MARA BANKS (MD, PHD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1508249392
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
111 PATHOLOGY in RI
Provider Addresses for MARA BANKS (MD, PHD)
593 EDDY ST
PROVIDENCE, RI 029034923
Phone: (401) 444-5057
Fax: (401) 606-1233
Type: Mailing
2525 COURT DR
GASTONIA, NC 280542140
Phone: (704) 834-2450
Fax: (704) 671-5331
Type: Mailing
1120 15th St
Augusta, GA 309120004
Phone: (706) 721-5118
Type: Location
15 Medical Dr Ste 1100
Salt Lake City, UT 841121100
Phone: (801) 581-4390
Type: Location
593 Eddy St
Providence, RI 029034923
Phone: (401) 444-5057
Fax: (401) 606-1233
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 $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2023-05-17 • Largest payer in this snapshot: Roche Diagnostics Corporation ($30).
Total Amount
$30
General + Research + Ownership
Payments
1
Total payment records
General Amount
$30
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Roche Diagnostics Corporation | $30 |
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: 2021-08-02
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 |
|---|---|---|---|---|
| I20210802002963 | I | Pathology | NC | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 633 | 350 | $0 |
| 88360 | Microscopic genetic analysis of tumor, manual | 79 | 22 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 75 | 55 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 67 | 18 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 61 | 50 | $0 |
Insurance plans in this area (ZIP 02903)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | NC | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | NC | |
| Internal Medicine | NC | |
| Internal Medicine | NC | |
| - | NC | |
| Nurse Practitioner | NC | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | NJ | |
| Nurse Practitioner | NC | |
| - | NC |
Reviews
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