DR. MICHAEL ALAN BANKS M.D.
NPI 1649278425
Orthopaedic Surgery in Middleburg Heights, OH


Quality Rating: 13.87 out of 100 score

NPI Status: Active since July 14, 2005

Contact Information

7255 OLD OAK BLVD
MIDDLEBURG HEIGHTS, OH
ZIP 44130
Phone: (440) 816-5380
Fax: (440) 816-5398

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  • Individual
  • Male
  • Orthopaedic Surgery
  • Medicare Quality Reporting

About MICHAEL BANKS

This page provides the complete NPI Profile along with additional information for Michael Banks, a provider established in Middleburg Heights, Ohio with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1649278425 assigned on July 2005. The practitioner's primary taxonomy code is 207X00000X with license number 35-65801 (OH). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1649278425
Provider Name
DR. MICHAEL ALAN BANKS M.D.
Gender
Male
Entity Type
Individual
Location Address
7255 OLD OAK BLVD MIDDLEBURG HEIGHTS, OH 44130
Location Phone
(440) 816-5380
Location Fax
(440) 816-5398
Mailing Address
7255 OLD OAK BLVD MIDDLEBURG HEIGHTS, OH 44130
Mailing Phone
(440) 816-5380
Mailing Fax
(440) 816-5398
Is Sole Proprietor?
No
Enumeration Date
07-14-2005
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
35-65801
License State
OH
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G72544MEDICARE UPIN (02)OH 
BA4065821MEDICARE ID-TYPE UNSPECIFIED (04)OH 
2112529MEDICAID (05)OH 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 363 times for 189 patients

Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass

A gauntlet cast is a supportive device applied to your lower forearm and hand. Being an adult version, it's suitable for individuals aged 11 years and above. Made from fiberglass, it's lightweight yet strong, providing optimal support while your injury heals.

This service was performed 21 times for 16 patients

Computer-assisted surgery for muscle and bone procedure

Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.

This service was performed 21 times for 21 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 257 times for 229 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 209 times for 179 patients

Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg

Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.

This service was performed 1,800 times for 29 patients

Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg

Hyaluronan, or Synojoynt, is a substance injected into your joint to help lubricate and cushion it. This can help relieve joint pain and improve mobility, particularly for conditions like arthritis. Each injection contains 1 mg of the substance.

This service was performed 1,540 times for 19 patients

Initial hospital inpatient care per day, typically 70 minutes

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.

This service was performed 43 times for 42 patients

Injection into tendon or ligament

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

This service was performed 12 times for 11 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

This service was performed 352 times for 185 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 172 times for 172 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

This service was performed 28 times for 26 patients

Replacement of knee joint, both sides of knee

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

This service was performed 22 times for 22 patients

Replacement of thigh bone and hip joint with prosthesis

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

This service was performed 51 times for 49 patients

Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement

This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.

This service was performed 15 times for 15 patients

X-ray of both knees while standing

An X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.

This service was performed 201 times for 191 patients

X-ray of hand, 2 views

An X-ray of the hand, 2 views, is a non-invasive imaging test that uses a small amount of radiation to produce pictures of the bones in your hand. Two different angles are captured to provide a comprehensive view. This helps in diagnosing injuries or conditions affecting your hand.

This service was performed 26 times for 21 patients

X-ray of knee, 1-2 views

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

This service was performed 504 times for 312 patients

X-ray of pelvis, 1-2 views

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

This service was performed 311 times for 202 patients

X-ray of wrist, 2 views

An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.

This service was performed 49 times for 21 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 13.87, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: .

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 13.87 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 14.28

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 0

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 27.21

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 27.21

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS) 0.02% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1649278425, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
4
Doubled → 8
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 8 + 9 + 4 + 7 + 1 + 6 + 4 + 4 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1649278425.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Orthopaedic Surgery
7255 OLD OAK BLVD, C405
MIDDLEBURG HEIGHTS, OH 44130
Orthopaedic Surgery
7255 OLD OAK BLVD, SUITE C111
CLEVELAND, OH 44130
Physical Therapist
7255 OLD OAK BLVD
CLEVELAND, OH 44130
Physician Assistant
7255 OLD OAK BLVD
CLEVELAND, OH 44130
Physician Assistant (Surgical)
7255 OLD OAK BLVD, STE C108
CLEVELAND, OH 44130
Internal Medicine (Pulmonary Disease)
7255 OLD OAK BLVD, 106
MIDDLEBURG HEIGHTS, OH 44130
Internal Medicine (Cardiovascular Disease)
7255 OLD OAK BLVD, C208
MIDDLEBURG HEIGHTS, OH 44130
Internal Medicine (Cardiovascular Disease)
7255 OLD OAK BLVD, C208
MIDDLEBURG HEIGHTS, OH 44130
Physical Therapist
7255 OLD OAK BLVD, C405
MIDDLEBURG HTS, OH 44130
Physical Therapist
7255 OLD OAK BLVD, C405
MIDDLEBURG HTS, OH 44130
Specialist
7255 OLD OAK BLVD, SUITE #C-307
CLEVELAND, OH 44130
Physical Therapist
7255 OLD OAK BLVD, C405
MIDDLEBURG HTS, OH 44130
Psychiatry & Neurology (Neurology)
7255 OLD OAK BLVD, SUITE C411
MIDDLEBURG HEIGHTS, OH 44130
Internal Medicine (Gastroenterology)
7255 OLD OAK BLVD, C101
CLEVELAND, OH 44130
Pediatrics
7255 OLD OAK BLVD, SUITE C410
MIDDELBURGH HTS, OH 44130
Internal Medicine (Infectious Disease)
7255 OLD OAK BLVD, BLDG C, SUITE 302
CLEVELAND, OH 44130
Orthopaedic Surgery (Sports Medicine)
7255 OLD OAK BLVD, C405, ORTHOWEST
MIDDLEBURG HEIGHTS, OH 44130
Obstetrics & Gynecology
7255 OLD OAK BLVD, SUITE C112
MIDDLEBURG HEIGHTS, OH 44130
Internal Medicine
7255 OLD OAK BLVD, C-408
CLEVELAND, OH 44130
Internal Medicine (Gastroenterology)
7255 OLD OAK BLVD, SUITE C412
MIDDLEBURG HEIGHTS, OH 44130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649278425, enumerated as an "individual" on July 14, 2005.

The provider is located at 7255 OLD OAK BLVD MIDDLEBURG HEIGHTS, OH 44130 and the phone number is (440) 816-5380.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.