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ALLEN T BANEGURA M.D.
NPI 1780895854
Internal Medicine - Gastroenterology in Catonsville, MD

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment
9.49/100
CMS Quality Rating
700 GEIPE RD, SUITE 230, CATONSVILLE, MD 21228(410) 247-7500(410) 247-4227 Get Directions Write a Review

NPPES record last updated: August 8, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Allen T Banegura M.d. NPPES

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

ALLEN T BANEGURA M.D. (NPI 1780895854) is an individual gastroenterology provider in Catonsville, Maryland, licensed in Maryland (D0066005) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Saint Agnes Hospital, and is a graduate of University Of Maryland School Of Medicine (2000).

NPPES Registry Identity

NPI1780895854
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameALLEN T BANEGURACredential: M.D.
Location Address700 GEIPE RD, SUITE 230Catonsville, MD 21228-4147
Mailing Address700 Geipe Rd, Suite 230Catonsville, MD 21228-4147 · (410) 247-7500 · Fax (410) 247-4227
Phone(410) 247-7500
Fax(410) 247-4227
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2000
Enumeration DateMay 24, 2007
Last NPPES UpdateAugust 8, 2014
✔ NPI 1780895854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MD · D0066005
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

700 GEIPE RD, Catonsville, MD 21228
Open in Google Maps ↗

Other Identifiers 3

Medicaid412943100MD
Medicare UPINH86919
Medicare PINKN14 Q640MD

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

Allen T Banegura M.d. 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 ID6901998392
PECOS Enrollment IDI20070815000123
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 8

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 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.
405 services239 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
155 services142 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
148 services147 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
127 services122 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
65 services65 patients
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.
55 services48 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Agnes Hospital

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210011
Location900 Caton AvenueBaltimore, MD 21229 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Howard County Medical Center

Acute Care Hospitals · Columbia, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210048
Location5755 Cedar LaneColumbia, MD 21044 · Howard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21228 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
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.

9.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost31.63

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
35%593 patients2/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
41%27 patients2/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
47%1,582 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%732 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
40%205 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%1,065 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 54% · 312 patients
57%312 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
2%472 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 398 patients
1%398 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. MONICA MARIA STEWART M.D.
Internal Medicine (Rheumatology)
700 GEIPE RD, STE 200
CATONSVILLE, MD 21228
Baltimore County (410) 744-0661
DR. HIROSHI NAKAZAWA MD
Acupuncturist
700 GEIPE RD, SUITE 204
CATONSVILLE, MD 21228
Baltimore County (410) 744-8505
DR. DAVID VON RUEDEN M.D.
Surgery
700 GEIPE RD, SUITE 274
CATONSVILLE, MD 21228
Baltimore County (410) 368-3003
UDAY B NANAVATY, MD LLC
Internal Medicine (Pulmonary Disease)
700 GEIPE RD, SUITE 267-C
CATONSVILLE, MD 21228
Baltimore County (410) 747-8880
BILAL HASAN MBBS
Internal Medicine (Rheumatology)
700 GEIPE RD
CATONSVILLE, MD 21228
Baltimore County (410) 744-0661
DR. DEBRA GOLDMAN CURTIS M.D.
Internal Medicine
700 GEIPE RD
CATONSVILLE, MD 21228
Baltimore County (410) 368-8750
LOUIS A. SALAS M.D.
Internal Medicine (Gastroenterology)
700 GEIPE RD, SUITE 230
CATONSVILLE, MD 21228
Baltimore County (410) 247-7500
DIGESTIVE DISEASE ASSOCIATES, P.A.
Internal Medicine (Gastroenterology)
700 GEIPE RD, SUITE 230
CATONSVILLE, MD 21228
Baltimore County (410) 247-7500

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 Allen Banegura's NPI number?

The NPI number for Allen Banegura is 1780895854. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Allen Banegura located?

Allen Banegura practices at 700 Geipe Rd Suite 230, Catonsville, MD 21228. The listed phone number is (410) 247-7500.

What is Allen Banegura's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Allen Banegura enrolled in Medicare?

Yes. Allen Banegura 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.

Is Allen Banegura affiliated with any hospitals?

According to CMS data, Allen Banegura is affiliated with Saint Agnes Hospital and Johns Hopkins Howard County Medical Center.

When was this NPI record last updated?

The NPPES record for Allen Banegura was last updated on August 8, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.