SAMUEL L BANKS (MD) – Dermatology Physician, NPI 1801995329
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
293 DERMATOLOGY in TN
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Provider Addresses for SAMUEL L BANKS (MD)
6141, Shallowford Road, Edgemont Forest, Chattanooga, Hamilton County, East Tennessee, Tennessee, 37421, United States
CHATTANOOGA, TN 37421
Phone: (423) 899-2700
Fax: (423) 899-2703
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 148 Open Payments records for all available years, with a total value of $3,361.
Total Amount is formed as General ($3,361) + Research ($0) + Ownership ($0) = $3,361.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GENZYME CORPORATION ($560).
Total Amount
$3,361
General + Research + Ownership
Payments
148
Total payment records
General Amount
$3,361
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $560 |
| Regeneron Healthcare Solutions, Inc. | $467 |
| Lilly USA, LLC | $399 |
| Janssen Biotech, Inc. | $362 |
| Novartis Pharmaceuticals Corporation | $347 |
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: 2015-09-28
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 |
|---|---|---|---|---|
| I20150928001565 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 768 | 172 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 398 | 210 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 383 | 278 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 319 | 240 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 282 | 197 | $0 |
Insurance plans in this area (ZIP 37421)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | TN | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 171 | 152 |
| DERMATOLOGY | TN | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 37 | 37 |
| DERMATOLOGY | TN | 17003 | Destruction of 2-14 skin growths | 2921 | 570 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX | |
| Physician Assistant | TN | |
| O T O L A R Y N G O L O G Y | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| D E R M A T O L O G Y | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | AL | |
| Physician Assistant | GA | |
| Nurse Practitioner | TN |
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