Michael Banffy, MD
NPI 1558497982 · Sports Medicine (Orthopaedic Surgery) Physician · Los Angeles, CA
Enrolled with Medicare as Practitioner - Sports Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Banffy, MD is a Sports Medicine (Orthopaedic Surgery) Physician provider in Los Angeles, CA (NPI 1558497982).
Provider details
- NPI number
- 1558497982
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A113942 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
146 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 44 | $97 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 42 | $132 |
| Aspiration And/Or Injection of Fluid Large Joint Using Ultrasound Guidance20611 | 23 | $129 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 23 | $170 |
| X-Ray of Hip, 2-3 Views73502 | 14 | $53 |
Typical Medicare-allowed amounts for these services range $53–$170 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$69,390 across 86 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 444 S San Vicente Blvd Ste 603Los Angeles, CA 90048-4178Phone: (310) 423-4566Fax: (424) 314-8799
- 4644 Lincoln Blvd Ste 102Marina Del Rey, CA 90292-6374Phone: (424) 314-7760Fax: (424) 314-7769
Registry dates
- Enumerated
- 2007-02-27
- Last updated
- 2024-08-15
- Certified
- 2024-08-15
Frequently asked questions
- What is Michael Banffy's NPI number?
- Michael Banffy's National Provider Identifier (NPI) is 1558497982, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Banffy's specialty?
- Michael Banffy is listed in the NPPES registry with a primary specialty of Sports Medicine (Orthopaedic Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Banffy located?
- Michael Banffy's practice location on file with NPPES is 6801 Park Ter Ste 400, Los Angeles, CA 90045-9212.
- What is Michael Banffy's phone number?
- The practice phone number listed in the NPPES registry for Michael Banffy is (310) 665-7227.
- Does Michael Banffy accept Medicare?
- Michael Banffy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Banffy's NPI active?
- Yes — Michael Banffy's NPI (1558497982) is active in the NPPES registry as of the last update on 2024-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.