DR. TODD RICHARD BANNING (D.O.) – Cardiovascular Disease Physician, NPI 1063425437
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,006 CARDIOVASCULAR DISEASE (CARDIOLOGY) in PA
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Provider Addresses for DR. TODD RICHARD BANNING (D.O.)
Giant, 1241, Blakeslee Boulevard Drive East, Lehighton, Carbon County, Pennsylvania, 18235, United States
LEHIGHTON, PA 182352401
Phone: (570) 386-6900
Fax: (570) 386-6901
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)
CMS reports 1 Open Payments records for all available years, with a total value of $29.
Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.
Last reported payment date: 2023-07-27 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($29).
Total Amount
$29
General + Research + Ownership
Payments
1
Total payment records
General Amount
$29
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $29 |
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: 2012-08-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120806000143 | I | Cardiovascular Disease (Cardiology) | PA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 442 | 305 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 379 | 275 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 364 | 207 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 297 | 273 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 208 | 206 | $0 |
Insurance plans in this area (ZIP 18235)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | PA | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 62 | 62 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | PA | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 38 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | PA | |
| Nurse Practitioner | PA | |
| C H I R O P R A C T I C | PA | |
| - | PA | |
| - | PA | |
| - | TX | |
| - | PA | |
| Physician Assistant | PA | |
| - | PA | |
| Physician Assistant | PA |
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