ELISA BANO OD
NPI 1679693741
Optometrist in Philadelphia, PA
About Elisa Bano Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISA BANO OD (NPI 1679693741) is an individual optometrist in Philadelphia, Pennsylvania, licensed in New Jersey (27OA00851100) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Elisa Bano Od 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 Reassignments
3Medicare enrollment records show Elisa Bano reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19114
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Refocus Eye Health Of PA PC
- 17 clinicians in this Medicare group
Camden, NJ 08103
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Refocus Eye Health Of Nj PC
- 54 clinicians in this Medicare group
Erie, PA 16565
- Reassigned Medicare billing, Pennsylvania enrollment
- 191 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 11
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 10
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 Elisa Bano's NPI number?
The NPI number for Elisa Bano is 1679693741. It was assigned to this individual provider in the NPPES registry on March 30, 2007.
Where is Elisa Bano located?
Elisa Bano practices at 5001 Frankford Ave, Philadelphia, PA 19124. The listed phone number is (215) 288-5000.
What is Elisa Bano's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Elisa Bano enrolled in Medicare?
Yes. Elisa Bano 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 organizations bill Medicare for Elisa Bano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elisa Bano reassigns Medicare benefits to 3 organizations: Refocus Eye Health Of PA, P.C. (Philadelphia, PA), Refocus Eye Health Of Nj, P.C. (Camden, NJ) and Visionworks, Inc. (Erie, PA). Each 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 Elisa Bano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elisa Bano accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 13 other insurers list Elisa Bano 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.
When was this NPI record last updated?
The NPPES record for Elisa Bano was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Elisa Bano, OD · NPI 1679693741
Optometrist provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 30, 2007.
## Identity
- **NPI:** 1679693741 (Entity type: Individual)
- **Enumerated:** March 30, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 27OA00851100 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 5001 FRANKFORD AVE, Philadelphia, PA 19124-2619
- **Phone:** (215) 288-5000 · **Fax:** (215) 744-1233
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Refocus Eye Health Of PA, P.C. (NPI 1962003418, Philadelphia, PA); Refocus Eye Health Of Nj, P.C. (NPI 1093316549, Camden, NJ); Visionworks, Inc. (NPI 1063579837, Erie, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Other OEG002681 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1679693741) · Data from the CMS NPPES public registry.