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MRS. BHAGYA LAKSHMI BALASA NP
NPI 1578016291
Nurse Practitioner - Adult Health in Plano, TX

Active since July 28, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4001 BASHFUL DR, PLANO, TX 75093(732) 859-7429 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Bhagya Lakshmi Balasa Np NPPES

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

MRS. BHAGYA LAKSHMI BALASA NP (NPI 1578016291) is an individual adult health provider in Plano, Texas, licensed in Texas (AP131416) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Medical City Weatherford, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1578016291
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. BHAGYA LAKSHMI BALASACredential: NP
Location Address4001 BASHFUL DRPlano, TX 75093-6977
Mailing Address4001 Bashful DrPlano, TX 75093-6977 · (732) 859-7429
Phone(732) 859-7429
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 28, 2016
✔ NPI 1578016291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in TX · AP131416
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP131416 (TX)
4001 BASHFUL DR, Plano, TX 75093
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Bhagya Lakshmi Balasa Np 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 ID4082996814
PECOS Enrollment IDI20170131000694
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 Reassignments

4

Medicare enrollment records show Bhagya Balasa reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ntx Pain & Rehab
4.3 mi
Physical Medicine & Rehabilitation
2460 MARSH LN
Plano, TX 75093
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
NPI 1528423027 (214) 335-9001
Inpatient Physician Associates PLLC
14 mi
Internal Medicine
6901 SNIDER PLZ, SUITE 130
Dallas, TX 75205
  • Reassigned Medicare billing, Texas enrollment
  • 144 clinicians in this Medicare group
NPI 1285696898 (214) 696-8033
Rasika Rehab PLLC
24 mi
Physical Medicine & Rehabilitation
2304 HIGHWAY 121
Bedford, TX 76021
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1134262520 (214) 991-9666
Karthik Sampath MD PLLC
25 mi
Physical Medicine & Rehabilitation
550 E ANN ARBOR AVE
Dallas, TX 75216
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1609235704 (214) 376-1701

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

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
904 services178 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
834 services401 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.
478 services409 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
230 services88 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
132 services111 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
104 services99 patients

Hospital Affiliations CMS Care Compare

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

Medical City Weatherford

Acute Care Hospitals · Weatherford, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450203
Location713 E Anderson StWeatherford, TX 76086 · Parker County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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 Bhagya Balasa's NPI number?

The NPI number for Bhagya Balasa is 1578016291. It was assigned to this individual provider in the NPPES registry on July 28, 2016.

Where is Bhagya Balasa located?

Bhagya Balasa practices at 4001 Bashful Dr, Plano, TX 75093. The listed phone number is (732) 859-7429.

What is Bhagya Balasa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Bhagya Balasa enrolled in Medicare?

Yes. Bhagya Balasa 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.

Which organizations bill Medicare for Bhagya Balasa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bhagya Balasa reassigns Medicare benefits to 4 organizations: Ntx Pain & Rehab (Plano, TX), Inpatient Physician Associates PLLC (Dallas, TX), Rasika Rehab PLLC (Bedford, TX) and Karthik Sampath MD PLLC (Dallas, TX). Each 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 Bhagya Balasa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bhagya Balasa accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Bhagya Balasa 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 Bhagya Balasa affiliated with any hospitals?

According to CMS data, Bhagya Balasa is affiliated with Medical City Weatherford.

When was this NPI record last updated?

The NPPES record for Bhagya Balasa was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.