NPPES file of Aug 9, 2026

James C. Banich, MD

Plastic Surgery Physician · Colorado Springs, CO

James C. Banich, MD is a plastic surgery physician with a practice address in Colorado Springs, Colorado, and NPI 1801087044, issued on Aug 5, 2007. Check the license (Colorado DR0059047, as entered in NPPES) on the Colorado Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1801087044
Name
James C. Banich
Credential
MD
Primary taxonomy
Plastic Surgery Physician 208200000X
License number
DR0059047 CO
Self-reported in NPPES; status is on the state search
Practice location
9348 Grand Cordera Pkwy Ste 160, Colorado Springs, CO 80924
Phone
(719) 355-1585
Enumerated
Aug 5, 2007
Record last updated
Nov 24, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(719) 623-2983
Medicare enrollment
Enrolled (PECOS I20170823001650); accepts Medicare assignment
Medical or professional school
Loyola University Of Chicago, Stritch School Of Medicine, 1999
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 9348 Grand Cordera Pkwy Ste 160

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Landon Barton, PA-CPhysician Assistant1982258562
  2. Jelena Eddy, PAPhysician Assistant1386020659
  3. Janette Fant, NPFamily Nurse Practitioner1588130157
  4. Tamara Frederick, PA-CPhysician Assistant1679738025
  5. Benjamin Freemyer, MDDermatology Physician1326545328
  6. Brayden Healey, DODermatology Physician1649625351

Verify James C. Banich in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersColorado Medical Board
    Search for license DR0059047
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Colorado license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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8.4 times the Medicare Part D claims of the average plastic surgery physician in 2024

784 Medicare Part D claims for 462 beneficiaries, against an average of 93 among the 3,527 providers of this specialty who prescribed in Part D. 305 claims were for opioids.

  1. James Banich784
  2. Specialty average93

Most prescribed

  1. Hydrocodone-Acetaminophen263 claims
  2. Cephalexin240 claims
  3. Doxycycline Hyclate121 claims
  4. Levofloxacin20 claims
  5. Oxycodone Hcl18 claims
  6. Amoxicillin-Clavulanate Potass17 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 92.9 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score88.0
  2. Costout of 100 · 30%88.4
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Vanguard Medical Specialists, LLCColorado Springs, CO

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

James C. Banich among 83 plastic surgery physician records in Colorado

James C. Banich, MD is one of 83 plastic surgery physician records with a practice address in Colorado. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 48% of them.

  • NPI issued2007 · 48% of these records are older, 33% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 36% of these records are
  • Graduated1999 · median 2004 among the 30 with a school on file
  • Record last updated2020 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208200000X and a Colorado practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Plastic Surgery Physician providers in Colorado

There are 83 plastic surgery physician records in Colorado.

The 8 plastic surgery physician records with the nearest ZIP codes

  1. Paul Pierce, M.D.Colorado Springs, CO 809231598924201
  2. Krishna Dash, MDColorado Springs, CO 809201710073424
  3. Rupesh Jain, MDColorado Springs, CO 809201598850810
  4. Suma YalamanchiliColorado Springs, CO 809201194189050
  5. Gregory Liebscher, MDColo Spgs, CO 809191922067263
  6. Alexander McCullochColorado Springs, CO 809191114064029
  7. Nolan Jaeger, MDFort Carson, CO 809131972747020
  8. Gregory Bland, M.D.Colorado Springs, CO 809071598767378

Common questions

What is James C. Banich, MD's NPI number?

James C. Banich, MD's National Provider Identifier (NPI) is 1801087044, issued on Aug 5, 2007. An NPI identifies a provider in billing; it is not a license.

Where is James C. Banich, MD located?

The NPPES record lists a practice address at 9348 Grand Cordera Pkwy Ste 160, Colorado Springs, CO, 80924. Phone: (719) 355-1585. Providers update this record themselves, so call before visiting.

How can I verify James C. Banich, MD's license?

NPPES lists Colorado license number DR0059047, as entered by the provider. Search the Colorado Medical Board at https://dpo.colorado.gov/Medical. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James C. Banich, MD prescribe under Medicare Part D?

In 2024, James C. Banich, MD had 784 Medicare Part D claims for 462 beneficiaries; the average among plastic surgery physician prescribers was 93. Part D covers Medicare prescriptions only.

What is James C. Banich, MD's MIPS final score?

The 2023 MIPS final score is 92.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.