Nicole Renae Bane
NPI 1629480462ActiveIndividual· Internal Medicine· Jbsa Lackland, TX
Internal Medicine in Jbsa Lackland, Texas, trained at Lake Erie College of Osteopathic Medicine, Erie (class of 2014). In 2024 Medicare paid $23,504 for 173 patients, and Part D covered 216 of their prescriptions, 81% of them generic.
Overview
| NPI | 1629480462 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 28, 2014 |
| Last updated in NPPES | Feb 23, 2021 |
| Certified by provider | Feb 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | OS018569 | PA |
| Internal Medicine | 207R00000X | OT015982 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 173 |
|---|---|
| Services billed | 331 across 10 procedure codes |
| Paid by Medicare | $23,504 |
Part D prescriptions in 2024
| Prescriptions (claims) | 216 · 226 30-day fills |
|---|---|
| Patients | 76 |
| Total drug cost | $22,339 |
| Generic share | 81% of claims |
Education and affiliations
| Medical school | Lake Erie College of Osteopathic Medicine, Erie |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | Internal Medicine |
Medical group
- St Clair Professional Services IncPittsburgh, PA · 80 clinicians
Hospital affiliation
- St Clair HospitalPittsburgh, PA
Other facilities
- Gallagher Hospice, LLCHospice · Bridgeville, PA
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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