1. Home
  2. Directory
  3. South Carolina
  4. Charleston
  5. Orthopaedic Surgery
  6. NPI Profile

KELLEY BANAGAN MD
NPI 1851435408
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Charleston, SC

Active since February 16, 2007PECOS EnrolledAccepts Medicare Assignment
85.21/100
CMS Quality Rating
96 JONATHAN LUCAS STREET CSB 708 MSC 622, CHARLESTON, SC 29425(843) 792-8105 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2025, Aug 10, 2016 (2 updates tracked since 2016).

About Kelley Banagan Md NPPES

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

KELLEY BANAGAN MD (NPI 1851435408) is an individual orthopaedic surgery of the spine provider in Charleston, South Carolina, licensed in South Carolina (MD93962) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1851435408
Entity TypeIndividualFemale
Primary Taxonomy207XS0117X
Provider Legal NameKELLEY BANAGANCredential: MD
Location Address96 JONATHAN LUCAS STREET CSB 708 MSC 622Charleston, SC 29425-1544
Mailing AddressPo Box 751461Charlotte, NC 28275-1461
Phone(843) 792-8105
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 16, 2007
Last NPPES UpdateApril 10, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1851435408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Licenses✔ Licensed in SC · MD93962✔ Licensed in MD · D72819
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
96 JONATHAN LUCAS STREET CSB 708 MSC 622, Charleston, SC 29425
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelley Banagan 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 ID3577734854
PECOS Enrollment IDI20250428000236
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 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.

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.
200 services120 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
37 services36 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.
37 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services30 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
26 services26 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
24 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Beaufort County Memorial Hospital

Acute Care Hospitals · Beaufort, SC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number420067
Location955 Ribaut RdBeaufort, SC 29902 · Beaufort County
Emergency services Birthing friendly

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420098
Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County
Emergency services Birthing friendly

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.

85.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.01
Promoting Interoperability100
Improvement Activities40
Cost86.68

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 Kelley Banagan's NPI number?

The NPI number for Kelley Banagan is 1851435408. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Kelley Banagan located?

Kelley Banagan practices at 96 Jonathan Lucas Street Csb 708 Msc 622, Charleston, SC 29425. The listed phone number is (843) 792-8105.

What is Kelley Banagan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Kelley Banagan enrolled in Medicare?

Yes. Kelley Banagan 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 Kelley Banagan accept?

Health plans from BlueCross BlueShield of South Carolina list Kelley Banagan 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 Kelley Banagan affiliated with any hospitals?

According to CMS data, Kelley Banagan is affiliated with Musc Medical Center, Beaufort County Memorial Hospital and Tidelands Waccamaw Community Hospital.

When was this NPI record last updated?

The NPPES record for Kelley Banagan was last updated on April 10, 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.