DR. BETHANY TARA SAMUELSON BANNOW MD, MCR
NPI 1619267556
Internal Medicine - Hematology & Oncology in Cleveland, OH

Q: What is Bethany Samuelson Bannow's NPI number?

The NPI number for Bethany Samuelson Bannow is 1619267556. It was assigned to this individual provider in the NPPES registry on April 12, 2011.

Q: What is Bethany Samuelson Bannow's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since April 12, 2011PECOS EnrolledAccepts Medicare Assignment

97.83/100

CMS Quality Rating

10201 CARNEGIE AVE, CLEVELAND, OH 44106(866) 223-8100 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2025, Mar 17, 2018, Feb 22, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Bethany Tara Samuelson Bannow Md, Mcr NPPES

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

DR. BETHANY TARA SAMUELSON BANNOW MD, MCR (NPI 1619267556) is an individual hematology & oncology provider in Cleveland, Ohio, licensed in Ohio (35.154541) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1619267556

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameDR. BETHANY TARA SAMUELSON BANNOWCredential: MD, MCR

Location Address10201 CARNEGIE AVECleveland, OH 44106-2130

Mailing Address3096 Nw Parkhurst TerPortland, OR 97229-4078 · (509) 551-6258

Phone(866) 223-8100

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 12, 2011

Last NPPES UpdateOctober 7, 20254 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1619267556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in OH · 35.154541

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License OR186355 (OR), 35.154541 (OH)

10201 CARNEGIE AVE, Cleveland, OH 44106

Open in Google Maps ↗

Secondary Practice Location 1

Location 13303 SW Bond AvePortland, OR 97239-4501 · Phone (503) 494-8534

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Oscar Insurance Corporation of Ohio, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bethany Tara Samuelson Bannow Md, Mcr 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 ID345566857

PECOS Enrollment IDI20251016001328

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.

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 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

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

97.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.97

Promoting Interoperability

100

Improvement Activities

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.

ELIZABETH ANNE SCHREIBER

Internal Medicine (Hematology & Oncology)