NPI registry status
Active
2026 NPPES data Hospitalist Physician NPI 1083024616
Verify on CMS → Michael Banks
Hospitalist Physician in Ashland, 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 16,825 in Hospitalist 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
1K
Medicare Part D claims · 418 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.9/100
▼ 0 pts below national avg 83.1 · Above neutral
Industry payments
$34.39
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Michael Banks reported a CMS MIPS final score of 82.9/100 - below the 83.1 national average - and filed 1,030 Medicare Part D claims in 2023.
- 82.9/100
- MIPS score · 0 vs avg
- 1K
- Part D claims, 2023
- 90%
- generic prescribing
- Likely
- board-certified (heuristic)
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.
Michael Banks's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
83 39th percentile higher than 39% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Michael Banks sits
This provider among hospitalist physician peers
Across the 4,437 hospitalist physician providers who report both Medicare Part D prescribing and a MIPS quality score, Michael Banks writes more Part D claims than 89% of them and scores higher on MIPS quality than 37% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one hospitalist physician peer from a representative sample of 60; the gold marker is Michael Banks. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Michael Banks practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Michael Banks?
Near national averagePrimary specialty
Hospitalist Physician
Medicare Part D claims
1,030 16% vs specialty avg
MIPS final score
82.9/100 0.2 pts vs avg
Specialty distribution in Kentucky
How Hospitalist Physician compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Michael Banks's 2023 MIPS final score plotted against the Hospitalist Physician national average
- MIPS Final Score
- 82.9/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hospitalist Physician) - 82.9/100 vs national avg 83.1
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).
Michael Banks appears in the CMS NPPES registry as a Hospitalist Physician provider at 2201 LEXINGTON AVE, Ashland, KY, 41101, with a listed phone of (606) 408-4000. NPI 1083024616 was issued on 05/05/2014.
Medicare Part D records for calendar year 2023 show 1,030 prescription claims written by this provider, covering 418 Medicare beneficiaries and totaling roughly $75K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 4.0%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 82.9/100 for the 2023 performance year (Quality 70, Cost 65.6), compared with the national average of 83.1.
Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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 | 1083024616 |
|---|---|
| Specialty | Hospitalist Physician |
| Gender | Male |
| NPI Issued | 05/05/2014 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
82.9435
Final Score
Avg: 83.1
70.0105
Quality
65.5754
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Michael Banks bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Kings Daughters Medical Specialties Inc
Ashland, KY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 Michael Banks. Source: openpaymentsdata.cms.gov.
Total received
$34
Largest payer
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
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
Michael Banks - brand share 10.0%
Hospitalist Physician average
10% brand-name claims vs 90% generic, on 1,030 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.
1,030
Total Claims
$75K
Total Drug Cost
418
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,176
- Total Day Supply
- 27,899
- Brand vs Generic
- 10% brand / 90% generic
- Brand Drug Cost
- $52K
- Generic Drug Cost
- $23K
- Opioid Claims
- 41 (4.0% rate)
- Antibiotic Claims
- 142
Patient Demographics
- Average Patient Age
- 71.5 years
- Avg HCC Risk Score
- 2.44
- Gender Split
- 52% female / 48% male
- Age Distribution
- <65: 94, 65-74: 146, 75-84: 124, 85+: 54
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Michael Banks prescribes most
Top Medicare Part D drugs by claim count, 2023
- Furosemide
Furosemide
75 claims
- Metoprolol Tartrate
Metoprolol Tartrate
51 claims
- Atorvastatin Calcium
Atorvastatin Calcium
48 claims
- Metoprolol Succinate
Metoprolol Succinate
36 claims
- Prednisone
Prednisone
35 claims
- Amlodipine Besylate
Amlodipine Besylate
33 claims
- Lisinopril
Lisinopril
33 claims
- Pantoprazole Sodium 29
Pantoprazole Sodium
29 claims
| Drug | Claims |
|---|---|
| Furosemide | 75 |
| Metoprolol Tartrate | 51 |
| Atorvastatin Calcium | 48 |
| Metoprolol Succinate | 36 |
| Prednisone | 35 |
| Amlodipine Besylate | 33 |
| Lisinopril | 33 |
| Pantoprazole Sodium | 29 |
| Cefdinir | 28 |
| Eliquis Apixaban | 28 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hospitalist Physician Overview
How Michael Banks fits within the Hospitalist Physician landscape nationally.
16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider
Michael Banks's 1,030 claims are above the specialty average of 888.
Nearby Hospitalist Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Banks.
Dr. Syed Abbas
MD
Louisville, KY
Dr. Abdel Kareem Abu Malouh
MD
Louisville, KY
Dr. Robert Adams
MBBS
Madisonville, KY
Dr. Mouhamad Addas
MD
Louisville, KY
Dr. Vivekananda Adike
M.D.,
Florence, KY
Compare Hospitalist 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 Hospitalist 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.
Healthcare Guides
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Medical Specialties Explained
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How insurance networks affect your costs
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Explore Kentucky
Frequently Asked Questions
What is Michael Banks's specialty? ▼
Michael Banks specializes in Hospitalist Physician and practices in Ashland, Kentucky.
How much does Michael Banks prescribe under Medicare Part D? ▼
In 2023, Michael Banks wrote 1,030 Medicare Part D claims totaling $75K in drug costs for 418 beneficiaries.
What is Michael Banks's Medicare quality score? ▼
Michael Banks has a CMS MIPS Final Score of 82.9/100 (Quality: 70, Cost: 65.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Michael Banks located? ▼
Michael Banks is located at 2201 LEXINGTON AVE, Ashland, KY, 41101. Phone: (606) 408-4000.
What is Michael Banks's NPI number? ▼
Michael Banks's National Provider Identifier (NPI) is 1083024616, issued on 05/05/2014.
Does Michael Banks prescribe more brand-name or generic drugs? ▼
Michael Banks's prescribing is 10% brand-name and 90% generic drugs by claim count, with $52K in brand drug costs.
Does Michael Banks prescribe opioids? ▼
Yes, Michael Banks had 41 opioid claims in 2023 with an opioid prescribing rate of 4.0%.
How many Hospitalist Physician providers are there in the US? ▼
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does Michael Banks prescribe most often? ▼
Based on 2023 Medicare Part D data, Michael Banks's most frequently prescribed drugs include Furosemide, Metoprolol Tartrate, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michael Banks accept Medicare? ▼
Michael Banks appears in CMS Medicare data with 1,030 Part D claims and 418 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael Banks's credentials? ▼
Michael Banks's NPI is 1083024616. 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.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- 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
Compiled from official public sources by the PlainDoctor editorial team.