RAJNEESH K BHALLA MD
NPI 1326062167
Internal Medicine in Port Saint Lucie, FL

Active since July 26, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 10D0973240 · Waiver
97.35/100
CMS Quality Rating
1701 SE HILLMOOR DR, SUITE C-12, PORT SAINT LUCIE, FL 34952(772) 398-8844(772) 398-0012 Get Directions Write a Review

NPPES record last updated: November 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rajneesh K Bhalla Md NPPES

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

RAJNEESH K BHALLA MD (NPI 1326062167) is an individual internal medicine provider in Port Saint Lucie, Florida, licensed in Florida (ME71005) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 30, 2028, and is affiliated with Cleveland Clinic Martin North Hospital.

NPPES Registry Identity

NPI1326062167
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAJNEESH K BHALLACredential: MD
Location Address1701 SE HILLMOOR DR, SUITE C-12Port Saint Lucie, FL 34952-7541
Mailing Address1701 Se Hillmoor Dr, Suite C-12Port Saint Lucie, FL 34952-7541 · (772) 398-8844 · Fax (772) 398-0012
Fax(772) 398-0012
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateJuly 26, 2006
Last NPPES UpdateNovember 8, 2013
NPI 1326062167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME71005
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1701 SE HILLMOOR DR, Port Saint Lucie, FL 34952

Other Identifiers 2

Medicaid009389600FL
Medicare UPING16181FL

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

Rajneesh K Bhalla 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 ID7416083118
PECOS Enrollment IDI20100406000259
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0973240

Rajneesh K Bhalla MD PA · Port Saint Lucie, FL
Active · expires Apr 30, 2028
CLIA Number10D0973240
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorRajneesh K. Bhalla MD
Laboratory Phone(772) 398-8844
Laboratory LocationRajneesh K Bhalla MD PA1701 SE Hillmoor Dr Suite C 12, Port Saint Lucie, FL 34952
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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.
250 services86 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.
73 services46 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.
29 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services14 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services12 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

St Lucie Medical Center

Acute Care Hospitals · Port Saint Lucie, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100260
Location1800 SE Tiffany AvePort Saint Lucie, FL 34952 · St. Lucie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34952 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

97.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost80.48

Reported Quality Measures

Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy
91%43 patients4/55-star benchmark: 100%
Breast Cancer Screening
93%87 patients5/55-star benchmark: 93%
Colorectal Cancer Screening
69%193 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
76%199 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
36%77 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%1,299 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 309 patients
Patients screened: 99% · 309 patients
32%22 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%175 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 265 patients
Patients totalRate: 0% · 265 patients
0%265 patients5/55-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 8

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
6 suppliers15 claims54 services$5.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims16 services$0.92 avg. paid by Medicare
Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier13 claims220 services$11.19 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier13 claims85 services$7.97 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier13 claims85 services$24.90 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims1,654 services$0.03 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 20

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

Social Worker
1701 SE HILLMOOR DR, SUITE 17
PORT ST LUCIE, FL 34952
Psychiatry & Neurology (Neurology)
1701 SE HILLMOOR DR, SUITE D-16
PORT SAINT LUCIE, FL 34952
Chiropractor
1701 SE HILLMOOR DR, SUITE A1
PORT ST LUCIE, FL 34952
Internal Medicine
1701 SE HILLMOOR DR, SUITE #5
PORT SAINT LUCIE, FL 34952
Nurse Practitioner (Pediatrics)
1701 SE HILLMOOR DR, SUITE 19
PORT ST LUCIE, FL 34952
Massage Therapist
1701 SE HILLMOOR DR, SUITE 1A
PORT ST LUCIE, FL 34952
Clinic/Center (Multi-Specialty)
1701 SE HILLMOOR DR, STE. #A-1
PORT ST LUCIE, FL 34952
Internal Medicine
1701 SE HILLMOOR DR, SUITE 5
PORT ST LUCIE, FL 34952

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 Rajneesh Bhalla's NPI number?

The NPI number for Rajneesh Bhalla is 1326062167. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Rajneesh Bhalla located?

Rajneesh Bhalla practices at 1701 SE Hillmoor Dr Suite C-12, Port Saint Lucie, FL 34952. The listed phone number is (772) 398-8844.

What is Rajneesh Bhalla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rajneesh Bhalla enrolled in Medicare?

Yes. Rajneesh Bhalla 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.

Does Rajneesh Bhalla hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0973240) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rajneesh Bhalla accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Rajneesh Bhalla 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 Rajneesh Bhalla affiliated with any hospitals?

According to CMS data, Rajneesh Bhalla is affiliated with Cleveland Clinic Martin North Hospital and St Lucie Medical Center.

When was this NPI record last updated?

The NPPES record for Rajneesh Bhalla was last updated on November 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.