DR. MICHAEL ALAN BANKS M.D.
NPI 1649278425
Orthopaedic Surgery in Middleburg Heights, OH
Quality Rating: 89.43 out of 100 score
NPI Status: Active since July 14, 2005
Contact Information
7255 OLD OAK BLVD
MIDDLEBURG HEIGHTS, OH
ZIP 44130
Phone: (440) 816-5380
Fax: (440) 816-5398
- Individual
- Male
- Orthopaedic Surgery
- Medicare Quality Reporting
About MICHAEL BANKS
This page provides the complete NPI Profile along with additional information for Michael Banks, a provider established in Middleburg Heights, Ohio with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1649278425 assigned on July 2005. The practitioner's primary taxonomy code is 207X00000X with license number 35-65801 (OH). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1649278425
- Provider Name
- DR. MICHAEL ALAN BANKS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7255 OLD OAK BLVD MIDDLEBURG HEIGHTS, OH 44130
- Location Phone
- (440) 816-5380
- Location Fax
- (440) 816-5398
- Mailing Address
- 7255 OLD OAK BLVD MIDDLEBURG HEIGHTS, OH 44130
- Mailing Phone
- (440) 816-5380
- Mailing Fax
- (440) 816-5398
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-14-2005
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35-65801
- License State
- OH
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
G72544 | MEDICARE UPIN (02) | OH | |
BA4065821 | MEDICARE ID-TYPE UNSPECIFIED (04) | OH | |
2112529 | MEDICAID (05) | OH |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Aspiration and/or injection of fluid from large joint
Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass
Computer-assisted surgery for muscle and bone procedure
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg
Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg
Initial hospital inpatient care per day, typically 70 minutes
Injection into tendon or ligament
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
New patient office or other outpatient visit, 30-44 minutes
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
Replacement of knee joint, both sides of knee
Replacement of thigh bone and hip joint with prosthesis
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement
X-ray of both knees while standing
X-ray of hand, 2 views
X-ray of knee, 1-2 views
X-ray of pelvis, 1-2 views
X-ray of wrist, 2 views
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
This service was performed 363 times for 189 patientsA gauntlet cast is a supportive device applied to your lower forearm and hand. Being an adult version, it's suitable for individuals aged 11 years and above. Made from fiberglass, it's lightweight yet strong, providing optimal support while your injury heals.
This service was performed 21 times for 16 patientsComputer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.
This service was performed 21 times for 21 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 257 times for 229 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 209 times for 179 patientsHymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.
This service was performed 1,800 times for 29 patientsHyaluronan, or Synojoynt, is a substance injected into your joint to help lubricate and cushion it. This can help relieve joint pain and improve mobility, particularly for conditions like arthritis. Each injection contains 1 mg of the substance.
This service was performed 1,540 times for 19 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 43 times for 42 patientsAn injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
This service was performed 12 times for 11 patientsThis injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
This service was performed 352 times for 185 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 172 times for 172 patientsThis is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
This service was performed 28 times for 26 patientsA bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
This service was performed 22 times for 22 patientsThis procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
This service was performed 51 times for 49 patientsThis procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.
This service was performed 15 times for 15 patientsAn X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.
This service was performed 201 times for 191 patientsAn X-ray of the hand, 2 views, is a non-invasive imaging test that uses a small amount of radiation to produce pictures of the bones in your hand. Two different angles are captured to provide a comprehensive view. This helps in diagnosing injuries or conditions affecting your hand.
This service was performed 26 times for 21 patientsAn X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
This service was performed 504 times for 312 patientsAn X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
This service was performed 311 times for 202 patientsAn X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.
This service was performed 49 times for 21 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89.43, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: .
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 89.43 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 64.77
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 64.77
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
Quality Measure | Performance | Number of Patients |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 4 | 9 | 2 | 7 | 8 | 4 | 2 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 8 | 9 | 4 | 7 | 16 | 4 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 8 + 9 + 4 + 7 + 1 + 6 + 4 + 4 + 24 = 75 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 75 = 5 | 5 |
The NPI number 1649278425 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1558369330 | DR. MARK ANTHONY PANIGUTTI M.D. Individual | Orthopaedic Surgery | 7255 OLD OAK BLVD C405 MIDDLEBURG HEIGHTS, OH 44130 (440) 816-5380 |
1275514424 | DR. CHARLES C SHIN MD Individual | Orthopaedic Surgery | 7255 OLD OAK BLVD SUITE C111 CLEVELAND, OH 44130 (440) 816-2730 |
1740252790 | MARY ANN KIRKNER LPT Individual | Physical Therapist | 7255 OLD OAK BLVD CLEVELAND, OH 44130 (440) 891-8878 |
1871565598 | ANDREA L BOYD SPA-C Individual | Physician Assistant | 7255 OLD OAK BLVD CLEVELAND, OH 44130 (440) 891-8878 |
1558322735 | MARY T FITCH PAC Individual | Physician Assistant (Surgical) | 7255 OLD OAK BLVD STE C108 CLEVELAND, OH 44130 (440) 816-2786 |
1467492652 | LAXMINARAYANA RAO Individual | Internal Medicine (Pulmonary Disease) | 7255 OLD OAK BLVD 106 MIDDLEBURG HEIGHTS, OH 44130 (440) 826-3030 |
1497790182 | CARDIOVASCULAR MEDICINE ASSOCIATES, INC. Organization | Internal Medicine (Cardiovascular Disease) | 7255 OLD OAK BLVD C208 MIDDLEBURG HEIGHTS, OH 44130 (440) 816-2708 |
1144258401 | TRILOK SHARMA MD Individual | Internal Medicine (Cardiovascular Disease) | 7255 OLD OAK BLVD C208 MIDDLEBURG HEIGHTS, OH 44130 (440) 816-2708 |
1063510378 | MR. DENNIS J CIGANY LPT Individual | Physical Therapist | 7255 OLD OAK BLVD C405 MIDDLEBURG HTS, OH 44130 (440) 816-5380 |
1114026978 | MR. KEVIN JOHN POWERS PT Individual | Physical Therapist | 7255 OLD OAK BLVD C405 MIDDLEBURG HTS, OH 44130 (440) 816-5380 |
1659471936 | ENT & ALLERGY HEALTH SERVICES, INC. Organization | Specialist | 7255 OLD OAK BLVD SUITE #C-307 CLEVELAND, OH 44130 (440) 234-5150 |
1215023668 | MRS. THERESA ANN SAUNDERS PT Individual | Physical Therapist | 7255 OLD OAK BLVD C405 MIDDLEBURG HTS, OH 44130 (440) 816-5380 |
1871682898 | CHHAYA PATEL, M.D., LLC Organization | Psychiatry & Neurology (Neurology) | 7255 OLD OAK BLVD SUITE C411 MIDDLEBURG HEIGHTS, OH 44130 (440) 260-0400 |
1750464863 | SURESH K. MAHAJAN M.D. INC. Organization | Internal Medicine (Gastroenterology) | 7255 OLD OAK BLVD C101 CLEVELAND, OH 44130 (440) 816-2789 |
1285796755 | AYMAN COUDSI MD Individual | Pediatrics | 7255 OLD OAK BLVD SUITE C410 MIDDELBURGH HTS, OH 44130 (440) 816-2720 |
1831252956 | DR. BELAI DAMTEW MD Individual | Internal Medicine (Infectious Disease) | 7255 OLD OAK BLVD BLDG C, SUITE 302 CLEVELAND, OH 44130 (440) 816-4394 |
1942413828 | DR. ROBERT M COALE M.D. Individual | Orthopaedic Surgery (Sports Medicine) | 7255 OLD OAK BLVD C405, ORTHOWEST MIDDLEBURG HEIGHTS, OH 44130 (440) 816-5380 |
1649457805 | GINGO INCORPORATED Organization | Obstetrics & Gynecology | 7255 OLD OAK BLVD SUITE C112 MIDDLEBURG HEIGHTS, OH 44130 (440) 816-5333 |
1902060783 | DR. NARIMAN KAMAL MORRA M.D. Individual | Internal Medicine | 7255 OLD OAK BLVD C-408 CLEVELAND, OH 44130 (440) 414-9500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649278425, enumerated in the NPI registry as an "individual" on July 14, 2005
The provider is located at 7255 Old Oak Blvd Middleburg Heights, Oh 44130 and the phone number is (440) 816-5380
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass, Computer-assisted surgery for muscle and bone procedure, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg, Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg, Initial hospital inpatient care per day, typically 70 minutes, Injection into tendon or ligament, Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, New patient office or other outpatient visit, 30-44 minutes, Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and, Replacement of knee joint, both sides of knee, Replacement of thigh bone and hip joint with prosthesis, Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement, X-ray of both knees while standing, X-ray of hand, 2 views, X-ray of knee, 1-2 views, X-ray of pelvis, 1-2 views and X-ray of wrist, 2 views.
This NPI record was last updated on July 14, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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