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BHAWNA AGARWAL
NPI 1699157966
Internal Medicine in Mckeesport, PA

Active since June 23, 2015PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
1500 FIFTH AVE, 1ST FLOOR KELLY BUILDING, MCKEESPORT, PA 15132(412) 664-2782 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2021, Jul 20, 2018 (2 updates tracked since 2018).

About Bhawna Agarwal NPPES

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

BHAWNA AGARWAL (NPI 1699157966) is an individual internal medicine provider in Mckeesport, Pennsylvania, licensed in Pennsylvania (MD464733) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Upmc Mckeesport Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1699157966
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameBHAWNA AGARWAL
Location Address1500 FIFTH AVE, 1ST FLOOR KELLY BUILDINGMckeesport, PA 15132-2422
Mailing Address1500 Fifth Ave, Suite 1Mckeesport, PA 15132-2422
Phone(412) 664-2782
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 23, 2015
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
✔ NPI 1699157966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD464733
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1500 FIFTH AVE, Mckeesport, PA 15132
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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

Bhawna Agarwal 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 ID9638428022
PECOS Enrollment IDI20180817001666
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.

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.
47 services21 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services16 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.
16 services13 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Mckeesport Hospital

Acute Care Hospitals · Mc Keesport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390002
Location1500 Fifth AvenueMc Keesport, PA 15132 · Allegheny County
Emergency services

Upmc East

Acute Care Hospitals · Monroeville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390328
Location2775 Mosside BoulevardMonroeville, PA 15146 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15132 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers12 claims34 services$5.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

REBECCA JILL MORCHEID PHARMD
Pharmacist
1500 FIFTH AVE
MCKEESPORT, PA 15132
Allegheny County (412) 664-2276
DANA FRANCIS
Occupational Therapy Assistant
1500 FIFTH AVE
MCKEESPORT, PA 15132
Allegheny County (412) 664-2221
APRIL MARIE ANDREEN PHARMD
Pharmacist
1500 FIFTH AVE
MCKEESPORT, PA 15132
Allegheny County (412) 664-3100
DR. SENTA ELIZABETH KASTLER M.D.
Internal Medicine
1500 FIFTH AVE, KELLY BUILDING ROOM 308
MCKEESPORT, PA 15132
Allegheny County (412) 664-2167
JULIE WALTER
Occupational Therapist
1500 FIFTH AVE
MCKEESPORT, PA 15132
Allegheny County (412) 664-2221
JAMES LEE VANTASSEL
Physical Therapy Assistant
1500 FIFTH AVE
MCKEESPORT, PA 15132
Allegheny County (412) 664-2221
LIZA CARMEN LINN
Speech-Language Pathologist
1500 FIFTH AVE
MCKEESPORT, PA 15132
Allegheny County (412) 664-2221
SARA SWEENEY
Physician Assistant (Medical)
1500 FIFTH AVE, SUITE MA42
MCKEESPORT, PA 15132
Allegheny County (412) 748-7444

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 Bhawna Agarwal's NPI number?

The NPI number for Bhawna Agarwal is 1699157966. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Where is Bhawna Agarwal located?

Bhawna Agarwal practices at 1500 Fifth Ave 1st Floor Kelly Building, Mckeesport, PA 15132. The listed phone number is (412) 664-2782.

What is Bhawna Agarwal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bhawna Agarwal enrolled in Medicare?

Yes. Bhawna Agarwal 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 Bhawna Agarwal affiliated with any hospitals?

According to CMS data, Bhawna Agarwal is affiliated with Upmc Mckeesport Hospital and Upmc East.

When was this NPI record last updated?

The NPPES record for Bhawna Agarwal was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.