Active NPI 1306842646 Individual Practitioner Male Practitioner

Dr. Bhola N. Banik , MD, PC

Internal Medicine • Plainview, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bhola Banik, MD, PC is a certified Internal Medicine practicing in Plainview, NY. With approximately 57 years of clinical experience since completing medical education in 1969, Dr. Banik delivers high-quality medical care to the local community at 1097 OLD COUNTRY RD.

Dr. Banik is affiliated with North Shore-Lij Medical Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1097 Old Country Rd
Ste 103

Plainview, NY 118036505

Telephone 5169313131

Fax 5169313140

Associated Practice Facility / Clinic

🏢 Endocrinology,diabetes&metabolism,ny,pc Facility NPI 1124009485

Medicare Profile & Education

Medical School

Other

Graduation Year

1969

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Plainview, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

57 Yrs +28.7 yrs vs City Avg

City Avg: 28.3 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

40 Specialists

Practicing in Plainview, NY (12979 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Banik (57 Years) 57 Yrs

Plainview Specialty Average (28.3 Years) 28.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	768	154	$460.00	$134.56
99213 Established patient office or other outpatient visit, typically 15 minutes	474	167	$494.00	$105.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	411	99	$182.00	$56.15
93000 Routine ekg using at least 12 leads including interpretation and report	281	161	$139.00	$16.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	110	97	$879.00	$196.44
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	101	95	$365.76	$75.43
99221 Initial hospital inpatient care per day, typically 30 minutes	80	72	$430.00	$94.72
36415 Insertion of needle into vein for collection of blood sample	72	57	$39.00	$8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	34	$689.00	$145.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$566.00	$150.97
G0008 Administration of influenza virus vaccine	21	20	$107.00	$37.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$917.00	$194.53
90662 Influenza vaccine split virus, preservative free	20	19	$221.00	$81.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,286	193	$460.00	$136.38
99213 Established patient office or other outpatient visit, typically 15 minutes	576	188	$494.00	$105.27
93000 Routine ekg using at least 12 leads including interpretation and report	326	157	$139.00	$17.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	191	150	$879.00	$198.72
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	113	86	$365.76	$75.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	100	22	$182.00	$57.86
36415 Insertion of needle into vein for collection of blood sample	83	56	$39.00	$8.40
G0008 Administration of influenza virus vaccine	37	37	$107.00	$35.98
90662 Influenza vaccine split virus, preservative free	36	36	$210.00	$71.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	25	$689.00	$148.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$577.54	$148.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$979.00	$207.50
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$453.63	$97.51
99496 Transitional care management services for problem of high complexity	17	17	$1193.00	$321.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,604	275	$288.89	$119.21
99213 Established patient office or other outpatient visit, typically 15 minutes	461	183	$498.52	$108.29
93000 Routine ekg using at least 12 leads including interpretation and report	325	174	$229.51	$17.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	200	175	$404.22	$231.98
36415 Insertion of needle into vein for collection of blood sample	105	77	$24.69	$2.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	88	88	$505.25	$154.66
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	78	78	$1000.00	$243.18
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	74	72	$905.72	$78.95
93880 Ultrasound of both sides of head and neck blood flow	66	66	$1000.00	$241.96
93925 Ultrasound of leg arteries or artery grafts	61	61	$1000.00	$306.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	14	$322.00	$83.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	28	$570.20	$151.96
G0008 Administration of influenza virus vaccine	27	26	$106.74	$35.32
90662 Influenza vaccine split virus, preservative free	23	23	$196.00	$68.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$979.00	$216.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	990	172	$250.00	$119.93
99213 Established patient office or other outpatient visit, typically 15 minutes	586	199	$500.00	$109.21
93000 Routine ekg using at least 12 leads including interpretation and report	417	201	$250.00	$18.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	159	125	$300.00	$235.56
36415 Insertion of needle into vein for collection of blood sample	151	89	$25.00	$3.00
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	105	105	$1000.00	$248.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	100	100	$234.00	$158.29
93880 Ultrasound of both sides of head and neck blood flow	92	91	$1000.00	$248.83
93925 Ultrasound of leg arteries or artery grafts	85	85	$1000.00	$317.63
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	80	74	$1000.00	$80.19
G0008 Administration of influenza virus vaccine	53	53	$100.00	$20.38
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	53	53	$75.00	$29.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	33	$500.00	$154.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	915	138	$230.82	$116.60
99213 Established patient office or other outpatient visit, typically 15 minutes	615	221	$500.00	$86.44
93000 Routine ekg using at least 12 leads including interpretation and report	358	188	$250.00	$20.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	122	97	$300.00	$227.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	82	82	$200.00	$129.40
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	82	82	$1000.00	$237.49
36415 Insertion of needle into vein for collection of blood sample	70	57	$25.00	$2.95
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	67	67	$74.78	$29.23
93880 Ultrasound of both sides of head and neck blood flow	64	64	$1000.00	$231.57
G0008 Administration of influenza virus vaccine	64	64	$100.00	$19.75
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	64	60	$1000.00	$80.37
93925 Ultrasound of leg arteries or artery grafts	53	53	$1000.00	$299.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	32	$500.00	$124.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,119	216	$283.02	$119.97
99213 Established patient office or other outpatient visit, typically 15 minutes	854	255	$500.00	$87.20
93000 Routine ekg using at least 12 leads including interpretation and report	513	232	$214.04	$20.49
36415 Insertion of needle into vein for collection of blood sample	224	131	$25.00	$2.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	184	152	$365.76	$233.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	129	129	$272.09	$136.68
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	104	104	$1000.00	$241.29
93880 Ultrasound of both sides of head and neck blood flow	91	90	$1000.00	$240.77
93925 Ultrasound of leg arteries or artery grafts	78	78	$1000.00	$309.29
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	74	67	$1000.00	$83.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	54	$500.00	$127.21
G0008 Administration of influenza virus vaccine	52	52	$100.00	$19.35
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	52	52	$100.00	$18.65
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$327.27	$242.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	887	270	$419.17	$84.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	686	146	$387.35	$119.02
93000 Routine ekg using at least 12 leads including interpretation and report	461	215	$409.65	$20.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	432	70	$456.94	$83.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	162	135	$508.95	$232.31
36415 Insertion of needle into vein for collection of blood sample	159	108	$22.64	$2.94
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	113	113	$1000.00	$245.24
93880 Ultrasound of both sides of head and neck blood flow	94	94	$987.23	$242.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	82	82	$480.79	$135.37
93925 Ultrasound of leg arteries or artery grafts	82	82	$987.80	$316.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	72	55	$98.26	$24.13
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	58	57	$1000.00	$81.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	48	$450.00	$124.47
90471 Administration of 1 vaccine	44	44	$100.00	$24.13
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	23	23	$84.78	$18.65
80061 Blood test, lipids (cholesterol and triglycerides)	16	16	$50.00	$16.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$458.33	$157.06
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	13	13	$30.00	$9.40
80053 Blood test, comprehensive group of blood chemicals	12	12	$75.00	$12.78
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$500.00	$241.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,080	153	$275.25	$119.06
99213 Established patient office or other outpatient visit, typically 15 minutes	824	273	$200.00	$84.67
93000 Routine ekg using at least 12 leads including interpretation and report	511	247	$75.00	$20.21
36415 Insertion of needle into vein for collection of blood sample	177	114	$10.00	$2.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	162	125	$550.00	$232.10
80061 Blood test, lipids (cholesterol and triglycerides)	137	96	$50.00	$8.30
82550 Creatine kinase (cardiac enzyme) level, total	111	73	$40.00	$6.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	107	107	$325.00	$133.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	101	25	$294.06	$82.06
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	101	99	$50.00	$18.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	101	83	$30.00	$10.45
G0008 Administration of influenza virus vaccine	100	98	$75.00	$29.93
84443 Blood test, thyroid stimulating hormone (TSH)	92	76	$90.00	$22.59
80053 Blood test, comprehensive group of blood chemicals	88	75	$75.00	$12.34
84436 Thyroxine (thyroid chemical), total	84	71	$35.00	$9.23
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	81	76	$1000.00	$71.39
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	73	72	$1000.00	$264.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	48	$300.00	$122.71
83036 Hemoglobin A1C level	51	34	$60.00	$13.05
80076 Liver function blood test panel	51	33	$32.00	$5.37
93880 Ultrasound of both sides of head and neck blood flow	46	46	$700.00	$242.79
93925 Ultrasound of leg arteries or artery grafts	42	42	$800.00	$310.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$450.00	$191.17
82947 Blood glucose (sugar) level	30	19	$25.00	$4.21
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	28	14	$350.00	$165.88
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	15	15	$1900.00	$544.67
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	14	14	$365.00	$77.22
G0009 Administration of pneumococcal vaccine	14	14	$75.00	$29.93
90670 Pneumococcal vaccine for injection into muscle	14	14	$375.00	$187.17
80048 Blood test, basic group of blood chemicals (calcium, total)	13	13	$35.00	$7.45

Medical Specialties & State Licenses

CMS Verified: 2022-08-26

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 119027

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Cardiovascular Disease

NUCC Taxonomy Code: 207RC0000X

State License NY 119027

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00222380 (NY)

Hospital & Practice Group Affiliations

North Shore-Lij Medical Pc

300 Community Dr, Manhasset, NY 110303816

North Shore-Lij Medical Pc

300 Community Dr Ll, Manhasset, NY 110303816

Phone: 5165622229

North Shore-Lij Medical Pc

888 Old Country Rd, Plainview, NY 118034914

Phone: 5167193000

North Shore-Lij Medical Pc

350 Community Dr, Manhasset, NY 110303816

Phone: 5165623845

North Shore-Lij Medical Pc

330 Community Dr, Manhasset, NY 110303816

Phone: 5167082550

North Shore-Lij Medical Pc

1111 Marcus Ave, New Hyde Park, NY 110421034

North Shore-Lij Medical Pc

25 Central Park Rd, Plainview, NY 118032001

Phone: 5167193096

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Dr. Robert Scolnick , MD

Anesthesiology

NPI 1134135312

Doctor of Medicine (M.D.)

Dr. Elliot Grossman , MD

Surgery

NPI 1336223916

Doctor of Medicine (M.D.)

Dr. Paul Bender , DDS

Dentist - General Practice

NPI 1396062642

Doctor of Dental Surgery

Dr. Reuben David , DDS

Dentist - Prosthodontics

NPI 1497088629

Doctor of Dental Surgery

Dr. Glenn Ludwig , DMD

Dentist - Periodontics

NPI 1518088962

Doctor of Dental Medicine

Dr. Vera Tang , DDS, MS

Dentist - Periodontics

NPI 1548471444

Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 26, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location January 26, 2010

Registered at 1097 OLD COUNTRY RD, STE 103, PLAINVIEW, NY 118036505 (Tel: 5169313131)

📍

Updated Business Mailing Address January 26, 2010

Registered at 1097 OLD COUNTRY RD, STE 103, PLAINVIEW, NY 118036505 (Tel: 5169313131)

👤

Provider Name / Credentials Updated January 26, 2010

Recorded as BHOLA BANIK, MD, PC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2010

Internal Medicine (License #119027 in NY)

🟢

Initial NPI Registration & Enumeration June 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306842646

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 22, 2005

Last Update: August 26, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1097 Old Country Rd, Ste 103

Plainview, NY 118036505

Phone: 5169313131

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.