1. Home
  2. Directory
  3. Virginia
  4. Arlington
  5. Family Medicine
  6. NPI Profile

DR. ARUN BANSAL M.D.
NPI 1497141139
Family Medicine in Arlington, VA

Active since April 09, 2015Opted out of Medicare · through Oct 1, 2027
62.13/100
CMS Quality Rating
611 S CARLIN SPRINGS RD STE 405, ARLINGTON, VA 22204(703) 379-0764(571) 530-6288 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 5, 2023, Oct 15, 2021, Feb 10, 2021 and 3 more (6 updates tracked since 2016).

About Dr. Arun Bansal M.d. NPPES

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

DR. ARUN BANSAL M.D. (NPI 1497141139) is an individual family medicine provider in Arlington, Virginia, licensed in Virginia (0101263736) and active in the NPI registry since April 2015. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1497141139
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ARUN BANSALCredential: M.D.
Location Address611 S CARLIN SPRINGS RD STE 405Arlington, VA 22204-1087
Mailing Address611 S Carlin Springs Rd Ste 405Arlington, VA 22204-1087
Phone(703) 379-0764
Fax(571) 530-6288
Sole ProprietorNo
Enumeration DateApril 9, 2015
Last NPPES UpdateJanuary 5, 20236 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
✔ NPI 1497141139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101263736
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.
611 S CARLIN SPRINGS RD STE 405, Arlington, VA 22204
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Arun Bansal M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims

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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22204 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

62.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability0
Improvement Activities40
Cost84.66

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 Arun Bansal's NPI number?

The NPI number for Arun Bansal is 1497141139. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Where is Arun Bansal located?

Arun Bansal practices at 611 S Carlin Springs Rd Ste 405, Arlington, VA 22204. The listed phone number is (703) 379-0764.

What is Arun Bansal's specialty?

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

Is Arun Bansal enrolled in Medicare?

No. Arun Bansal has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Arun Bansal was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.