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KARANPREET S BAINS M.D.
NPI 1700020278
Internal Medicine - Infectious Disease in Lufkin, TX

Active since April 28, 2009PECOS Enrolled
91.34/100
CMS Quality Rating
1105 W FRANK AVE STE 240, LUFKIN, TX 75904(936) 639-7851(936) 639-8777 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Karanpreet S Bains M.d. NPPES

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

KARANPREET S BAINS M.D. (NPI 1700020278) is an individual infectious disease provider in Lufkin, Texas, licensed in Texas (Q6494) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Chi St Lukes Health Memorial Lufkin, and maintains a secondary practice location in Marks.

NPPES Registry Identity

NPI1700020278
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameKARANPREET S BAINSCredential: M.D.
Location Address1105 W FRANK AVE STE 240Lufkin, TX 75904-3340
Mailing Address17521 St Lukes Way Ste 180The Woodlands, TX 77384-8040 · (936) 266-3516
Phone(936) 639-7851
Fax(936) 639-8777
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateApril 28, 2009
Last NPPES UpdateJuly 21, 2022
NPPES CertifiedJuly 21, 2022
✔ NPI 1700020278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in TX · Q6494✔ Licensed in MS · 21984
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License Q6494 (TX)
1105 W FRANK AVE STE 240, Lufkin, TX 75904
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Secondary Practice Location 1

Location 1411 Poplar StreetMarks, MS 38646 · Phone (662) 326-9232 · Fax (662) 326-8851

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karanpreet S Bains M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820249030
PECOS Enrollment IDI20170530001314
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

2

Medicare enrollment records show Karanpreet Bains reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

East Texas Id Associates PLLC
1.0 mi
Infectious Disease
505 S JOHN REDDITT DR
Lufkin, TX 75904
  • Reassigned Medicare billing, Texas enrollment
NPI 1881444040 (936) 634-8311
Baylor St. Luke's Medical Group
89 mi
Internal Medicine
17350 ST LUKES WAY STE 400
The Woodlands, TX 77384
  • Reassigned Medicare billing, Texas enrollment
  • 169 clinicians in this Medicare group
NPI 1740485879 (936) 266-3513

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 8

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 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.
1,065 services192 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
258 services216 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.
61 services42 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.
42 services36 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.
33 services23 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Chi St Lukes Health Memorial Lufkin

Acute Care Hospitals · Lufkin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450211
Location1201 West Frank StreetLufkin, TX 75901 · Angelina County
Emergency services Birthing friendly

Chi St Lukes Health Memorial Livingston

Acute Care Hospitals · Livingston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450395
Location1717 Hwy 59 BypassLivingston, TX 77351 · Polk County
Emergency services Birthing friendly

Woodland Heights Medical Center

Acute Care Hospitals · Lufkin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450484
Location505 South John Redditt DriveLufkin, TX 75904 · Angelina County
Emergency services Birthing friendly

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75904 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
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 Karanpreet Bains's NPI number?

The NPI number for Karanpreet Bains is 1700020278. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Where is Karanpreet Bains located?

Karanpreet Bains practices at 1105 W Frank Ave Ste 240, Lufkin, TX 75904. The listed phone number is (936) 639-7851.

What is Karanpreet Bains's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Karanpreet Bains enrolled in Medicare?

Yes. Karanpreet Bains is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karanpreet Bains's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karanpreet Bains reassigns Medicare benefits to 2 organizations: East Texas Id Associates PLLC (Lufkin, TX) and Baylor St. Luke's Medical Group (The Woodlands, 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 Karanpreet Bains's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karanpreet Bains accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Karanpreet Bains 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 Karanpreet Bains affiliated with any hospitals?

According to CMS data, Karanpreet Bains is affiliated with Chi St Lukes Health Memorial Lufkin, Chi St Lukes Health Memorial Livingston, Woodland Heights Medical Center and St Luke's The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Karanpreet Bains was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.