DR. MELINDA D. BANISTER (M.D.) – Surgery Physician, NPI 1770567109

DR. MELINDA D. BANISTER (M.D.) is a healthcare provider. based in Lubbock, Texas. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. L6775 (TX). The NPI Number for DR. MELINDA D. BANISTER (M.D.) is 1770567109

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. MELINDA D. BANISTER (M.D.)
NPI
1770567109
Phone
(806) 793-3510
Address
4505 15TH ST
Enumeration Date
30 November 2005
Last Update Date
22 January 2010

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
9157585811
Graduation Year
1998 (28 years ago)
PAC ID
6002966405
Group Practice PAC ID
2668382516
Professional Enrollment ID
I20090605000112
Address ID
TX793603447SE209XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,644 GENERAL SURGERY in TX

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Provider Addresses for DR. MELINDA D. BANISTER (M.D.)

  • 4505, 15th Street, Rush, Lubbock, Lubbock County, Texas, 79416, United States

    LUBBOCK, TX 794164809

    Phone: (806) 793-3510

    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 3 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-07-16 • Largest payer in this snapshot: Integra LifeSciences Corporation ($22).

Total Amount

$45

General + Research + Ownership

Payments

3

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-16

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: 2009-06-05

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
I20090605000112IGeneral SurgeryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79416)

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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: 2668382516View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
Family PracticeTX
-TX
Nurse PractitionerNM
Nurse PractitionerNM
Emergency MedicineTX
Nurse PractitionerNM
Clinical Social WorkerTX
-TX
Emergency MedicineMI

Reviews

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Frequently asked questions

Where can patients find DR. MELINDA D. BANISTER (M.D.)'s NPI?
You can confirm DR. MELINDA D. BANISTER (M.D.) with NPI 1770567109; it appears in the national provider directory.
Is DR. MELINDA D. BANISTER (M.D.) currently active in the NPI registry?
CMS-published data lists DR. MELINDA D. BANISTER (M.D.) as an active registrant.
Can you summarize DR. MELINDA D. BANISTER (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. MELINDA D. BANISTER (M.D.) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Does DR. MELINDA D. BANISTER (M.D.) practice in Texas?
You will see Lubbock, Texas on file for DR. MELINDA D. BANISTER (M.D.) alongside any extra practice locations.
What if Lubbock, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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