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BHAVANA PATHAK M.D.
NPI 1154610319
Internal Medicine - Hematology & Oncology in Orange, CA

Active since March 28, 2011PECOS EnrolledAccepts Medicare Assignment
76.74/100
CMS Quality Rating
230 S MAIN ST STE 100, ORANGE, CA 92868(714) 541-0101(714) 541-0450 Get Directions Write a Review

NPPES record last updated: August 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bhavana Pathak M.d. NPPES

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

BHAVANA PATHAK M.D. (NPI 1154610319) is an individual hematology & oncology provider in Orange, California, licensed in California (A135301) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2011).

NPPES Registry Identity

NPI1154610319
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameBHAVANA PATHAKCredential: M.D.
Location Address230 S MAIN ST STE 100Orange, CA 92868-3851
Mailing Address230 S Main St Ste 100Orange, CA 92868-3851 · (714) 541-0101 · Fax (714) 541-0450
Phone(714) 541-0101
Fax(714) 541-0450
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2011
Enumeration DateMarch 28, 2011
Last NPPES UpdateAugust 1, 2021
NPPES CertifiedAugust 1, 2021
✔ NPI 1154610319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in CA · A135301
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 8649 (MD)
230 S MAIN ST STE 100, Orange, CA 92868
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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

Bhavana Pathak M.d. 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 ID2365691094
PECOS Enrollment IDI20191106000604
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 4

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.
163 services63 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
70 services31 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

76.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.94
Promoting Interoperability78
Improvement Activities40
Cost55.12

Other Providers at the Same Location NPPES 4

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

CHRISTINE MASTER N.P.
Nurse Practitioner (Adult Health)
230 S MAIN ST STE 100, CORDELIA KNOTT CENTER FOR WELLNESS
ORANGE, CA 92868
Orange County (714) 541-9355
IRYNA RIKA SINGH FNP
Nurse Practitioner
230 S MAIN ST STE 100
ORANGE, CA 92868
Orange County (714) 571-5900
DELANEY LEDUC
Registered Nurse
230 S MAIN ST STE 100
ORANGE, CA 92868
Orange County (657) 241-9820
DR. SHAWNDEEP S TUNG MD
Surgery
230 S MAIN ST STE 100
ORANGE, CA 92868
Orange County (714) 541-0101

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 Bhavana Pathak's NPI number?

The NPI number for Bhavana Pathak is 1154610319. It was assigned to this individual provider in the NPPES registry on March 28, 2011.

Where is Bhavana Pathak located?

Bhavana Pathak practices at 230 S Main St Ste 100, Orange, CA 92868. The listed phone number is (714) 541-0101.

What is Bhavana Pathak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Bhavana Pathak enrolled in Medicare?

Yes. Bhavana Pathak 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.

When was this NPI record last updated?

The NPPES record for Bhavana Pathak was last updated on August 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.