Gisela Banauch, M.D.
NPI 1366554966 · Pulmonary Disease Physician · Worcester, MA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gisela Banauch, M.D. is a Pulmonary Disease Physician provider in Worcester, MA (NPI 1366554966).
Provider details
- NPI number
- 1366554966
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 234149 (MA)
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
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
413 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 185 | $116 |
| Critical Care, First 30-74 Minutes99291 | 159 | $208 |
| Critical Care, Each Additional 30 Minutes99292 | 39 | $105 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 30 | $171 |
Typical Medicare-allowed amounts for these services range $105–$208 (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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2024-05-29
- Certified
- 2024-05-29
Frequently asked questions
- What is Gisela Banauch's NPI number?
- Gisela Banauch's National Provider Identifier (NPI) is 1366554966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gisela Banauch's specialty?
- Gisela Banauch is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Gisela Banauch located?
- Gisela Banauch's practice location on file with NPPES is 55 Lake Ave N, Worcester, MA 01655-0002.
- What is Gisela Banauch's phone number?
- The practice phone number listed in the NPPES registry for Gisela Banauch is (508) 334-1975.
- Does Gisela Banauch accept Medicare?
- Gisela Banauch is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gisela Banauch's NPI active?
- Yes — Gisela Banauch's NPI (1366554966) is active in the NPPES registry as of the last update on 2024-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.