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MANMEET K BAINS MD
NPI 1104144781
Family Medicine in Racine, WI

Active since May 06, 2010PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
3807 SPRING STREET, RACINE, WI 53405(262) 687-8173(262) 687-8062 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Manmeet K Bains Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANMEET K BAINS MD (NPI 1104144781) is an individual family medicine provider in Racine, Wisconsin, licensed in Wisconsin (53142-020) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1104144781
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMANMEET K BAINSCredential: MD
Location Address3807 SPRING STREETRacine, WI 53405-1667
Mailing Address3807 Spring StreetRacine, WI 53405-1667 · (262) 687-8173 · Fax (262) 687-8062
Phone(262) 687-8173
Fax(262) 687-8062
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 6, 2010
Last NPPES UpdateMarch 13, 2019
✔ NPI 1104144781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 53142-020
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3807 SPRING STREET, Racine, WI 53405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Manmeet K Bains Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395876924
PECOS Enrollment IDI20100625000903
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
223 services110 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
61 services61 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services33 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers43 claims142 services$6.29 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers28 claims43 services$1.09 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier12 claims12 services$309.04 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$83.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIE MARGARET GANIERE NNP
Nurse Practitioner (Neonatal, Critical Care)
3807 SPRING STREET
RACINE, WI 53405
Racine County (414) 412-5926
MS. BERNADINE MARIE FLORES APNP
Nurse Practitioner (Adult Health)
3807 SPRING STREET
RACINE, WI 53405
Racine County (262) 687-8383

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manmeet Bains's NPI number?

The NPI number for Manmeet Bains is 1104144781. It was assigned to this individual provider in the NPPES registry on May 6, 2010.

Where is Manmeet Bains located?

Manmeet Bains practices at 3807 Spring Street, Racine, WI 53405. The listed phone number is (262) 687-8173.

What is Manmeet Bains's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Manmeet Bains enrolled in Medicare?

Yes. Manmeet Bains is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Manmeet Bains accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Manmeet Bains as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Manmeet Bains affiliated with any hospitals?

According to CMS data, Manmeet Bains is affiliated with Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for Manmeet Bains was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.