DR. KATHLEEN BANNERMAN MD
NPI 1629652219
Family Medicine in Kingston, PA
About Dr. Kathleen Bannerman Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATHLEEN BANNERMAN MD (NPI 1629652219) is an individual family medicine provider in Kingston, Pennsylvania, licensed in Pennsylvania (MD485646) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Geisinger Wyoming Valley Medical Center, and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 5
Accepted 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
Dr. Kathleen Bannerman Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Bannerman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kingston, PA 18704
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Geisinger Wyoming Valley Medical Center
Acute Care Hospitals · Wilkes Barre, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kathleen Bannerman's NPI number?
The NPI number for Kathleen Bannerman is 1629652219. It was assigned to this individual provider in the NPPES registry on May 10, 2021.
Where is Kathleen Bannerman located?
Kathleen Bannerman practices at 560 Pierce St, Kingston, PA 18704. The listed phone number is (570) 283-2161.
What is Kathleen Bannerman's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kathleen Bannerman enrolled in Medicare?
Yes. Kathleen Bannerman 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 organization bills Medicare for Kathleen Bannerman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Bannerman reassigns Medicare benefits to Geisinger Clinic (Kingston, PA). The 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 Kathleen Bannerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Bannerman accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kathleen Bannerman 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 Kathleen Bannerman affiliated with any hospitals?
According to CMS data, Kathleen Bannerman is affiliated with Geisinger Wyoming Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Kathleen Bannerman was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Kathleen Bannerman, MD · NPI 1629652219
Family Medicine physician in Kingston, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 10, 2021.
## Identity
- **NPI:** 1629652219 (Entity type: Individual)
- **Enumerated:** May 10, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD485646 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 560 PIERCE ST, Kingston, PA 18704-5716
- **Phone:** (570) 283-2161
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Geisinger Clinic (NPI 1356816904, Kingston, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 13, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1629652219) · Data from the CMS NPPES public registry.