PRASHANT BHOOLA DPM
NPI 1659767143
Podiatrist in Bridgewater, NJ

Active since April 10, 2015PECOS EnrolledAccepts Medicare Assignment
64.89/100
CMS Quality Rating
9 MONROE ST, BRIDGEWATER, NJ 08807(908) 231-1114 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prashant Bhoola Dpm NPPES

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

PRASHANT BHOOLA DPM (NPI 1659767143) is an individual podiatrist in Bridgewater, New Jersey, licensed in New Jersey (25MD00342500) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of New York College Of Podiatric Medicine (2015).

NPPES Registry Identity

NPI1659767143
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NamePRASHANT BHOOLACredential: DPM
Location Address9 MONROE STBridgewater, NJ 08807-3043
Mailing Address9 Monroe StBridgewater, NJ 08807-3043 · (908) 231-1114 · Fax (908) 252-1930
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 2015
Enumeration DateApril 10, 2015
Last NPPES UpdateOctober 8, 2024
NPPES CertifiedOctober 8, 2024
NPI 1659767143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in NJ · 25MD00342500
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
9 MONROE ST, Bridgewater, NJ 08807

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

Prashant Bhoola Dpm 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 ID5597018432
PECOS Enrollment IDI20181023002963
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 17

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
671 services236 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.
328 services44 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.
214 services130 patients
Trimming of fingernails or toenails 11719
Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.
198 services62 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
188 services58 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
126 services52 patients

Hospital Affiliations CMS Care Compare 2

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08807 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

64.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality20
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Podiatrist (Foot & Ankle Surgery)
9 MONROE ST
BRIDGEWATER, NJ 08807
Podiatrist (Foot & Ankle Surgery)
9 MONROE ST
BRIDGEWATER, NJ 08807
Podiatrist (Foot & Ankle Surgery)
9 MONROE ST
BRIDGEWATER, NJ 08807

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 Prashant Bhoola's NPI number?

The NPI number for Prashant Bhoola is 1659767143. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Where is Prashant Bhoola located?

Prashant Bhoola practices at 9 Monroe St, Bridgewater, NJ 08807. The listed phone number is (908) 231-1114.

What is Prashant Bhoola's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Prashant Bhoola enrolled in Medicare?

Yes. Prashant Bhoola 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 Prashant Bhoola affiliated with any hospitals?

According to CMS data, Prashant Bhoola is affiliated with Morristown Medical Center and Robert Wood Johnson University Hospital - Somerset.

When was this NPI record last updated?

The NPPES record for Prashant Bhoola was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.