Active NPI 1104856848 Individual Practitioner Male Practitioner

Dr. Michael P Banas , MD

Orthopaedic Surgery • Plains, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Banas, MD is a certified Orthopaedic Surgery practicing in Plains, PA. With approximately 38 years of clinical experience since graduating from Perelman School Of Med At The University Of Pennsylvania in 1988, Dr. Banas delivers high-quality medical care to the local community at 220 S RIVER ST.

Dr. Banas maintains professional affiliations with H2 Health And Rehabilitation Services Llc, Bone And Joint Associates and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, aspiration and/or injection of fluid from large joint, established 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

220 S River St

Plains, PA 187051137

Telephone 5708261555

Fax 5708224445

Associated Practice Facility / Clinic

🏢 Bone And Joint Associates Facility NPI 1881693869

Medicare Profile & Education

Medical School

Perelman School Of Med At The University Of Pennsylvania

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Plains, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +1.7 yrs vs City Avg

City Avg: 36.3 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

4 Specialists

Practicing in Plains, PA (1345 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Banas (38 Years) 38 Yrs

Plains Specialty Average (36.3 Years) 36.3 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
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,610	240	$55.66	$7.02
20610 Aspiration and/or injection of fluid from large joint	484	255	$151.74	$62.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	284	204	$143.66	$116.03
99213 Established patient office or other outpatient visit, typically 15 minutes	281	214	$99.47	$82.13
73560 X-ray of knee, 1-2 views	270	200	$72.00	$30.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	109	96	$65.00	$50.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$153.60	$100.77
73030 X-ray of shoulder, minimum of 2 views	59	47	$82.00	$30.78
73502 X-ray of hip, 2-3 views	55	50	$120.00	$41.93
73562 X-ray of knee, 3 views	51	37	$85.00	$36.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$223.20	$151.62
73552 X-ray of thigh bone, minimum 2 views	20	17	$95.00	$31.49
27447 Replacement of knee joint, both sides of knee	20	20	$4800.00	$866.92
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	20	11	$1500.40	$685.34
72100 X-ray of lower and sacral spine, 2-3 views	19	19	$100.00	$35.40
27130 Replacement of thigh bone and hip joint with prosthesis	18	18	$1500.00	$186.81
73610 X-ray of ankle, minimum of 3 views	17	11	$77.00	$32.18
73070 X-ray of elbow, 2 views	13	11	$65.00	$25.87
73060 X-ray of upper arm, minimum of 2 views	12	12	$65.00	$28.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,411	200	$10.00	$6.52
20610 Aspiration and/or injection of fluid from large joint	420	204	$152.36	$64.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	307	202	$135.00	$121.16
99213 Established patient office or other outpatient visit, typically 15 minutes	277	197	$95.00	$85.55
73560 X-ray of knee, 1-2 views	236	165	$71.69	$32.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$145.00	$106.36
73030 X-ray of shoulder, minimum of 2 views	55	47	$82.00	$32.78
73502 X-ray of hip, 2-3 views	47	43	$120.00	$44.39
73562 X-ray of knee, 3 views	37	29	$85.00	$38.37
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	32	19	$1500.40	$700.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$210.00	$159.52
72100 X-ray of lower and sacral spine, 2-3 views	23	23	$100.00	$37.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$65.00	$53.78
27447 Replacement of knee joint, both sides of knee	19	19	$3894.74	$688.40
20600 Aspiration and/or injection of fluid from small joint	18	14	$124.17	$53.44
73552 X-ray of thigh bone, minimum 2 views	13	13	$95.00	$33.75
73610 X-ray of ankle, minimum of 3 views	11	11	$77.00	$34.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,223	171	$10.00	$6.57
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	944	11	$32.31	$9.70
20610 Aspiration and/or injection of fluid from large joint	391	180	$149.16	$65.16
99213 Established patient office or other outpatient visit, typically 15 minutes	257	169	$95.00	$86.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	168	$135.00	$124.13
73560 X-ray of knee, 1-2 views	189	125	$72.00	$32.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$139.71	$108.93
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	48	30	$1500.40	$759.96
73502 X-ray of hip, 2-3 views	47	42	$120.00	$45.44
73030 X-ray of shoulder, minimum of 2 views	44	36	$82.00	$32.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	27	$63.28	$54.78
73562 X-ray of knee, 3 views	27	22	$85.00	$39.62
27447 Replacement of knee joint, both sides of knee	23	22	$4260.87	$836.94
73110 X-ray of wrist, minimum of 3 views	17	11	$75.00	$37.49
73610 X-ray of ankle, minimum of 3 views	17	11	$77.00	$35.78
72100 X-ray of lower and sacral spine, 2-3 views	17	16	$100.00	$38.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$208.00	$162.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,098	164	$9.99	$6.87
20610 Aspiration and/or injection of fluid from large joint	385	175	$148.32	$65.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	267	189	$135.00	$126.25
99213 Established patient office or other outpatient visit, typically 15 minutes	233	167	$87.96	$85.43
73560 X-ray of knee, 1-2 views	200	146	$72.00	$32.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$125.00	$107.97
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	61	38	$1500.40	$760.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	50	$60.00	$54.81
73030 X-ray of shoulder, minimum of 2 views	56	44	$82.00	$33.11
73502 X-ray of hip, 2-3 views	53	49	$120.00	$44.99
73610 X-ray of ankle, minimum of 3 views	35	14	$77.00	$35.38
73562 X-ray of knee, 3 views	21	17	$85.00	$39.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$195.00	$158.71
72100 X-ray of lower and sacral spine, 2-3 views	16	16	$100.00	$38.44
20600 Aspiration and/or injection of fluid from small joint	15	11	$112.33	$53.60
27447 Replacement of knee joint, both sides of knee	12	12	$3766.67	$837.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$275.00	$195.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	881	143	$9.99	$7.06
20610 Aspiration and/or injection of fluid from large joint	302	153	$158.69	$66.03
99213 Established patient office or other outpatient visit, typically 15 minutes	275	177	$83.44	$71.82
73560 X-ray of knee, 1-2 views	154	115	$72.00	$31.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	115	$133.82	$106.33
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	71	37	$1500.40	$746.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	51	$60.00	$43.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$124.26	$105.67
73030 X-ray of shoulder, minimum of 2 views	43	35	$82.00	$31.78
73502 X-ray of hip, 2-3 views	39	35	$120.00	$43.28
73610 X-ray of ankle, minimum of 3 views	21	15	$77.00	$33.53
73562 X-ray of knee, 3 views	21	18	$85.00	$37.50
73552 X-ray of thigh bone, minimum 2 views	16	15	$95.00	$33.26
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$100.00	$36.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$192.14	$162.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$275.00	$200.83
73100 X-ray of wrist, 2 views	13	11	$65.77	$31.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,451	213	$10.00	$6.74
20610 Aspiration and/or injection of fluid from large joint	514	228	$152.27	$62.40
99213 Established patient office or other outpatient visit, typically 15 minutes	419	251	$75.00	$71.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	325	163	$60.00	$43.49
73560 X-ray of knee, 1-2 views	219	161	$72.00	$30.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	150	$125.00	$105.64
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	111	81	$1447.67	$1229.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$120.00	$105.24
73030 X-ray of shoulder, minimum of 2 views	59	48	$82.00	$25.95
73502 X-ray of hip, 2-3 views	48	41	$120.00	$40.16
73562 X-ray of knee, 3 views	30	26	$85.00	$35.38
73610 X-ray of ankle, minimum of 3 views	29	19	$77.00	$31.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$275.00	$199.50
27447 Replacement of knee joint, both sides of knee	18	18	$4527.78	$1118.90
73590 X-ray of lower leg, 2 views	13	11	$77.00	$28.01
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$100.00	$34.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$175.00	$160.35
73552 X-ray of thigh bone, minimum 2 views	11	11	$95.00	$31.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,888	32	$17.71	$11.70
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,457	213	$10.00	$7.02
20610 Aspiration and/or injection of fluid from large joint	487	223	$144.98	$59.23
99213 Established patient office or other outpatient visit, typically 15 minutes	461	265	$75.00	$68.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	312	150	$60.00	$41.13
73560 X-ray of knee, 1-2 views	226	155	$72.00	$28.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	137	$125.00	$100.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$115.22	$102.03
73030 X-ray of shoulder, minimum of 2 views	71	54	$82.00	$26.70
73502 X-ray of hip, 2-3 views	53	50	$120.00	$38.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$275.00	$194.26
73610 X-ray of ankle, minimum of 3 views	26	16	$77.00	$29.09
73562 X-ray of knee, 3 views	24	20	$85.00	$32.97
73630 X-ray of foot, minimum of 3 views	22	14	$77.00	$27.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	11	$125.00	$69.64
27447 Replacement of knee joint, both sides of knee	19	19	$4210.53	$1025.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$175.00	$156.06
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$100.00	$32.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,192	34	$17.71	$12.39
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,318	210	$10.00	$6.80
20610 Aspiration and/or injection of fluid from large joint	468	218	$148.27	$59.31
99213 Established patient office or other outpatient visit, typically 15 minutes	425	253	$75.00	$68.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	316	149	$60.00	$40.48
73560 X-ray of knee, 1-2 views	221	156	$72.00	$27.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	115	$125.00	$100.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$115.00	$101.30
73030 X-ray of shoulder, minimum of 2 views	60	51	$82.00	$26.71
73502 X-ray of hip, 2-3 views	58	47	$120.00	$37.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	30	$275.00	$190.78
72100 X-ray of lower and sacral spine, 2-3 views	22	22	$100.00	$32.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$125.00	$68.62
73610 X-ray of ankle, minimum of 3 views	18	14	$77.00	$28.88
73630 X-ray of foot, minimum of 3 views	16	11	$77.00	$26.65
73552 X-ray of thigh bone, minimum 2 views	14	14	$95.00	$29.86
73590 X-ray of lower leg, 2 views	14	13	$77.00	$26.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$175.00	$154.37
27447 Replacement of knee joint, both sides of knee	12	12	$4363.33	$1124.66

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License PA MD052858L

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0015018410005 (PA)

Commercial Insurance / Payer ID Blue Shield

000161889 (PA)

Commercial Insurance / Payer ID First Priority

806950 (PR)

Hospital & Practice Group Affiliations

Bone And Joint Associates

220 S River St, Plains, PA 187051137

Phone: 5708261555216

H2 Health And Rehabilitation Services Llc

506 Hazle St, Wilkes Barre, PA 187024646

Phone: 5702704366

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. George Ritz , MD

Orthopaedic Surgery

NPI 1023005352

Doctor of Medicine (M.D.)

Dr. Thomas Allardyce , MD

Orthopaedic Surgery

NPI 1114914447

Doctor of Medicine (M.D.)

Dr. Eugene Kim , MD

Orthopaedic Surgery

NPI 1790716298

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 November 28, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location November 28, 2007

Registered at 220 S RIVER ST, PLAINS, PA 187051137 (Tel: 5708261555)

📍

Updated Business Mailing Address November 28, 2007

Registered at 220 S RIVER ST, PLAINS, PA 187051137 (Tel: 5708261555)

👤

Provider Name / Credentials Updated November 28, 2007

Recorded as MICHAEL BANAS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2007

Orthopaedic Surgery (License #MD052858L in PA)

🟢

Initial NPI Registration & Enumeration July 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Michael Banas. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1104856848

Entity Type:

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

Enumeration Date: July 04, 2006

Last Update: November 28, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

220 S River St

Plains, PA 187051137

Phone: 5708261555

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.