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AVINASH SUKHDEV BHAKTA M.D.
NPI 1417274028
Colon & Rectal Surgery in Lexington, KY

Active since April 23, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
800 ROSE STREET, C224, DEPARTMENT OF SURGERY, LEXINGTON, KY 40536(859) 323-6346 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2020, Sep 2, 2016 (2 updates tracked since 2016).

About Avinash Sukhdev Bhakta M.d. NPPES

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

AVINASH SUKHDEV BHAKTA M.D. (NPI 1417274028) is an individual colon & rectal surgery provider in Lexington, Kentucky, licensed in Kentucky (49490) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of University Of Nevada School Of Medicine (2010).

NPPES Registry Identity

NPI1417274028
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameAVINASH SUKHDEV BHAKTACredential: M.D.
Location Address800 ROSE STREET, C224, DEPARTMENT OF SURGERYLexington, KY 40536
Mailing Address800 Rose Street, C224, Department Of SurgeryLexington, KY 40536 · (859) 323-6346
Phone(859) 323-6346
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2010
Enumeration DateApril 23, 2010
Last NPPES UpdateJune 3, 20202 updates tracked since enumeration
NPPES CertifiedJune 3, 2020
✔ NPI 1417274028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in KY · 49490
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License TP302 (KY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
800 ROSE STREET, C224, Lexington, KY 40536
Open in Google Maps ↗

Other Identifiers 1

OtherTP302KY · State License Number

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

Avinash Sukhdev Bhakta 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 ID5395023733
PECOS Enrollment IDI20161104001956
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 8

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.
48 services33 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.
21 services15 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.
19 services19 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.
17 services12 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
16 services14 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.
16 services14 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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

Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
2 suppliers14 claims24 services$6.23 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
2 suppliers19 claims630 services$4.64 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
2 suppliers17 claims660 services$5.89 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
4 suppliers12 claims360 services$3.44 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims680 services$0.23 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
2 suppliers15 claims520 services$2.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Avinash Bhakta's NPI number?

The NPI number for Avinash Bhakta is 1417274028. It was assigned to this individual provider in the NPPES registry on April 23, 2010.

Where is Avinash Bhakta located?

Avinash Bhakta practices at 800 Rose Street, C224 Department Of Surgery, Lexington, KY 40536. The listed phone number is (859) 323-6346.

What is Avinash Bhakta's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Avinash Bhakta enrolled in Medicare?

Yes. Avinash Bhakta 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.

Is Avinash Bhakta affiliated with any hospitals?

According to CMS data, Avinash Bhakta is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Avinash Bhakta was last updated on June 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.