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Logan Kale Banister, O.D.

NPI 1154551828ActiveIndividual· Optometrist· Derby, KS

Optometrist (O.D.) in Derby, Kansas, trained at Southern College of Optometry (class of 2009). In 2024 Medicare paid $75,988 for 628 patients, and Part D covered 505 of their prescriptions, 74% of them generic.

Overview

NPI1154551828
StatusActive
Entity typeIndividual
CredentialO.D.
Sole proprietorYes
NPI issuedJul 16, 2009
Last updated in NPPESAug 28, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X1856KS

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Optometry (KS)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients628
Services billed1,549 across 16 procedure codes
Paid by Medicare$75,988

Part D prescriptions in 2024

Prescriptions (claims)505 · 871 30-day fills
Patients106
Total drug cost$25,665
Generic share74% of claims

Medicare sources and data years

Education and affiliations

Medical schoolSouthern College of Optometry
Graduation year2009
Medicare specialtyOptometry

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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