DR. KATHLEEN BANNERMAN MD
NPI 1629652219
Family Medicine in Kingston, PA

Q: 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.

Q: What is Kathleen Bannerman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 10, 2021PECOS EnrolledAccepts Medicare Assignment

560 PIERCE ST, KINGSTON, PA 18704(570) 283-2161 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 13, 2024, May 10, 2021 (2 updates tracked since 2021).

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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

NPI1629652219

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KATHLEEN BANNERMANCredential: MD

Location Address560 PIERCE STKingston, PA 18704-5716

Mailing Address34 S Railroad StTamaqua, PA 18252-1927 · (570) 645-1950 · Fax (570) 645-1950

Phone(570) 283-2161

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 10, 2021

Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration

NPPES CertifiedAugust 13, 2024

✔ NPI 1629652219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD485646

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT222612 (PA)

560 PIERCE ST, Kingston, PA 18704

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Secondary Practice Locations 5

Location 1100 W Patterson StLansford, PA 18232-1304 · Phone (272) 639-5020

Location 21254 Interchange RdLehighton, PA 18235-9069 · Phone (484) 426-2050

Location 3530 Centre StAshland, PA 17921-1330 · Phone (570) 645-1670

Location 4411 S Shenandoah RdRingtown, PA 17967-9432 · Phone (570) 645-1951

Location 534 S Railroad StTamaqua, PA 18252-1927 · Phone (570) 645-1950 · Fax (570) 645-1950

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. 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.

PECOS PAC ID4284172644

PECOS Enrollment IDI20240815003526

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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

38 services30 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

24 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

23 services21 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

17 services17 patients

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, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390270

Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County

Emergency services Birthing friendly

Physician 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.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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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.

MRS. JILL MARIE STEVENS RDN

Dietitian, Registered