MARK D. BANDERMAN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1558577189
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO
Provider Addresses for MARK D. BANDERMAN (CRNA)
2301 HOLMES ST
KANSAS CITY, MO 641082640
Phone: (816) 404-1127
Fax: (816) 404-1103
Type: Location
9233, Ward Parkway, Kansas City, Jackson County, Missouri, 64114, United States
SUITE 230
KANSAS CITY, MO 641143366
Phone: (816) 389-6030
Fax: (816) 389-6034
Type: Mailing
Saint Luke's South Hospital, 12300, Metcalf Avenue, Overland Park, Johnson County, Kansas, 66213, United States
ANESTHESIA DEPT
OVERLAND PARK, KS 662131324
Phone: (816) 389-6030
Fax: (816) 389-6034
Type: Location
12300 Metcalf Ave
Anesthesia Dept
Overland Park, KS 662131324
Phone: (816) 389-6030
Fax: (816) 389-6034
Type: Location
247 MARCELLUS DR
BEREA, KY 404032008
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $34.
Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.
Last reported payment date: 2023-08-30 • Largest payer in this snapshot: Masimo Corporation ($34).
Total Amount
$34
General + Research + Ownership
Payments
1
Total payment records
General Amount
$34
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Masimo Corporation | $34 |
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: 2011-07-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20071031000469 | I | Certified Registered Nurse Anesthetist (Crna) | MO | TBD |
| I20080325000124 | I | Certified Registered Nurse Anesthetist (Crna) | KY | TBD |
| I20110714000153 | I | Certified Registered Nurse Anesthetist (Crna) | TN | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 51 | 49 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 36 | 36 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 28 | 27 | $0 |
Insurance plans in this area (ZIP 64108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Certified Registered Nurse Anesthetist (Crna) | TN |
Reviews
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