NPI registry status
Active
2026 NPPES data Plastic and Reconstructive Surgery Physician NPI 1093717274 MD
Verify on CMS → Joseph Banis, MD
Plastic and Reconstructive Surgery Physician in Louisville, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,355 in Plastic and Reconstructive Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
59
Medicare Part D claims · 23 beneficiaries · Plastic and Reconstructive Surgery Physician avg: 86
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$2.4K
33 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Joseph Banis, MD filed 59 Medicare Part D claims in 2023 as a Plastic and Reconstructive Surgery Physician in Louisville, Kentucky, prescribing 80% generic.
- 59
- Part D claims, 2023
- 80%
- generic prescribing
- $2.4K
- industry payments (Sunshine Act)
- ≥0th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Joseph Banis, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
59 ≥ 0th percentile 0% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Joseph Banis, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Joseph Banis, MD?
Quality data not reportedPrimary specialty
Plastic and Reconstructive Surgery Physician
Medicare Part D claims
59 31% vs specialty avg
Specialty distribution in Kentucky
How Plastic and Reconstructive Surgery Physician compares to other specialties among Kentucky providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Plastic and Reconstructive Surgery Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Joseph Banis, MD appears in the CMS NPPES registry as a Plastic and Reconstructive Surgery Physician provider holding MD credentials at 2507 BUSH RIDGE DR STE B, Louisville, KY, 40245, with a listed phone of (502) 589-8000. NPI 1093717274 was issued on 06/01/2005.
Medicare Part D records for calendar year 2023 show 59 prescription claims written by this provider, covering 23 Medicare beneficiaries and totaling roughly $8K in drug spend, split 20% brand-name and 80% generic by claim count.
Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 2,355 enrolled providers across 54 states and an average of 86 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1093717274 |
|---|---|
| Specialty | Plastic and Reconstructive Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/01/2005 |
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Joseph Banis, MD. Source: openpaymentsdata.cms.gov.
Total received
$2.4K
Largest payer
ABBVIE INC.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Typical
Joseph Banis, MD - brand share 20.0%
Plastic and Reconstructive Surgery Physician average
20% brand-name claims vs 80% generic, on 59 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
59
Total Claims
$8K
Total Drug Cost
23
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 71
- Total Day Supply
- 1,074
- Brand vs Generic
- 20% brand / 80% generic
- Brand Drug Cost
- $8K
- Generic Drug Cost
- $413
- Antibiotic Claims
- 14
Patient Demographics
- Average Patient Age
- 73.6 years
- Avg HCC Risk Score
- 1.52
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Cephalexin | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Plastic and Reconstructive Surgery Physician in KY →
All providers in Kentucky →
Compare specialties →
Plastic and Reconstructive Surgery Physician Overview
How Joseph Banis, MD fits within the Plastic and Reconstructive Surgery Physician landscape nationally.
2,355
Plastic and Reconstructive Surgery Physician Providers in US
54
States with Plastic and Reconstructive Surgery Physician
86
Avg Claims per Provider
Joseph Banis, MD's 59 claims are below the specialty average of 86.
Nearby Plastic and Reconstructive Surgery Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Banis.
Dr. Saud Alkabbaa
MD
Louisville, KY
Dr. Fouad Atalla
M.D.
Bowling Green, KY
Dr. Robert Ball
M.D.
Pikeville, KY
Dr. Michael Bass
MD
Lexington, KY
Dr. David Brabon
M.D.
Mount Vernon, KY
Compare Plastic and Reconstructive Surgery Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Kentucky medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Plastic and Reconstructive Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Joseph Banis, MD's specialty? ▼
Joseph Banis, MD specializes in Plastic and Reconstructive Surgery Physician and practices in Louisville, Kentucky. Credentials: MD.
How much does Joseph Banis, MD prescribe under Medicare Part D? ▼
In 2023, Joseph Banis, MD wrote 59 Medicare Part D claims totaling $8K in drug costs for 23 beneficiaries.
Where is Joseph Banis, MD located? ▼
Joseph Banis, MD is located at 2507 BUSH RIDGE DR STE B, Louisville, KY, 40245. Phone: (502) 589-8000.
What is Joseph Banis, MD's NPI number? ▼
Joseph Banis, MD's National Provider Identifier (NPI) is 1093717274, issued on 06/01/2005.
Does Joseph Banis, MD prescribe more brand-name or generic drugs? ▼
Joseph Banis, MD's prescribing is 20% brand-name and 80% generic drugs by claim count, with $8K in brand drug costs.
How many Plastic and Reconstructive Surgery Physician providers are there in the US? ▼
There are 2,355 Plastic and Reconstructive Surgery Physician providers across 54 states in the US. The average Plastic and Reconstructive Surgery Physician provider writes 86 Medicare Part D claims per year.
What drugs does Joseph Banis, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Joseph Banis, MD's most frequently prescribed drugs include Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Joseph Banis, MD accept Medicare? ▼
Joseph Banis, MD appears in CMS Medicare data with 59 Part D claims and 23 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joseph Banis, MD's credentials? ▼
Joseph Banis, MD's NPI is 1093717274 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.