DR. RYAN JEREMY BANNON (M.D.) – Obstetrics & Gynecology Physician, NPI 1104972496

DR. RYAN JEREMY BANNON (M.D.) is a healthcare provider. based in Wichita falls, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 23505 (OK). The NPI Number for DR. RYAN JEREMY BANNON (M.D.) is 1104972496

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. RYAN JEREMY BANNON (M.D.)
NPI
1104972496
Phone
(940) 723-8151
Address
1601 9TH ST
Enumeration Date
27 January 2007
Last Update Date
23 April 2015

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
8009672289
Graduation Year
2003 (23 years ago)
PAC ID
5597859298
Group Practice PAC ID
3577713072
Professional Enrollment ID
I20070925000355
Address ID
TX763014300WI1600XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,164 OBSTETRICS/GYNECOLOGY in TX

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Provider Addresses for DR. RYAN JEREMY BANNON (M.D.)

  • 1601, 9th Street, Wichita Falls, Wichita County, Texas, 76301, United States

    WICHITA FALLS, TX 763014304

    Phone: (940) 723-8151

    Fax: (940) 723-8815

    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 21 Open Payments records for all available years, with a total value of $438.

Total Amount is formed as General ($438) + Research ($0) + Ownership ($0) = $438.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Astellas Pharma US Inc ($164).

Total Amount

$438

General + Research + Ownership

Payments

21

Total payment records

General Amount

$438

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-09-25

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
I20070925000355IObstetrics/GynecologyTXTBD

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
77067Screening mammography124124$0
77063Screening 3d breast mammography123123$0
99214Established patient office or other outpatient visit, 30-39 minutes6464$0
77085Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment2626$0
77080Dxa bone density measurement of hip, pelvis, spine1616$0
View full utilization report →

Insurance plans in this area (ZIP 76301)

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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: 3577713072View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YSC
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
Certified Nurse Midwife (Cnm)TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YPA
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

Can I cross-check DR. RYAN JEREMY BANNON (M.D.) using NPI 1104972496?
NPI 1104972496 belongs to DR. RYAN JEREMY BANNON (M.D.); compare other details if you need extra assurance.
Is DR. RYAN JEREMY BANNON (M.D.) still an active registrant?
DR. RYAN JEREMY BANNON (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with DR. RYAN JEREMY BANNON (M.D.)?
DR. RYAN JEREMY BANNON (M.D.)'s record emphasizes Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. RYAN JEREMY BANNON (M.D.)?
Directory geography for DR. RYAN JEREMY BANNON (M.D.) centers on Wichita Falls, Texas.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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