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Active NPI 1821055047 Individual Practitioner Male Practitioner

Kenneth John Bannon , BSPA-C

Physician Assistant • Carbondale, PA

✓ Accepts Medicare Assignment Telehealth Available
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This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kenneth Bannon, BSPA-C is a registered Physician Assistant practitioner in Carbondale, PA. With approximately 40 years of clinical practice since completing medical education in 1986, Kenneth Bannon provides healthcare services at the registered practice location at 111 SALEM AVENUE.

Kenneth Bannon is affiliated with Delaware Center For Digestive Care Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

111 Salem Avenue
Suite 302

Carbondale, PA 184072574

Telephone 5702822031
Fax 5702822534
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Carbondale, PA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
40 Yrs +19.0 yrs vs City Avg
City Avg: 21.0 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Carbondale, PA (8068 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bannon (40 Years) 40 Yrs
Carbondale Specialty Average (21.0 Years) 21.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes
661 450 $230.46 $75.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
213 160 $325.00 $107.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
197 197 $285.00 $92.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
84 84 $425.00 $136.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
43 43 $150.00 $47.21

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License PA MA001023L

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Delaware Center For Digestive Care Llc

1309 Savannah Rd, Lewes, DE 199581514

Phone: 3025721074

Delaware Center For Digestive Care Llc

4745 Ogletown Stanton Rd, Newark, DE 197132074

Phone: 3027385300

Delaware Center For Digestive Care Llc

35141 Atlantic Ave, Millville, DE 199676954

Phone: 3026456698

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Terry Luma , MD

Family Medicine

NPI 1023350949

Doctor of Medicine (M.D.)

Heather Walters , PA-C

Physician Assistant

NPI 1104027770

Physician Assistant (Certified)

Sharon Savakinas , PA-C

Physician Assistant

NPI 1215955828

Physician Assistant (Certified)

NPI 1669445755

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2015

Registered at 111 SALEM AVENUE, SUITE 302, CARBONDALE, PA 184072574 (Tel: 5702822031)

📍
Updated Business Mailing Address March 23, 2015

Registered at 601 PARK ST, HONESDALE, PA 184311445

👤
Provider Name / Credentials Updated March 23, 2015

Recorded as KENNETH BANNON, BSPA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2015

Physician Assistant (License #MA001023L in PA)

🟢
Initial NPI Registration & Enumeration May 01, 2006

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: 1821055047
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2006
Last Update: March 23, 2015
Sole Proprietor: No

Mailing Address

601 Park St

Honesdale, PA 184311445

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.