DR. KRISTA MAUREEN BANNON (M.D.) – Surgery Physician, NPI 1184886533
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,444 GENERAL SURGERY in MI
Provider Addresses for DR. KRISTA MAUREEN BANNON (M.D.)
16001 W 9 Mile Rd
Southfield, MI 48075
Phone: (248) 849-3091
Type: Location
300, Riverfront Drive, West Side Industrial Park, Detroit, Wayne County, Michigan, 48226, United States
UNIT 11B
DETROIT, MI 482264516
Phone: (312) 282-3182
Type: Mailing
260, South Livernois Road, Rochester Hills, Oakland County, Michigan, 48307, United States
ROCHESTER HILLS, MI 483072593
Phone: (248) 855-5355
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $2,165.
Total Amount is formed as General ($2,165) + Research ($0) + Ownership ($0) = $2,165.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: ConvaTec Inc. ($1,573).
Total Amount
$2,165
General + Research + Ownership
Payments
20
Total payment records
General Amount
$2,165
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ConvaTec Inc. | $1,573 |
| Medtronic, Inc. | $294 |
| Inari Medical, Inc. | $227 |
| TACTILE SYSTEMS TECHNOLOGY INC | $70 |
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: 2018-07-18
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 |
|---|---|---|---|---|
| I20180718003187 | I | General Surgery | MI | 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 |
|---|---|---|---|---|
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 228 | 159 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 206 | 121 | $0 |
| 76942 | Ultrasonic guidance for needle placement | 139 | 79 | $0 |
| 36471 | Injection of chemical agent into multiple incompetent veins of leg | 131 | 77 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 110 | 110 | $0 |
Insurance plans in this area (ZIP 48075)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MI | |
| Emergency Medicine | MI | |
| Occupational Therapist In Private Practice | MI | |
| Diagnostic Radiology, Interventional Radiology | MI | |
| Interventional Radiology, Diagnostic Radiology | MI | |
| Diagnostic Radiology, Interventional Radiology | MI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.