2026 NPPES data Cardiovascular Disease Physician NPI 1154749539 M.D.
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MICHAEL BANNING, M.D.

Cardiovascular Disease Physician in WESTERVILLE, Ohio. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 362 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.1501/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$1.5K
80 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MICHAEL BANNING, M.D. is a Cardiovascular Disease Physician ([object Object]) practicing in WESTERVILLE, Ohio with a Medicare Part D prescribing footprint of 2K claims across 362 beneficiaries — 24% brand-name prescribing . Their CMS MIPS Final Score of 75.1501/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.5K across 80 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MICHAEL BANNING, M.D. reported a CMS MIPS final score of 75.1501 out of 100, below the 83.1 national average, and filed 1,809 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MICHAEL BANNING, M.D. 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).

MICHAEL BANNING, M.D. at a glance

Below national average

NPI registry status

Active

Issued 04/02/2014

NPI 1154749539

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

1,809 40% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

75.1501/100 7.9498999999999995% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Ohio

How Cardiovascular Disease Physician compares to other specialties among Ohio providers

Ohio providers

Cardiovascular Disease Physician share within Ohio

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within Ohio

Medicare quality performance — MIPS

MICHAEL BANNING, M.D.'s 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

Below national average
MIPS Final Score
75.1501/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 75.1501/100 vs national avg 83.1

0%100%National avg83%75.2%
MIPS final score (Cardiovascular Disease Physician) — 75.1501/100 vs national avg 83.1

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 BANNING, M.D. is a Cardiovascular Disease Physician provider practicing in WESTERVILLE, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1154749539. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MICHAEL BANNING, M.D. appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding M.D. credentials at 477 COOPER RD STE 200, WESTERVILLE, OH, 43081, with a listed phone of (614) 627-2000. NPI 1154749539 was issued on 04/02/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BANNING most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,809 prescription claims written by this provider, covering 362 Medicare beneficiaries and totaling roughly $468K in drug spend, split 24% brand-name and 76% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75.1501/100 for the 2023 performance year (Quality 76.2454, Cost 59.2548), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

477 COOPER RD STE 200
WESTERVILLE, OH 43081

Provider Details

NPI 1154749539
Specialty Cardiovascular Disease Physician
Credentials M.D.
Gender Male
NPI Issued 04/02/2014

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75.1501
Final Score
Avg: 83.1
76.2454
Quality
59.2548
Cost
78
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MICHAEL BANNING, M.D. 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.

MOUNT CARMEL HEALTHPROVIDERS TWO LLC
WESTERVILLE, OH

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 BANNING, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.5K

Largest payer

PFIZER 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.

License & disciplinary context — Ohio OMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 — they are NOT specific to MICHAEL BANNING, M.D.. To verify MICHAEL BANNING, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

MICHAEL BANNING, M.D. — brand share 24.0%
Specialty average (est.)

24% brand-name claims vs 76% generic, on 1,809 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.

1,809
Total Claims
$468K
Total Drug Cost
362
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,319
Total Day Supply
128,799
Brand vs Generic
24% brand / 76% generic
Brand Drug Cost
$440K
Generic Drug Cost
$28K

Patient Demographics

Average Patient Age
76.5 years
Avg HCC Risk Score
1.62
Gender Split
48% female / 52% male
Age Distribution
<65: 12, 65-74: 131, 75-84: 157, 85+: 62

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Eliquis
Apixaban
292
Atorvastatin Calcium
186
Metoprolol Succinate
162
Carvedilol
160
Furosemide
114
Lisinopril
71
Losartan Potassium
69
Metoprolol Tartrate
65
Amlodipine Besylate
61
Spironolactone
61

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Cardiovascular Disease Physician Overview

How MICHAEL BANNING, M.D. fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

MICHAEL BANNING, M.D.'s 1,809 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Ohio

Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as BANNING.

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL BANNING, M.D.'s specialty?
MICHAEL BANNING, M.D. specializes in Cardiovascular Disease Physician and practices in WESTERVILLE, Ohio. Credentials: M.D..
How much does MICHAEL BANNING, M.D. prescribe under Medicare Part D?
In 2023, MICHAEL BANNING, M.D. wrote 1,809 Medicare Part D claims totaling $468K in drug costs for 362 beneficiaries.
What is MICHAEL BANNING, M.D.'s Medicare quality score?
MICHAEL BANNING, M.D. has a CMS MIPS Final Score of 75.1501/100 (Quality: 76.2454, Cost: 59.2548). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL BANNING, M.D. located?
MICHAEL BANNING, M.D. is located at 477 COOPER RD STE 200, WESTERVILLE, OH, 43081. Phone: (614) 627-2000.
What is MICHAEL BANNING, M.D.'s NPI number?
MICHAEL BANNING, M.D.'s National Provider Identifier (NPI) is 1154749539, issued on 04/02/2014.
Does MICHAEL BANNING, M.D. prescribe more brand-name or generic drugs?
MICHAEL BANNING, M.D.'s prescribing is 24% brand-name and 76% generic drugs by claim count, with $440K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does MICHAEL BANNING, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL BANNING, M.D.'s most frequently prescribed drugs include Eliquis, Atorvastatin Calcium, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL BANNING, M.D. accept Medicare?
MICHAEL BANNING, M.D. appears in CMS Medicare data with 1,809 Part D claims and 362 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL BANNING, M.D.'s credentials?
MICHAEL BANNING, M.D.'s NPI is 1154749539 with credentials M.D.. 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

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