James C. Banich, MD
NPI 1801087044ActiveIndividual· Plastic Surgery· Colorado Springs, CO
Plastic Surgery (MD) in Colorado Springs, Colorado, trained at Loyola University of Chicago, Stritch School of Medicine (class of 1999). 478 Medicare patients in 2024, $330,104 paid; nearly all of their 784 Part D prescriptions were generic (99%).
Overview
| NPI | 1801087044 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Aug 5, 2007 |
| Last updated in NPPES | Nov 24, 2020 |
| Certified by provider | Nov 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | DR0059047 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Plastic and Reconstructive Surgery (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 478 |
|---|---|
| Services billed | 930 across 81 procedure codes |
| Paid by Medicare | $330,104 |
Part D prescriptions in 2024
| Prescriptions (claims) | 784 · 785 30-day fills |
|---|---|
| Patients | 462 |
| Total drug cost | $5,908 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | Loyola University of Chicago, Stritch School of Medicine |
|---|---|
| Graduation year | 1999 |
| Medicare specialty | Plastic And Reconstructive Surgery |
| Secondary specialties | Otolaryngology |
Medical group
- Vanguard Medical Specialists, LLCCastle Rock, CO · 23 clinicians
Hospital affiliation
- Centura Health-Penrose St Francis Health ServicesColorado Springs, CO
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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