Individual provider Active NPI

Jeffrey Bannister, DO

  • Orthopaedic Surgery Physician
  • Ankeny, IA
National Provider Identifier
1144671967
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DO-06131 Issued in IA
Practice address
350 NE 36TH St
Ankeny, IA 50021-6728
Phone
(515) 224-1414
Fax
(515) 224-5140
NPI assigned
Jun 22, 2016
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X DO-06131 IA Primary

Addresses

Primary practice location

350 NE 36TH St
Ankeny, IA 50021-6728

Mailing address

5814 NE Oak Dr
Ankeny, IA 50021-1227
Phone (515) 557-0481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220804001837 IA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 9133412836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

350 NE 36TH St
Ankeny, IA 50021-6728
Phone (515) 224-1414

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.25 of 100Reported as group
Quality
80.42
Promoting interoperability
39
Improvement activities
40
Cost
77.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement17
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Des Moines Orthopaedic Surgeons PC CurrentSince Sep 1, 2022 Accepting new patients
Des Moines Orthopaedic Surgeons PC Orthopaedic Surgery CurrentSince Sep 1, 2022 Accepting new patients

Locations

350 NE 36th St
Ankeny, IA 50021
Phone (515) 224-1414

3625 N Ankeny Blvd
Ste J
Ankeny, IA 50023
Phone (515) 965-2200

1301 Pennsylvania Ave
Des Moines, IA 50316
Phone (515) 224-1414

1301 Pennsylvania Ave
Ste 213
Des Moines, IA 50316
Phone (515) 224-1414

6001 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 224-1414

Interoperability endpoints

  • Direct secure messaging: jbannister612073@direct.hfhs.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1144671967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 NE OAK DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500211227",
            "telephone_number": "515-557-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NE 36TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500216728",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNISTER",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "DO-06131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.