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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MADHU BAGARIA MD
NPI 1497068423
Obstetrics & Gynecology in Fort Myers, FL

Active since July 19, 2010PECOS Enrolled
78.58/100
CMS Quality Rating
4761 S CLEVELAND AVE STE 4, FORT MYERS, FL 33907(239) 343-6100(239) 343-9727 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 8, 2026, Sep 2, 2026, Nov 20, 2024 and 3 more (6 updates tracked since 2020).

About Madhu Bagaria Md NPPES

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

MADHU BAGARIA MD (NPI 1497068423) is an individual obstetrics & gynecology provider in Fort Myers, Florida, licensed in Florida (ME182899) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497068423
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMADHU BAGARIACredential: MD
Location Address4761 S CLEVELAND AVE STE 4Fort Myers, FL 33907-1375
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-6100 · Fax (239) 343-9727
Phone(239) 343-6100
Fax(239) 343-9727
Sole ProprietorNo
Enumeration DateJuly 19, 2010
Last NPPES UpdateSeptember 8, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1497068423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in FL · ME182899✔ Licensed in MN · 59649✔ Licensed in MI · 4301096090
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4761 S CLEVELAND AVE STE 4, Fort Myers, FL 33907
Open in Google Maps ↗

Secondary Practice Locations 2

Location 118 E 41st St Rm 2002New York, NY 10017-6215 · Phone (646) 481-4998
Location 2106 Grand Ave Ste 435Englewood, NJ 07631-3565 · Phone (201) 266-3553

Other Identifiers 1

Medicaid132200300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madhu Bagaria Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Madhu Bagaria reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lee Health System Inc
6.4 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33907 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
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

78.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.05
Promoting Interoperability100
Improvement Activities40
Cost59.56

Other Providers at the Same Location NPPES 4

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

JOCELYN JACKSON ARNP
Nurse Practitioner (Family)
4761 S CLEVELAND AVE STE 4
FORT MYERS, FL 33907
Lee County (239) 343-6100
TARA SUAREZ FNP
Nurse Practitioner (Family)
4761 S CLEVELAND AVE STE 4
FORT MYERS, FL 33907
Lee County (239) 343-6100
SAMANTHA WILSON CNP
Nurse Practitioner (Family)
4761 S CLEVELAND AVE STE 4
FORT MYERS, FL 33907
Lee County (239) 343-6100
SKYLER STARKEY APRN
Nurse Practitioner (Women's Health)
4761 S CLEVELAND AVE STE 4
FORT MYERS, FL 33907
Lee County (423) 619-8312

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 Madhu Bagaria's NPI number?

The NPI number for Madhu Bagaria is 1497068423. It was assigned to this individual provider in the NPPES registry on July 19, 2010.

Where is Madhu Bagaria located?

Madhu Bagaria practices at 4761 S Cleveland Ave Ste 4, Fort Myers, FL 33907. The listed phone number is (239) 343-6100.

What is Madhu Bagaria's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Madhu Bagaria enrolled in Medicare?

Yes. Madhu Bagaria is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madhu Bagaria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madhu Bagaria reassigns Medicare benefits to Lee Health System Inc (Fort Myers, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madhu Bagaria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madhu Bagaria accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Madhu Bagaria 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.

When was this NPI record last updated?

The NPPES record for Madhu Bagaria was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.