Raymond Anthony Bannan

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

16474 Issued in WV

Practice address

2101 Jacob St. Suite 201
Valley Prof Center South
Wheeling, WV 26003-6390

Phone

(304) 242-9245

Fax

(304) 242-6870

NPI assigned

Dec 6, 2006

Last updated

Feb 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WV, OH2 enrollments

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 2

Specialty

Ophthalmology

Education

Ohio State University College of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raymond a Bannan, MD LLCGroup PAC ID 8628487881, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.97 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

76.56

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Raymond a Bannan, MD LLC

  • Ophthalmology Physician
  • Bellaire, OH
  • NPI 1225619786

  WV

  Medicare reassignment Care Compare group NPD Authorized official
• Raymond a Bannan

  • Ophthalmology Physician
  • Wheeling, WV
  • NPI 1841351400
  Authorized official Same address or phone
• Physicians Regional Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Saint Clairsville, OH
  • NPI 1497368013
  NPD (past)
• PRSC Anesthesia Group LLC

  • Certified Registered Nurse Anesthetist
  • Saint Clairsville, OH
  • NPI 1801693460
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1548328875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WHARTON CIR",
            "address_2": "STE 120",
            "city": "TRIADELPHIA",
            "state": "WV",
            "postal_code": "260591293",
            "telephone_number": "304-242-9245",
            "fax_number": "304-242-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 JACOB ST. SUITE 201",
            "address_2": "VALLEY PROF CENTER SOUTH",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036390",
            "telephone_number": "304-242-9245",
            "fax_number": "304-242-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNAN",
        "first_name": "RAYMOND",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "16474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180012368",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095458000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DG8768",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric R Balzano, M.D.
• John Frank Balzano, MD
• Jennifer Bane
• Tatyana Aleigh Banks
• Allyson Bannan
• Joseph M. Bannon, OD
• Nancy Jane Baranski
• Kayla Barbe
• Barbeau Professional Services PLLC (Riverbend Counseling)
• Wendy Barbeau, MSW, LICSW

• Ophthalmology Physician in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Ophthalmology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.