DR. MICHAEL JAMES BANYASZ M.D.
NPI 1619160322
Emergency Medicine in Dubuque, IA

Active since August 26, 2007PECOS Enrolled
350 N GRANDVIEW AVE, DUBUQUE, IA 52001(563) 582-1881 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 7, 2021, Oct 1, 2019, Mar 12, 2019 and 2 more (5 updates tracked since 2017).

About Dr. Michael James Banyasz M.d. NPPES

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

DR. MICHAEL JAMES BANYASZ M.D. (NPI 1619160322) is an individual emergency medicine provider in Dubuque, Iowa, licensed in Texas (R6741) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619160322
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MICHAEL JAMES BANYASZCredential: M.D.
Location Address350 N GRANDVIEW AVEDubuque, IA 52001-6388
Mailing Address350 N Grandview AveDubuque, IA 52001-6388 · (563) 582-1881
Sole ProprietorNo
Enumeration DateAugust 26, 2007
Last NPPES UpdateDecember 20, 20235 updates tracked since enumeration
NPPES CertifiedDecember 20, 2023
NPI 1619160322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in TX · R6741
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.

350 N GRANDVIEW AVE, Dubuque, IA 52001

Secondary Practice Locations 2

Location 1300 University BlvdRound Rock, TX 78665 · Phone (512) 509-0100
Location 25330 Overpass Rd Ste 110Buda, TX 78610-2300 · Phone (737) 999-6200 · Fax (737) 999-6201

Other Identifiers 3

Other35.091111OH · State Medical Board Of Ohio License
Medicaid386672503TX
Medicaid386672501TX

Accepted 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)

Dr. Michael James Banyasz M.d. 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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
132 services123 patients
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.
66 services64 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.
60 services58 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.
42 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52001 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier25 claims26 services$14.60 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier25 claims26 services$61.43 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.

Emergency Medicine
350 N GRANDVIEW AVE
DUBUQUE, IA 52001
Emergency Medicine
350 N GRANDVIEW AVE
DUBUQUE, IA 52001
Emergency Medicine
350 N GRANDVIEW AVE
DUBUQUE, IA 52001
Physician Assistant
350 N GRANDVIEW AVE
DUBUQUE, IA 52001
Emergency Medicine
350 N GRANDVIEW AVE
DUBUQUE, IA 52001
Physician Assistant
350 N GRANDVIEW AVE
DUBUQUE, IA 52001
Physician Assistant
350 N GRANDVIEW AVE
DUBUQUE, IA 52001
Nurse Practitioner
350 N GRANDVIEW AVE
DUBUQUE, IA 52001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619160322, enumerated as an "individual" on August 26, 2007.

The provider is located at 350 N GRANDVIEW AVE DUBUQUE, IA 52001 and the phone number is (563) 582-1881.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medica,. Please consult your insurance carrier or call the provider to verify.