave, West Burlington, IA 52655. The listed phone number is (319) 768-3628.

What is Leo Banwart's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Leo Banwart enrolled in Medicare?

Yes. Leo Banwart is registered in the Medicare PECOS enrollment system.

What insurance does Leo Banwart accept?

Health plans from Medica list Leo Banwart 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.

When was this NPI record last updated?

The NPPES record for Leo Banwart was last updated on June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.