ROBERT J BANCO (M.D.) – Orthopaedic Surgery of the Spine Physician, NPI 1265434948
Orthopaedic Surgery of the Spine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
947 ORTHOPEDIC SURGERY in MA
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Provider Addresses for ROBERT J BANCO (M.D.)
PO BOX 4110
DEPARTMENT 3110
WOBURN, MA 018884110
Phone: (781) 619-0173
Fax: (781) 551-5888
Type: Mailing
Washington Street, Newton Corner, Newton, Middlesex County, Massachusetts, 02172, United States
NEWTON, MA 024581612
Phone: (617) 219-6300
Fax: (617) 219-6355
Type: Location
25 WASHINGTON ST UNIT 1B
WELLESLEY HILLS, MA 024811752
Phone: (617) 219-6300
Fax: (617) 219-6355
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $103,309.
Total Amount is formed as General ($103,309) + Research ($0) + Ownership ($0) = $103,309.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Globus Medical, Inc. ($78,436).
Total Amount
$103,309
General + Research + Ownership
Payments
18
Total payment records
General Amount
$103,309
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Globus Medical, Inc. | $78,436 |
| Spineart SA | $13,524 |
| Spineart USA Inc | $11,349 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-02-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050208000151 | I | Orthopedic Surgery | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 55 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 40 | 29 | $0 |
| 22614 | Fusion of additional segment of spine | 35 | 11 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 35 | 35 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 32 | 19 | $0 |
Insurance plans in this area (ZIP 01888)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | MA | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 16 | 16 |
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