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WILLIAM PAUL BANISH MD
NPI 1760468110
Surgery in Matthews, NC

Active since December 19, 2005PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1450 MATTHEWS TOWNSHIP PKWY STE 250, MATTHEWS, NC 28105(704) 841-1444(704) 849-2520 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2025, Feb 8, 2022, Sep 7, 2018 (3 updates tracked since 2018).

About William Paul Banish Md NPPES

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

WILLIAM PAUL BANISH MD (NPI 1760468110) is an individual surgery provider in Matthews, North Carolina, licensed in North Carolina (2015-00687) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Carolina East Medical Center, and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1760468110
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameWILLIAM PAUL BANISHCredential: MD
Location Address1450 MATTHEWS TOWNSHIP PKWY STE 250Matthews, NC 28105-5331
Mailing AddressPo Box 604350Charlotte, NC 28260-4350 · (704) 364-8100 · Fax (704) 365-2073
Phone(704) 841-1444
Fax(704) 849-2520
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1991
Enumeration DateDecember 19, 2005
Last NPPES UpdateMarch 26, 20253 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1760468110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NC · 2015-00687✔ Licensed in SC · 19490
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.
1450 MATTHEWS TOWNSHIP PKWY STE 250, Matthews, NC 28105
Open in Google Maps ↗

Secondary Practice Location 1

Location 110512 Park Rd Ste 101Charlotte, NC 28210 · Phone (704) 542-3631 · Fax (704) 542-3646

Other Identifiers 7

Other770001362SC · Bankers Life And Casualty
Other9645030SC · Ghi
Other620108SC · Select Health
Other76051SC · Medcost
Other9377345SC · Cigna
MedicaidT37948SC
Medicaid1760468110NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and more.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

William Paul Banish Md 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 ID6305988668
PECOS Enrollment IDI20100125000470, I20181022003210
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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services25 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Carolina East Medical Center

Acute Care Hospitals · New Bern, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340131
Location2000 Neuse BlvdNew Bern, NC 28560 · Craven County
Emergency services Birthing friendly

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340171
Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Mint Hill Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340190
Location8201 Healthcare LoopCharlotte, NC 28215 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Ballantyne Medical Center

Acute Care Hospitals · Charlotte, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number340195
Location10905 Providence Road WCharlotte, NC 28277 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

NOVANT HEALTH PREP II LLC
Surgery
1450 MATTHEWS TOWNSHIP PKWY STE 250
MATTHEWS, NC 28105
Mecklenburg County (704) 841-1444
AMY KAY PARRIS NP
Nurse Practitioner
1450 MATTHEWS TOWNSHIP PKWY STE 250
MATTHEWS, NC 28105
Mecklenburg County (704) 841-1444
MS. IYORE AMY-OTABOR JAMES M.D
Surgery
1450 MATTHEWS TOWNSHIP PKWY STE 250
MATTHEWS, NC 28105
Mecklenburg County (704) 841-1444
DR. KATHERINE KAUH M.D.
Surgery
1450 MATTHEWS TOWNSHIP PKWY STE 250
MATTHEWS, NC 28105
Mecklenburg County (704) 841-1444
DR. SAMIK HETAL PATEL M.D.
Surgery
1450 MATTHEWS TOWNSHIP PKWY STE 250
MATTHEWS, NC 28105
Mecklenburg County (704) 841-1444
MEAGAN C WHEELER FNP-C
Nurse Practitioner (Family)
1450 MATTHEWS TOWNSHIP PKWY STE 250
MATTHEWS, NC 28105
Mecklenburg County (704) 841-8877
CLAIRE FRANCES JANSEN PA
Physician Assistant (Surgical)
1450 MATTHEWS TOWNSHIP PKWY STE 250
MATTHEWS, NC 28105
Mecklenburg County (704) 841-1444
DR. BENJAMIN TURNER MD
Surgery
1450 MATTHEWS TOWNSHIP PKWY STE 250
MATTHEWS, NC 28105
Mecklenburg County (704) 841-1444

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 William Banish's NPI number?

The NPI number for William Banish is 1760468110. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is William Banish located?

William Banish practices at 1450 Matthews Township Pkwy Ste 250, Matthews, NC 28105. The listed phone number is (704) 841-1444.

What is William Banish's specialty?

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

Is William Banish enrolled in Medicare?

Yes. William Banish 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 William Banish accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and Oscar Health Plan of North Carolina, Inc list William Banish 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 William Banish affiliated with any hospitals?

According to CMS data, William Banish is affiliated with Carolina East Medical Center, Novant Health Matthews Medical Center, Novant Health Mint Hill Medical Center and Novant Health Ballantyne Medical Center.

When was this NPI record last updated?

The NPPES record for William Banish was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.