Heather Banks, MD
NPI 1093804460 · Family Medicine Physician · Boulder, CO
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heather Banks, MD is a Family Medicine Physician provider in Boulder, CO (NPI 1093804460).
Provider details
- NPI number
- 1093804460
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD24027 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
302 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 151 | $81 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 102 | $97 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 29 | $44 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 20 | $56 |
Typical Medicare-allowed amounts for these services range $44–$97 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 34 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 133 | 33 |
| Atorvastatin Calcium | 87 | 28 |
| Rosuvastatin Calcium | 85 | 30 |
| Amlodipine Besylate | 68 | 24 |
| Omeprazole | 53 | 14 |
| Losartan Potassium | 51 | 14 |
| Gabapentin |
Practice location
Mailing address
Additional practice locations (1)
- 12605 E 16th AveAurora, CO 80045-2545Phone: (720) 848-0000
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2019-10-30
Frequently asked questions
- What is Heather Banks's NPI number?
- Heather Banks's National Provider Identifier (NPI) is 1093804460, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heather Banks's specialty?
- Heather Banks is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Heather Banks located?
- Heather Banks's practice location on file with NPPES is 5495 Arapahoe Ave, Boulder, CO 80303-1200.
- What is Heather Banks's phone number?
- The practice phone number listed in the NPPES registry for Heather Banks is (720) 848-9200.
- Does Heather Banks accept Medicare?
- Heather Banks is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Heather Banks's NPI active?
- Yes — Heather Banks's NPI (1093804460) is active in the NPPES registry as of the last update on 2019-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.