JOSEPH BANHAM
NPI 1659980720
Physician Assistant in Blaine, WA

Active since July 24, 2020PECOS EnrolledAccepts Medicare Assignment
861 GRANT AVE, BLAINE, WA 98230(360) 371-5855(360) 371-5855 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2025, Jun 7, 2021, Jun 4, 2021 and 1 more (4 updates tracked since 2020).

About Joseph Banham NPPES

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

JOSEPH BANHAM (NPI 1659980720) is an individual physician assistant in Blaine, Washington, licensed in Washington (PA61104869) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1659980720
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOSEPH BANHAM
Location Address861 GRANT AVEBlaine, WA 98230-5186
Mailing Address861 Grant AveBlaine, WA 98230-5186 · (360) 371-5855 · Fax (360) 371-5857
Fax(360) 371-5855
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 24, 2020
Last NPPES UpdateJuly 29, 20254 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
NPI 1659980720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA61104869
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
861 GRANT AVE, Blaine, WA 98230

Accepted 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

Joseph Banham 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 ID7214342534
PECOS Enrollment IDI20210219000410
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

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.

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Hospital

Acute Care Hospitals · Bellingham, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500030
Location2901 Squalicum ParkwayBellingham, WA 98225 · Whatcom County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98230 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers22 claims57 services$6.36 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers24 claims24 services$198.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
861 GRANT AVE
BLAINE, WA 98230
Family Medicine
861 GRANT AVE
BLAINE, WA 98230
Health Maintenance Organization
861 GRANT AVE
BLAINE, WA 98230
Clinical Medical Laboratory
861 GRANT AVE
BLAINE, WA 98230
Family Medicine
861 GRANT AVE
BLAINE, WA 98230
Family Medicine
861 GRANT AVE
BLAINE, WA 98230
Nurse Practitioner (Family)
861 GRANT AVE
BLAINE, WA 98230

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 Joseph Banham's NPI number?

The NPI number for Joseph Banham is 1659980720. It was assigned to this individual provider in the NPPES registry on July 24, 2020.

Where is Joseph Banham located?

Joseph Banham practices at 861 Grant Ave, Blaine, WA 98230. The listed phone number is (360) 371-5855.

What is Joseph Banham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Joseph Banham enrolled in Medicare?

Yes. Joseph Banham 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.

What insurance does Joseph Banham accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Joseph Banham 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 Joseph Banham affiliated with any hospitals?

According to CMS data, Joseph Banham is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Banham was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.