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DR. KELLEN THOMAS BANNON
NPI 1649535279
Emergency Medicine in Toledo, OH

Active since July 10, 2012PECOS EnrolledAccepts Medicare Assignment
2213 CHERRY ST, TOLEDO, OH 43608(419) 251-4724 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kellen Thomas Bannon NPPES

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

DR. KELLEN THOMAS BANNON (NPI 1649535279) is an individual emergency medicine provider in Toledo, Ohio, licensed in Tennessee (2855) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (2012).

NPPES Registry Identity

NPI1649535279
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. KELLEN THOMAS BANNON
Location Address2213 CHERRY STToledo, OH 43608-2603
Mailing Address1901 Clinch AveKnoxville, TN 37916-2307 · (313) 674-0200
Phone(419) 251-4724
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2012
Enumeration DateJuly 10, 2012
Last NPPES UpdateOctober 25, 2023
NPPES CertifiedOctober 25, 2023
✔ NPI 1649535279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TN · 2855
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2213 CHERRY ST, Toledo, OH 43608
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Other Identifiers 1

Medicaid1649535279TN

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. Kellen Thomas Bannon 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 ID3072839190
PECOS Enrollment IDI20151117001245, I20241018003721
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
227 services220 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
68 services67 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
44 services43 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
26 services26 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Morristown Hamblen Hospital Association

Acute Care Hospitals · Morristown, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440030
Location908 W 4th North StMorristown, TN 37814 · Hamblen County
Emergency services Birthing friendly

Methodist Medical Center Of Oak Ridge

Acute Care Hospitals · Oak Ridge, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440034
Location990 Oak Ridge Turnpike Box 529Oak Ridge, TN 37830 · Anderson County
Emergency services Birthing friendly

Starr Regional Medical Center Athens

Acute Care Hospitals · Athens, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440068
Location1114 W Madison AveAthens, TN 37371 · Mc Minn County
Emergency services Birthing friendly

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440125
Location1901 W Clinch AveKnoxville, TN 37916 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43608 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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.

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.

JENNIFER DAWN TROST NNP
Nurse Practitioner (Neonatal)
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-4360
ROCIO CROSBY CNP
Nurse Practitioner (Family)
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-2878
JACOBY JACOBSEN D.O.
Orthopaedic Surgery
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-6596
DR. NIZHONI W DENIPAH M.D.
Otolaryngology
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-1020
JANILLE ANN BLAYLOCK APRN, NP-C
Nurse Practitioner (Family)
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 696-5555
NEW CENTURY MEDICAL OBSERVATION SERVICES OF LUCAS COUNTY, INC
Emergency Medicine
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-3232
DR. ANTHONY JOSEPH DOLNEY MD
Emergency Medicine
2213 CHERRY ST, ACC TRAUMA CLINIC
TOLEDO, OH 43608
Lucas County (419) 251-4724
GREGORY HALSTEAD CRNA
Nurse Anesthetist, Certified Registered
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-4524

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 Kellen Bannon's NPI number?

The NPI number for Kellen Bannon is 1649535279. It was assigned to this individual provider in the NPPES registry on July 10, 2012.

Where is Kellen Bannon located?

Kellen Bannon practices at 2213 Cherry St, Toledo, OH 43608. The listed phone number is (419) 251-4724.

What is Kellen Bannon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kellen Bannon enrolled in Medicare?

Yes. Kellen Bannon 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.

Is Kellen Bannon affiliated with any hospitals?

According to CMS data, Kellen Bannon is affiliated with Cumberland Medical Center, Morristown Hamblen Hospital Association, Methodist Medical Center Of Oak Ridge, Starr Regional Medical Center Athens and Fort Sanders Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kellen Bannon was last updated on October 25, 2023. 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.