MICHAEL P BANNON (M.D.) – Trauma Surgery Physician, NPI 1073588489

MICHAEL P BANNON (M.D.) is a healthcare provider. based in Rochester, Minnesota. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 29516 (MN). The NPI Number for MICHAEL P BANNON (M.D.) is 1073588489

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL P BANNON (M.D.)
NPI
1073588489
Phone
(507) 284-2511
Address
200 1ST ST SW
Enumeration Date
20 February 2006
Last Update Date
12 August 2020

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
5072842511
Graduation Year
1984 (42 years ago)
PAC ID
8123157617
Group Practice PAC ID
6507778255
Professional Enrollment ID
I20100520001038
Address ID
MN559050001RO200XXSWXX400

Contacts

Secure Messaging
mbannon131147@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

730 GENERAL SURGERY in MN

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Provider Addresses for MICHAEL P BANNON (M.D.)

  • 1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-05-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100520001038IGeneral SurgeryMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes2811$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2017$0
View full utilization report →

Insurance plans in this area (ZIP 55905)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507778255View full group profile

Reviews

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Frequently asked questions

How do payers reference MICHAEL P BANNON (M.D.)?
For MICHAEL P BANNON (M.D.), use NPI 1073588489 as the unique 10-digit identifier.
Is MICHAEL P BANNON (M.D.) still an active registrant?
MICHAEL P BANNON (M.D.) carries an active NPI according to the public dataset.
What expertise is attributed to MICHAEL P BANNON (M.D.)?
MICHAEL P BANNON (M.D.)'s specialty line reads Trauma Surgery Physician. Clinical services aligned with this taxonomy classification.
Is MICHAEL P BANNON (M.D.) associated with Rochester?
Public fields place MICHAEL P BANNON (M.D.) around Rochester, Minnesota. Always confirm the exact site before visiting.
Does MICHAEL P BANNON (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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