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SANDEEP BAL MD
NPI 1386819449
Internal Medicine in Mount Vernon, WA

Active since April 29, 2008PECOS EnrolledAccepts Medicare Assignment
83.45/100
CMS Quality Rating
1400 E. KINCAID STREET, MOUNT VERNON, WA 98274(360) 428-2592(360) 428-2560 Get Directions Write a Review

NPPES record last updated: November 3, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sandeep Bal Md NPPES

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

SANDEEP BAL MD (NPI 1386819449) is an individual internal medicine provider in Mount Vernon, Washington, licensed in Washington (MD 60067804) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Skagit Valley Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1386819449
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSANDEEP BALCredential: MD
Location Address1400 E. KINCAID STREETMount Vernon, WA 98274-4127
Mailing Address1400 E. Kincaid StreetMount Vernon, WA 98274-4127 · (360) 428-2500 · Fax (360) 428-6485
Phone(360) 428-2592
Fax(360) 428-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 29, 2008
Last NPPES UpdateNovember 3, 2010
✔ NPI 1386819449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · MD 60067804
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.
1400 E. KINCAID STREET, Mount Vernon, WA 98274
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Other Names 1

Other Name (5)Sandeep Atwal M.d.

Other Identifiers 3

OtherMD 60067804WA · Medical License
Other263687WA · Labor & Industries
Medicare PIN8892620WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Sandeep Bal 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 ID446391486
PECOS Enrollment IDI20100112000821
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.

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.
627 services300 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.
304 services239 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
199 services199 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.
178 services178 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
160 services160 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500003
Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County
Emergency services Birthing friendly

Cascade Valley Hospital

Acute Care Hospitals · Arlington, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500060
Location330 S Stillaguamish AveArlington, WA 98223 · Snohomish County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98274 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

83.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.1
Promoting Interoperability88
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

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
10 suppliers63 claims189 services$5.92 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers20 claims38 services$0.91 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers11 claims65 services$14.18 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
2 suppliers13 claims13 services$56.59 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers13 claims78 services$2.49 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims3,645 services$0.38 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 15

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

SHEILA M KENNING ARNP
Nurse Practitioner
1400 E. KINCAID STREET
MOUNT VERNON, WA 98274
Skagit County (360) 428-2560
DR. JOSHUA D. GRIGGS MD
Family Medicine
1400 E. KINCAID STREET, STE A
MOUNT VERNON, WA 98274
Skagit County (360) 428-2501
ANNE L SAARHEIM-RIGGS MD
Family Medicine
1400 E. KINCAID STREET
MOUNT VERNON, WA 98274
Skagit County (360) 428-2500
DR. TARA L. MONTGOMERY DO
Emergency Medicine
1400 E. KINCAID STREET
MOUNT VERNON, WA 98274
Skagit County (360) 428-6434
SCOTT F. MENNELLA MD
Family Medicine
1400 E. KINCAID STREET
MOUNT VERNON, WA 98274
Skagit County (360) 428-6434
TY C. GULSTROM PA- C
Physician Assistant
1400 E. KINCAID STREET
MOUNT VERNON, WA 98274
Skagit County (360) 428-6434
MR. LARRY DAVID CARNES PA-C
Physician Assistant (Medical)
1400 E. KINCAID STREET
MOUNT VERNON, WA 98274
Skagit County (360) 428-6434
JON C RANSOM MD
Internal Medicine
1400 E. KINCAID STREET
MOUNT VERNON, WA 98274
Skagit County (360) 416-5750

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 Sandeep Bal's NPI number?

The NPI number for Sandeep Bal is 1386819449. It was assigned to this individual provider in the NPPES registry on April 29, 2008. The provider is also known as Sandeep Atwal M.D..

Where is Sandeep Bal located?

Sandeep Bal practices at 1400 E. Kincaid Street, Mount Vernon, WA 98274. The listed phone number is (360) 428-2592.

What is Sandeep Bal's specialty?

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

Is Sandeep Bal enrolled in Medicare?

Yes. Sandeep Bal 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 Sandeep Bal accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sandeep Bal 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 Sandeep Bal affiliated with any hospitals?

According to CMS data, Sandeep Bal is affiliated with Skagit Valley Hospital and Cascade Valley Hospital.

When was this NPI record last updated?

The NPPES record for Sandeep Bal was last updated on November 3, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.