DANA R BANNERMAN (MD) – Internal Medicine Physician, NPI 1649274515

DANA R BANNERMAN (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 34669 (TN). The NPI Number for DANA R BANNERMAN (MD) is 1649274515

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DANA R BANNERMAN (MD)
NPI
1649274515
Phone
(615) 284-4672
Address
PO BOX 501123
Enumeration Date
9 June 2005
Last Update Date
23 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
6158516033
Graduation Year
1999 (27 years ago)
PAC ID
1355355876
Group Practice PAC ID
7315848140
Professional Enrollment ID
I20060203000170
Address ID
TN370723132GO3024XCIRX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:21State licenses:1Digital endpointsOther names

3,534 INTERNAL MEDICINE in TN

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Provider Addresses for DANA R BANNERMAN (MD)

  • PO BOX 501123

    SAINT LOUIS, MO 631500001

    Phone: (615) 284-4672

    Fax: (615) 284-5752

    Type: Mailing

  • Church Street, Nashville, Davidson County, Tennessee, 37219, United States

    STE 310

    NASHVILLE, TN 372032012

    Phone: (615) 284-4672

    Fax: (615) 284-5752

    Type: Location

  • 300 20th Ave N Ste G1

    Nashville, TN 372032132

    Phone: (615) 941-8550

    Fax: (615) 941-8507

    Type: Location

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 $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-05-03 • Largest payer in this snapshot: Breas Medical, Inc. ($39).

Total Amount

$39

General + Research + Ownership

Payments

1

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Breas Medical, Inc.$39
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: 2006-02-03

PECOS data refreshed: 2026-06-15

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
I20060203000170IInternal MedicineTNTBD

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 minutes259115$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10362$0
99239Hospital discharge day management, more than 30 minutes9696$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7573$0
99214Established patient office or other outpatient visit, 30-39 minutes2824$0
View full utilization report →

Insurance plans in this area (ZIP 63150)

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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: 7315848140View full group profile

Reviews

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Frequently asked questions

What is the registry number for DANA R BANNERMAN (MD)?
The registry entry for DANA R BANNERMAN (MD) shows NPI 1649274515.
Does the public listing show DANA R BANNERMAN (MD) as active?
DANA R BANNERMAN (MD)'s NPI record reflects an active status in NPPES.
What services align with DANA R BANNERMAN (MD)'s listing?
DANA R BANNERMAN (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DANA R BANNERMAN (MD)?
The directory associates DANA R BANNERMAN (MD) with Saint Louis, Missouri. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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