DR. GRACE LEE BANIK MD
NPI 1699152454
Otolaryngology in Cincinnati, OH

Active since April 30, 2015PECOS Enrolled
3333 BURNET AVE, CINCINNATI, OH 45229(513) 636-4355 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 7, 2026, Aug 15, 2025, Dec 2, 2022 and 3 more (6 updates tracked since 2020).

About Dr. Grace Lee Banik Md NPPES

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

DR. GRACE LEE BANIK MD (NPI 1699152454) is an individual otolaryngology provider in Cincinnati, Ohio, licensed in Ohio (35.152400) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699152454
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. GRACE LEE BANIKCredential: MD
Location Address3333 BURNET AVECincinnati, OH 45229-3026
Mailing Address3333 Burnet AveCincinnati, OH 45229-3026
Sole ProprietorNo
Enumeration DateApril 30, 2015
Last NPPES UpdateJanuary 7, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1699152454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in OH · 35.152400✔ Licensed in PA · MD473043
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Pediatric OtolaryngologyTaxonomy 207YP0228X · License A182376 (CA), MT220064 (PA)
3333 BURNET AVE, Cincinnati, OH 45229

Other Names 1

Former Name (1)Miss Grace Myung Lee

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Grace Lee Banik 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 Reassignments

3

Medicare enrollment records show Grace Banik reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Indiana, Kentucky and Ohio enrollments
  • 5 clinicians in this Medicare group
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45229 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

Radiology (Pediatric Radiology)
3333 BURNET AVE, ML 5031
CINCINNATI, OH 45229
Pediatrics (Pediatric Hematology-Oncology)
3333 BURNET AVE
CINCINNATI, OH 45229
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3333 BURNET AVE, ML 3014
CINCINNATI, OH 45229
Medical Genetics (Clinical Genetics (M.D.))
3333 BURNET AVE, ML 4006
CINCINNATI, OH 45229
Otolaryngology (Pediatric Otolaryngology)
3333 BURNET AVE, MLC 2018
CINCINNATI, OH 45229
Nurse Practitioner (Acute Care)
3333 BURNET AVE, ML 2003
CINCINNATI, OH 45229
Nurse Practitioner (Primary Care)
3333 BURNET AVE, ML 2018
CINCINNATI, OH 45229
Case Manager/Care Coordinator
3333 BURNET AVE
CINCINNATI, OH 45229

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 Grace Banik's NPI number?

The NPI number for Grace Banik is 1699152454. It was assigned to this individual provider in the NPPES registry on April 30, 2015. The provider is also known as Miss Grace Myung Lee.

Where is Grace Banik located?

Grace Banik practices at 3333 Burnet Ave, Cincinnati, OH 45229. The listed phone number is (513) 636-4355.

What is Grace Banik's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Grace Banik enrolled in Medicare?

Yes. Grace Banik is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Grace Banik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Banik reassigns Medicare benefits to 3 organizations: Children's Hospital Medical Center (Cincinnati, OH), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). 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 Grace Banik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grace Banik accept?

Health plans from MedMutual list Grace Banik 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 Grace Banik was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.