KAYSIE LYNN BANTON (MD) – Surgery Physician, NPI 1093858607

KAYSIE LYNN BANTON (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 46661 (MN). The NPI Number for KAYSIE LYNN BANTON (MD) is 1093858607

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
KAYSIE LYNN BANTON (MD)
NPI
1093858607
Phone
Not provided
Address
720 WASHINGTON AVE SE
Enumeration Date
14 February 2007
Last Update Date
30 June 2017

Doctor Profile

Medical School Name
UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Secondary Phone
3037885300
Graduation Year
2001 (25 years ago)
PAC ID
6800990904
Group Practice PAC ID
3678906773
Professional Enrollment ID
I20180502000423
Address ID
CO801132702EN501XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

730 GENERAL SURGERY in MN

Provider Addresses for KAYSIE LYNN BANTON (MD)

  • 720 WASHINGTON AVE SE

    MINNEAPOLIS, MN 554142924

    Phone:

    Type: Mailing

  • 909 FULTON ST SE

    MINNEAPOLIS, MN 554554800

    Phone: (612) 672-7422

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $152.

Total Amount is formed as General ($152) + Research ($0) + Ownership ($0) = $152.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Prytime Medical Devices, Inc. ($85).

Total Amount

$152

General + Research + Ownership

Payments

3

Total payment records

General Amount

$152

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-05-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070329000443IGeneral SurgeryMNTBD
I20180502000423IGeneral SurgeryCOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes203149$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes11398$0
99291Critical care, first 30-74 minutes8044$0
99239Hospital discharge day management, more than 30 minutes7370$0
99284Emergency department visit with moderate level of medical decision making4545$0
View full utilization report →

Insurance plans in this area (ZIP 55414)

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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: 3678906773View full group profile
NameSpecialtyState
General SurgeryCO
General SurgeryMS
Critical Care (Intensivists), General SurgeryCO
General SurgeryCO
General SurgeryMN
General SurgeryCO
General SurgeryMS
General SurgeryCO
General SurgeryTX
General SurgeryCO

Reviews

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Frequently asked questions

What is the standard ID for KAYSIE LYNN BANTON (MD) in the U.S.?
In the U.S., KAYSIE LYNN BANTON (MD) is identified by NPI 1093858607.
Is KAYSIE LYNN BANTON (MD)'s NPI status active today?
Active status means KAYSIE LYNN BANTON (MD)'s NPI record is not deactivated in the public file.
How should patients interpret KAYSIE LYNN BANTON (MD)'s specialty?
The extract shows Surgery Physician for KAYSIE LYNN BANTON (MD). Clinical services aligned with this taxonomy classification.
Is KAYSIE LYNN BANTON (MD) tied to Minneapolis, Minnesota?
If you are local to Minneapolis, Minnesota, KAYSIE LYNN BANTON (MD) may be relevant to your search.
Who maintains KAYSIE LYNN BANTON (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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