Active NPI 1760468110 Individual Practitioner Male Practitioner

Dr. William Paul Banish , MD

Surgery • Matthews, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Banish, MD is a certified Surgery practicing in Matthews, NC. With approximately 35 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 1991, Dr. Banish delivers high-quality medical care to the local community at 1450 MATTHEWS TOWNSHIP PKWY STE 250.

Dr. Banish maintains professional affiliations with Novant Health Prep Ii Llc, Beaufort County Memorial Hospital, Dhp Of North Carolina Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, removal of gallbladder using an endoscope, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1450 Matthews Township Pkwy Ste 250

Matthews, NC 281055331

Telephone 7048411444

Fax 7048492520

Associated Practice Facility / Clinic

🏢 Novant Health Prep Ii Llc Facility NPI 1013713437

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Matthews, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +10.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

9 Specialists

Practicing in Matthews, NC (1222 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Banish (35 Years) 35 Yrs

Matthews Specialty Average (24.3 Years) 24.3 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$681.00	$166.80
47562 Removal of gallbladder using an endoscope	15	15	$2262.66	$504.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$667.15	$168.54
47562 Removal of gallbladder using an endoscope	22	21	$2414.88	$576.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	13	$346.00	$115.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	17	$241.00	$76.87
44970 Removal of appendix using an endoscope	14	14	$2233.45	$542.98
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$334.92	$80.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$590.64	$192.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	15	$339.00	$99.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	13	$207.15	$68.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$451.14	$130.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	89	50	$161.72	$70.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	46	$282.57	$133.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	45	$425.00	$194.45
99238 Hospital discharge day management, 30 minutes or less	19	19	$295.00	$70.82
47562 Removal of gallbladder using an endoscope	11	11	$2600.00	$657.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	85	47	$160.00	$72.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	72	71	$280.00	$135.29
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	48	31	$230.00	$102.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	47	$425.00	$200.65
99238 Hospital discharge day management, 30 minutes or less	24	24	$295.00	$72.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	18	$92.00	$39.14
44970 Removal of appendix using an endoscope	11	11	$2035.00	$602.41

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	187	93	$230.00	$98.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	87	84	$425.00	$195.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	64	63	$280.00	$132.42
99238 Hospital discharge day management, 30 minutes or less	25	25	$295.00	$70.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	21	$160.00	$70.43
47562 Removal of gallbladder using an endoscope	20	20	$2600.00	$636.31
99220 Hospital observation care, typically 70 minutes	18	18	$350.00	$179.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	13	$92.00	$38.10
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$150.00	$70.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	48	$468.82	$190.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	20	$167.00	$70.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$309.66	$131.64
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	13	$233.41	$100.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$113.00	$41.09
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$181.11	$69.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$280.00	$101.10
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	11	11	$354.55	$94.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	34	$190.00	$63.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	28	$538.00	$182.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$433.00	$150.36
99213 Established patient office or other outpatient visit, typically 15 minutes	27	11	$136.00	$47.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$113.00	$38.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$280.00	$98.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	14	$106.00	$36.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	12	$201.33	$60.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$281.00	$85.89
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$269.00	$93.45

Medical Specialties & State Licenses

CMS Verified: 2025-03-26

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NC 2015-00687

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License SC 19490

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

T37948 (SC)

Medicaid State Provider ID

1760468110 (NC)

Commercial Insurance / Payer ID Select Health

620108 (SC)

Commercial Insurance / Payer ID Bankers Life And Casualty

770001362 (SC)

Commercial Insurance / Payer ID Cigna

9377345 (SC)

Commercial Insurance / Payer ID Medcost

76051 (SC)

Commercial Insurance / Payer ID Ghi

9645030 (SC)

Hospital & Practice Group Affiliations

Novant Health Prep Ii Llc

1721 Ebenezer Rd, Rock Hill, SC 297321188

Phone: 8033245256

Dhp Of North Carolina Pc

612 Mocksville Ave, Salisbury, NC 281442732

Phone: 7042100500

Beaufort County Memorial Hospital

989 Ribaut Rd, Beaufort, SC 299025481

Phone: 8435248171

Beaufort County Memorial Hospital

1680 Ribaut Rd, Port Royal, SC 299352008

Phone: 8435243344

Novant Health Prep Ii Llc

7300 Carmel Executive Park Dr, Charlotte, NC 282261336

Phone: 7043648104

Secondary Practice Locations

10512 Park Rd Ste 101

Charlotte, NC 28210

Phone: 7045423631

Practice Associates & Co-Workers

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

12 Associated Practitioners

Amy Parris , NP

Nurse Practitioner

NPI 1023630373

Nurse Practitioner

Dr. Iyore James , MD

Surgery

NPI 1043426158

Doctor of Medicine (M.D.)

Dr. Katherine Kauh , MD

Surgery

NPI 1104181759

Doctor of Medicine (M.D.)

Dr. Samik Patel , MD

Surgery

NPI 1174054696

Doctor of Medicine (M.D.)

Dr. Jeffrey Bohn , MD

Surgery

NPI 1205870516

Doctor of Medicine (M.D.)

Claire Jansen , PA

Physician Assistant - Surgical

NPI 1356136782

Physician Assistant

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location March 26, 2025

Registered at 1450 MATTHEWS TOWNSHIP PKWY STE 250, MATTHEWS, NC 281055331 (Tel: 7048411444)

📍

Updated Business Mailing Address March 26, 2025

Registered at PO BOX 604350, CHARLOTTE, NC 282604350 (Tel: 7043648100)

📍

Updated Business Mailing Address February 08, 2022

Registered at PO BOX 33369, CHARLOTTE, NC 282333369 (Tel: 7043648100)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2022

Surgery (License #19490 in SC)

📍

Updated Practice Location September 07, 2018

Registered at 10512 PARK RD STE 101, CHARLOTTE, NC 28210 (Tel: 7045423631)

📍

Updated Business Mailing Address September 07, 2018

Registered at 10512 PARK RD, STE 101, CHARLOTTE, NC 282108473 (Tel: 8033954497)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2018

Surgery (License #2015-00687 in NC)

✅

NPI Profile Active December 02, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 02, 2009

Registered at 1175 COOK RD, SUITE 320, ORANGEBURG, SC 291188201 (Tel: 8035362555)

📍

Updated Business Mailing Address December 02, 2009

Registered at PO BOX 1245, ORANGEBURG, SC 291161245 (Tel: 8033954497)

👤

Provider Name / Credentials Updated December 02, 2009

Recorded as WILLIAM BANISH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2009

Surgery (License #19490 in SC)

🟢

Initial NPI Registration & Enumeration December 19, 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: 1760468110

Entity Type:

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

Enumeration Date: December 19, 2005

Last Update: March 26, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 604350

Charlotte, NC 282604350

Phone: 7043648100

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.