LARITA L FRAZIER O'BANNON (MD) – Family Medicine Physician, NPI 1588694541

LARITA L FRAZIER O'BANNON (MD) is a healthcare provider. based in Cincinnati, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 35-063095 (OH). The NPI Number for LARITA L FRAZIER O'BANNON (MD) is 1588694541

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
LARITA L FRAZIER O'BANNON (MD)
NPI
1588694541
Phone
(513) 841-0777
Address
4623 WESLEY AVE
Enumeration Date
4 July 2006
Last Update Date
20 May 2013

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
5137543100
Graduation Year
1989 (37 years ago)
PAC ID
6002709920
Group Practice PAC ID
1658403704
Professional Enrollment ID
I20040204001080
Address ID
OH450408693MA5467XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,432 FAMILY PRACTICE in OH

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Provider Addresses for LARITA L FRAZIER O'BANNON (MD)

  • Wesley Avenue, Betts-Longworth Historic District, West End, Cincinnati, Hamilton County, Ohio, 45203, United States

    STE P

    CINCINNATI, OH 452122246

    Phone: (513) 841-0777

    Fax: (513) 841-0877

    Type: Location

  • Selection.com, 155, Tri-County Parkway, Cincinnati, Hamilton County, Ohio, 45246, United States

    STE 240

    CINCINNATI, OH 452463238

    Phone: (513) 771-9888

    Fax: (513) 771-3686

    Type: Mailing

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: 2004-02-04

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
I20040204001080IFamily PracticeOHTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes649166$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes412145$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month39797$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and8565$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a7441$0
View full utilization report →

Insurance plans in this area (ZIP 45212)

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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: 1658403704View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerTN
Nurse PractitionerOH
Internal MedicineFL
Nurse PractitionerOH
Hospitalist, Internal Medicine, Internal MedicineKY
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

How is LARITA L FRAZIER O'BANNON (MD) identified in CMS data?
CMS-hosted NPPES data lists LARITA L FRAZIER O'BANNON (MD) with NPI 1588694541.
Can I rely on LARITA L FRAZIER O'BANNON (MD) being an active provider?
As of the registry snapshot, LARITA L FRAZIER O'BANNON (MD) is marked active.
What taxonomy line describes LARITA L FRAZIER O'BANNON (MD)?
For research purposes, treat LARITA L FRAZIER O'BANNON (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is LARITA L FRAZIER O'BANNON (MD) based?
LARITA L FRAZIER O'BANNON (MD) is tied to Cincinnati, Ohio in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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