MR. CARROLL BROOKS BANNISTER MD
NPI 1689692253
Surgery in Hartsville, SC

Q: What is Carroll Bannister's NPI number?

The NPI number for Carroll Bannister is 1689692253. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Carroll Bannister's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Carroll Bannister was last updated on March 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 18, 2006PECOS Enrolled

701 MEDICAL PARK DR, SUITE 101, HARTSVILLE, SC 29550(843) 339-4295(843) 339-4609 Get Directions Write a Review

NPPES record last updated: March 9, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mr. Carroll Brooks Bannister Md NPPES

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

MR. CARROLL BROOKS BANNISTER MD (NPI 1689692253) is an individual surgery provider in Hartsville, South Carolina, licensed in South Carolina (7718) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689692253

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameMR. CARROLL BROOKS BANNISTERCredential: MD

Location Address701 MEDICAL PARK DR, SUITE 101Hartsville, SC 29550-4777

Mailing Address701 Medical Park Dr, Ste 300Hartsville, SC 29550-4777 · (843) 878-1101 · Fax (843) 656-1212

Phone(843) 339-4295

Fax(843) 339-4609

Sole ProprietorNo

Enumeration DateJuly 18, 2006

Last NPPES UpdateMarch 9, 2012

✔ NPI 1689692253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in SC · 7718

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

701 MEDICAL PARK DR, Hartsville, SC 29550

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Other Identifiers 2

Medicare UPINB91798

Medicaid077188SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Carroll Brooks Bannister Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Carroll Bannister reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hartsville Medical Group LLC

Same address

Internal Medicine

701 MEDICAL PARK DR
Hartsville, SC 29550

Reassigned Medicare billing, South Carolina enrollment
116 clinicians in this Medicare group

NPI 1598995300 (843) 383-5191

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 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 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.

268 services48 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

45 services16 patients

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.

15 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29550 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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 6

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

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

3 suppliers22 claims2,344 services$0.37 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196