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DR. TEJ BIPIN BHAVSAR MD
NPI 1689725301
Internal Medicine - Rheumatology in Cumming, GA

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3970 DEPUTY BILL CANTRELL MEM # 203, CUMMING, GA 30040(770) 887-5159(770) 887-9496 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Tej Bipin Bhavsar Md NPPES

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

DR. TEJ BIPIN BHAVSAR MD (NPI 1689725301) is an individual rheumatology provider in Cumming, Georgia, licensed in Georgia (97540) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of State University Of Ny Upstate Medical University (2002).

NPPES Registry Identity

NPI1689725301
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. TEJ BIPIN BHAVSARCredential: MD
Location Address3970 DEPUTY BILL CANTRELL MEM # 203Cumming, GA 30040-3069
Mailing Address3970 Deputy Bill Cantrell Mem # 203Cumming, GA 30040-3069 · (770) 887-5159 · Fax (770) 887-9496
Phone(770) 887-5159
Fax(770) 887-9496
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2002
Enumeration DateJanuary 16, 2007
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1689725301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in GA · 97540✔ Licensed in NY · 288875
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
3970 DEPUTY BILL CANTRELL MEM # 203, Cumming, GA 30040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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. Tej Bipin Bhavsar 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 ID6305972209
PECOS Enrollment IDI20240131004081
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 4

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,020 services14 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.
65 services62 patients
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401
This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.
26 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES

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

CUMMING RHEUMATOLOGY AND ARTHRITIS LLC
Non-Pharmacy Dispensing Site
3970 DEPUTY BILL CANTRELL MEM # 203
CUMMING, GA 30040
Forsyth County (770) 887-5159

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 Tej Bhavsar's NPI number?

The NPI number for Tej Bhavsar is 1689725301. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Tej Bhavsar located?

Tej Bhavsar practices at 3970 Deputy Bill Cantrell Mem # 203, Cumming, GA 30040. The listed phone number is (770) 887-5159.

What is Tej Bhavsar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Tej Bhavsar enrolled in Medicare?

Yes. Tej Bhavsar 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.

What insurance does Tej Bhavsar accept?

Health plans from Alliant Health Plans, Inc. list Tej Bhavsar 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 Tej Bhavsar affiliated with any hospitals?

According to CMS data, Tej Bhavsar is affiliated with Northside Hospital Forsyth.

When was this NPI record last updated?

The NPPES record for Tej Bhavsar was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.