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MICHELLE BANISTER
NPI 1619210929
Internal Medicine in Austin, TX

Active since April 04, 2013PECOS EnrolledAccepts Medicare Assignment
601 E 15TH ST, AUSTIN, TX 78701(512) 324-8355 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michelle Banister NPPES

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

MICHELLE BANISTER (NPI 1619210929) is an individual internal medicine provider in Austin, Texas, licensed in Texas (Q7952) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Ascension Seton Hays, and is a graduate of University Of Texas Medical Branch At Galveston (2013).

NPPES Registry Identity

NPI1619210929
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMICHELLE BANISTER
Location Address601 E 15TH STAustin, TX 78701-1930
Mailing Address601 E 15th StAustin, TX 78701-1930 · (512) 324-8355
Phone(512) 324-8355
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2013
Enumeration DateApril 4, 2013
Last NPPES UpdateNovember 12, 2021
NPPES CertifiedNovember 12, 2021
✔ NPI 1619210929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · Q7952
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
601 E 15TH ST, Austin, TX 78701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.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

Michelle Banister 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 ID9537454939
PECOS Enrollment IDI20160824002156
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

4

Medicare enrollment records show Michelle Banister reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Austin Geriatric Specialists, PLLC
11 mi
Geriatric Medicine
12731 RESEARCH BLVD STE B200
Austin, TX 78759
  • Reassigned Medicare billing, Texas enrollment
  • 146 clinicians in this Medicare group
NPI 1376575886 (877) 856-3774
Usacs Integrated Acute Care Services Of Texas, PLLC
18 mi
Internal Medicine
1401 MEDICAL PKWY
Cedar Park, TX 78613
  • Reassigned Medicare billing, Texas enrollment
  • 828 clinicians in this Medicare group
NPI 1801300322 (330) 493-4443
Hospitalist Medicine Physicians Of Texas, PLLC
148 mi
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
NPI 1629307095 (281) 540-7700
Cogent Healthcare Of Texas, PA
188 mi
Internal Medicine
8200 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,208 clinicians in this Medicare group
NPI 1992722953 (214) 345-7585

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
260 services121 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
129 services126 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
40 services21 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670056
Location6001 Kyle PkwyKyle, TX 78640 · Hays County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78701 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%202 patients5/55-star benchmark: 100%
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.

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
2 suppliers38 claims38 services$14.39 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
2 suppliers43 claims43 services$62.34 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.

PREETI VENKATRAMAN M.B.B.S.
Hospitalist
601 E 15TH ST
AUSTIN, TX 78701
Travis County (512) 324-7000
DR. CHAD ALAN HOOTEN MD
Psychiatry & Neurology (Psychiatry)
601 E 15TH ST
AUSTIN, TX 78701
Travis County (512) 324-2000
SETON HOSPITALIST SERVICE
Internal Medicine
601 E 15TH ST
AUSTIN, TX 78701
Travis County (512) 324-7000
DR. JOHN EDWARD MORAN III M.D.
Internal Medicine
601 E 15TH ST, UT DELL MEDICAL SCHOOL INTERNAL MEDICINE
AUSTIN, TX 78701
Travis County (512) 324-7000
CHRISTOPHER ZIEBELL M.D.
Emergency Medicine (Emergency Medical Services)
601 E 15TH ST
AUSTIN, TX 78701
Travis County (512) 324-7030
SARAH EGGERS ACNS-BC
Clinical Nurse Specialist (Adult Health)
601 E 15TH ST
AUSTIN, TX 78701
Travis County (512) 324-8933
BCEP, PA
Emergency Medicine
601 E 15TH ST
AUSTIN, TX 78701
Travis County (512) 324-7000
MR. TRAVIS PIPKIN N.P.
Nurse Practitioner
601 E 15TH ST
AUSTIN, TX 78701
Travis County (512) 324-7000

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 Michelle Banister's NPI number?

The NPI number for Michelle Banister is 1619210929. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Where is Michelle Banister located?

Michelle Banister practices at 601 E 15th St, Austin, TX 78701. The listed phone number is (512) 324-8355.

What is Michelle Banister's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michelle Banister enrolled in Medicare?

Yes. Michelle Banister 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 Michelle Banister's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Banister reassigns Medicare benefits to 4 organizations: Austin Geriatric Specialists, PLLC (Austin, TX), Usacs Integrated Acute Care Services Of Texas, PLLC (Cedar Park, TX), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX) and Cogent Healthcare Of Texas, PA (Dallas, TX). 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 Michelle Banister's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Banister accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Michelle Banister 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 Michelle Banister affiliated with any hospitals?

According to CMS data, Michelle Banister is affiliated with Ascension Seton Hays.

When was this NPI record last updated?

The NPPES record for Michelle Banister was last updated on November 12, 2021. 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.