NPI registry status
Active
2026 NPPES data Surgery Physician NPI 1306081237 M.D.
Verify on CMS → Neil Banga, M.D.
Surgery Physician in Pueblo, Colorado.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 36,199 in 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
65
Medicare Part D claims · 57 beneficiaries · Surgery Physician avg: 169
MIPS score
97.6/100
▲ 14 pts above national avg 83.5 · Exceptional
What the federal data shows
Neil Banga, M.D. reported a CMS MIPS final score of 97.6/100 - above the 83.5 national average - and filed 65 Medicare Part D claims in 2023.
- 97.6/100
- MIPS score · +14 vs avg
- 65
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥84th
- pct among measured MIPS (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.
Neil Banga, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
98 ≥ 84th percentile 84% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Neil Banga, M.D. sits
This provider among surgery physician peers
Across the 7,271 surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Neil Banga, M.D. writes more Part D claims than 39% of them and scores higher on MIPS quality than 85% - placing this provider in the lower-volume, high-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 surgery physician peer from a representative sample of 60; the gold marker is Neil Banga, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Neil Banga, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Neil Banga, M.D.?
High performer (top quartile)Primary specialty
Surgery Physician
Medicare Part D claims
65 62% vs specialty avg
MIPS final score
97.6/100 14.1 pts vs avg
Specialty distribution in Colorado
How Surgery Physician compares to other specialties among Colorado providers
Medicare quality performance, MIPS
Neil Banga, M.D.'s 2023 MIPS final score plotted against the Surgery Physician national average
- MIPS Final Score
- 97.6/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Surgery Physician) - 97.6/100 vs national avg 83.5
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).
Neil Banga, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 1600 N GRAND AVE, Pueblo, CO, 81003, with a listed phone of (719) 545-8240. NPI 1306081237 was issued on 12/05/2008.
Medicare Part D records for calendar year 2023 show 65 prescription claims written by this provider, covering 57 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 56.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.6/100 for the 2023 performance year (Quality 86.5), compared with the 83.5 average among clinicians with a measured score.
Surgery Physician is a mid-sized specialty nationwide, with 36,199 enrolled providers across 56 states and an average of 169 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 | 1306081237 |
|---|---|
| Specialty | Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 12/05/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.5814
Final Score
Measured-score avg: 83.5
86.5348
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Neil Banga, 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.
Parkview Ancillary Services Corporation
Pueblo, CO
Poudre Valley Medical Group LLC
Pueblo, CO
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
65
Total Claims
$2K
Total Drug Cost
57
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 71
- Total Day Supply
- 562
- Generic Drug Cost
- $986
- Opioid Claims
- 37 (56.9% rate)
Patient Demographics
- Average Patient Age
- 69.5 years
- Avg HCC Risk Score
- 1.59
- Gender Split
- 37% female / 63% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 36 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgery Physician Overview
How Neil Banga, M.D. fits within the Surgery Physician landscape nationally.
36,199
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider
Neil Banga, M.D.'s 65 claims are below the specialty average of 169.
Nearby Surgery Physician Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Banga.
Dr. David Abts
M.D.
Aurora, CO
Dr. Stuart Ackley
MD
Grand Junction, CO
Dr. Muhammad Aftab
M.B.,B,S, MD
Aurora, CO
Dr. Rizwan Ahmed
M.D.
Durango, CO
Dr. Eric Ahnfeldt
D.O.
Fort Carson, CO
Compare 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 Colorado medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby 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 Neil Banga, M.D.'s specialty? ▼
Neil Banga, M.D. specializes in Surgery Physician and practices in Pueblo, Colorado. Credentials: M.D..
How much does Neil Banga, M.D. prescribe under Medicare Part D? ▼
In 2023, Neil Banga, M.D. wrote 65 Medicare Part D claims totaling $2K in drug costs for 57 beneficiaries.
What is Neil Banga, M.D.'s Medicare quality score? ▼
Neil Banga, M.D. has a CMS MIPS Final Score of 97.6/100 (Quality: 86.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Neil Banga, M.D. located? ▼
Neil Banga, M.D. is located at 1600 N GRAND AVE, Pueblo, CO, 81003. Phone: (719) 545-8240.
What is Neil Banga, M.D.'s NPI number? ▼
Neil Banga, M.D.'s National Provider Identifier (NPI) is 1306081237, issued on 12/05/2008.
Does Neil Banga, M.D. prescribe opioids? ▼
Yes, Neil Banga, M.D. had 37 opioid claims in 2023 with an opioid prescribing rate of 56.9%.
How many Surgery Physician providers are there in the US? ▼
There are 36,199 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does Neil Banga, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Neil Banga, M.D.'s most frequently prescribed drugs include Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Neil Banga, M.D. accept Medicare? ▼
Neil Banga, M.D. appears in CMS Medicare data with 65 Part D claims and 57 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Neil Banga, M.D.'s credentials? ▼
Neil Banga, M.D.'s NPI is 1306081237 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
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
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.