DR. HARSH BABBAR MD
NPI 1114105418
Internal Medicine - Pulmonary Disease in Cedar Park, TX

Active since February 08, 2008PECOS EnrolledAccepts Medicare Assignment
84.2/100
CMS Quality Rating
1464 E WHITESTONE BLVD, SUITE 601, CEDAR PARK, TX 78613(512) 986-7765(512) 986-7608 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Harsh Babbar Md NPPES

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

DR. HARSH BABBAR MD (NPI 1114105418) is an individual pulmonary disease provider in Cedar Park, Texas, licensed in Texas (M9137) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Northwest, and maintains a secondary practice location in Cedar Park.

NPPES Registry Identity

NPI1114105418
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. HARSH BABBARCredential: MD
Location Address1464 E WHITESTONE BLVD, SUITE 601Cedar Park, TX 78613-9058
Mailing Address6300 La Calma Dr, Suite 200Austin, TX 78752-3843
Fax(512) 986-7608
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateFebruary 8, 2008
Last NPPES UpdateDecember 2, 2021
NPPES CertifiedDecember 2, 2021
NPI 1114105418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TX · M9137
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License M9137 (TX)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License M9137 (TX)
1464 E WHITESTONE BLVD, Cedar Park, TX 78613

Other Names 1

Professional Name (2)Dr. Harsh Babbar M.d.

Secondary Practice Location 1

Location 11401 Medical Pkwy Ste 412Cedar Park, TX 78613-5015 · Phone (512) 379-3636 · Fax (512) 379-3641

Other Identifiers 2

Medicaid194026402TX
Medicaid194026401TX

Accepted 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

Dr. Harsh Babbar 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 ID5799856621
PECOS Enrollment IDI20080619000372
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 10

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
414 services189 patients
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.
261 services145 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
256 services167 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
69 services69 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services18 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension Seton Northwest

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450867
Location11113 Research BoulevardAustin, TX 78759 · Travis County
Emergency services Birthing friendly

Ascension Seton Williamson

Acute Care Hospitals · Round Rock, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670041
Location201 Seton ParkwayRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Cedar Park Regional Medical Center

Acute Care Hospitals · Cedar Park, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number670043
Location1401 Medical ParkwayCedar Park, TX 78613 · Williamson County
Emergency services Birthing friendly

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670056
Location6001 Kyle PkwyKyle, TX 78640 · Hays County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78613 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

84.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.88
Improvement Activities0
Cost84.56

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%126 patients4/55-star benchmark: 100%
Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented
100%41 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
94%69 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 26

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
13 suppliers112 claims112 services$33.08 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
15 suppliers88 claims88 services$76.21 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
16 suppliers94 claims269 services$28.33 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
8 suppliers23 claims127 services$15.29 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
8 suppliers40 claims235 services$12.33 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers62 claims62 services$47.30 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 11

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

Counselor (Professional)
1464 E WHITESTONE BLVD
CEDAR PARK, TX 78613
Physician Assistant (Medical)
1464 E WHITESTONE BLVD, SUITE 301
CEDAR PARK, TX 78613
Internal Medicine (Pulmonary Disease)
1464 E WHITESTONE BLVD, SUITE 601
CEDAR PARK, TX 78613
Internal Medicine (Pulmonary Disease)
1464 E WHITESTONE BLVD, SUITE 601
CEDAR PARK, TX 78613
Pediatrics
1464 E WHITESTONE BLVD, SUITE 901
CEDAR PARK, TX 78613
Clinic/Center (Primary Care)
1464 E WHITESTONE BLVD, #201
CEDAR PARK, TX 78613
Chiropractor
1464 E WHITESTONE BLVD, STE101
CEDAR PARK, TX 78613
Counselor (Professional)
1464 E WHITESTONE BLVD, SUITE 2001
CEDAR PARK, TX 78613

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 Harsh Babbar's NPI number?

The NPI number for Harsh Babbar is 1114105418. It was assigned to this individual provider in the NPPES registry on February 8, 2008. The provider is also known as Dr. Harsh Babbar M.D..

Where is Harsh Babbar located?

Harsh Babbar practices at 1464 E Whitestone Blvd Suite 601, Cedar Park, TX 78613. The listed phone number is (512) 986-7765.

What is Harsh Babbar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Harsh Babbar enrolled in Medicare?

Yes. Harsh Babbar 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 Harsh Babbar accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Harsh Babbar 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 Harsh Babbar affiliated with any hospitals?

According to CMS data, Harsh Babbar is affiliated with Ascension Seton Northwest, Ascension Seton Williamson, Cedar Park Regional Medical Center and Ascension Seton Hays.

When was this NPI record last updated?

The NPPES record for Harsh Babbar was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.