DR. VIKAS BHUSHAN M.D.
NPI 1285677138
Internal Medicine - Hematology & Oncology in Dallas, TX

PECOS Enrollment and Medicare Participation Status

Vikas Bhushan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

• Is the provider registered in PECOS? Yes

• PECOS PAC ID: 3779541396

  What is the PECOS Associate Control ID?
  A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

• PECOS Enrollment ID: I20041229000736

  What is the Provider Enrollment ID?
  The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

• Accepts Medicare Assignment? Yes

  What does it mean "accepts medicare assignment"?
  When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
  A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

• Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

• Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

• Eligible to Order or Refer a Home Health Agency (HHA): Yes

• Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Drugs and Nutritional Products

• Other drugs (O1E)

  Tacrolimus, immediate release, oral, 1 mg (HCPCS:J7507)

  5 DME suppliers used 17 Medicare Claims 1035 Services Paid

• Other drugs (O1E)

  Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period (HCPCS:Q0511)

  6 DME suppliers used 20 Medicare Claims 20 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 75230 ZIP code area.

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

• 3631

  Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)

• 3000

  Injection, denosumab, 1 mg (HCPCS:J0897)

• 872

  Blood test, comprehensive group of blood chemicals (HCPCS:80053)

• 671

  Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)

• 561

  Insertion of needle into vein for collection of blood sample (HCPCS:36415)

• 555

  Infusion of chemotherapy into a vein up to 1 hour (HCPCS:96413)

• 414

  Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour (HCPCS:96367)

• 353

  Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

• 314

  Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a (HCPCS:G9678)

• 290

  Injection, palonosetron hcl, 25 mcg (HCPCS:J2469)

• 256

  Injection of different drug or substance into a vein for therapy, diagnosis, or prevention (HCPCS:96375)

• 203

  Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour (HCPCS:96365)

• 46

  Administration of influenza virus vaccine (HCPCS:G0008)

• 45

  Administration of pneumococcal vaccine (HCPCS:G0009)

• 42

  X-ray of chest, 2 views (HCPCS:71046)

• 14

  Nuclear medicine study with ct imaging skull base to mid-thigh (HCPCS:78815)

• 14

  Automated urinalysis test (HCPCS:81003)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Vikas Bhushan is affiliated with the following medical facilities:

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NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

The NPI number 1285677138 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

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The following 20 providers are registered at the same or nearby location.

Frequently Asked Questions