DR. BHARVI ASHOK BALAR MD
NPI 1487187498
Family Medicine in Shelton, CT

Q: What is Bharvi Balar's NPI number?

The NPI number for Bharvi Balar is 1487187498. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Q: What is Bharvi Balar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Bharvi Balar was last updated on April 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 06, 2017PECOS EnrolledAccepts Medicare Assignment

97.27/100

CMS Quality Rating

224 LEAVENWORTH RD, SHELTON, CT 06484(203) 926-1206(203) 926-0413 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 4, 2024, Jul 27, 2021 (2 updates tracked since 2021).

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About Dr. Bharvi Ashok Balar Md NPPES

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

DR. BHARVI ASHOK BALAR MD (NPI 1487187498) is an individual family medicine provider in Shelton, Connecticut, licensed in Connecticut (67005) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1487187498

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. BHARVI ASHOK BALARCredential: MD

Location Address224 LEAVENWORTH RDShelton, CT 06484-1881

Mailing Address67 Maple AveDerby, CT 06418-1328 · (039) 261-2062 · Fax (203) 926-0413

Phone(203) 926-1206

Fax(203) 926-0413

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 6, 2017

Last NPPES UpdateApril 4, 20242 updates tracked since enumeration

NPPES CertifiedApril 4, 2024

✔ NPI 1487187498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CT · 67005

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

224 LEAVENWORTH RD, Shelton, CT 06484

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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

Dr. Bharvi Ashok Balar 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 ID9739584970

PECOS Enrollment IDI20210825003221

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 3

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 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.

26 services25 patients

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.

15 services15 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06484 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

97.27/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.68

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

73%281 patients4/55-star benchmark: 93%

Cervical Cancer Screening

46%428 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

32%475 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

71%524 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

66%369 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

41%128 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

16%128 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%1,785 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

45%309 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

48%931 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

50%748 patients3/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

39%1,069 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 92% · 928 patients

Patients screened: 97% · 928 patients

54%100 patients3/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

80%260 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 2% · 322 patients

Patients totalRate: 12% · 329 patients

11%329 patients3/55-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.

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Other Providers at the Same Location NPPES 5

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

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