Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BHARATHI RAJU MD
NPI 1720078843
Internal Medicine - Endocrinology, Diabetes & Metabolism in Saint Louis, MO

Q: What is Bharathi Raju's NPI number?

The NPI number for Bharathi Raju is 1720078843. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Q: What is Bharathi Raju's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Bharathi Raju was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.

Active since October 28, 2005PECOS EnrolledAccepts Medicare Assignment

99.93/100

CMS Quality Rating

12900 TESSON FERRY RD STE 101, SAINT LOUIS, MO 63128(314) 843-4848(866) 510-2730 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2026, Jul 1, 2024, Sep 16, 2019 (3 updates tracked since 2019).

On this page

About Dr. Bharathi Raju Md NPPES

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

DR. BHARATHI RAJU MD (NPI 1720078843) is an individual endocrinology, diabetes & metabolism provider in Saint Louis, Missouri, licensed in Missouri (2001005643) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Hillsboro Area Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1720078843

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameDR. BHARATHI RAJUCredential: MD

Location Address12900 TESSON FERRY RD STE 101Saint Louis, MO 63128-3002

Mailing Address12900 Tesson Ferry Rd Ste 101Saint Louis, MO 63128-3002 · (314) 843-4848 · Fax (866) 510-2730

Phone(314) 843-4848

Fax(866) 510-2730

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateOctober 28, 2005

Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration

NPPES CertifiedJuly 1, 2024

✔ NPI 1720078843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in MO · 2001005643

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

12900 TESSON FERRY RD STE 101, Saint Louis, MO 63128

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Other Identifiers 1

Medicaid207175407MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health 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 and accepts Medicare assignment

Dr. Bharathi Raju 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 ID5294751632

PECOS Enrollment IDI20051014000840

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

Medicare enrollment records show Bharathi Raju reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South County Endocrinology And Obesity Medicine LLC

Same address

Multi-Specialty

12900 TESSON FERRY RD STE 101
Saint Louis, MO 63128

Reassigned Medicare billing, Missouri enrollment

NPI 1144564196 (314) 843-4848

Iron County Hospital District

62 mi

Rural Health

301 N HIGHWAY 21
Pilot Knob, MO 63663

Reassigned Medicare billing, Missouri enrollment
53 clinicians in this Medicare group

NPI 1073799367 (573) 546-8051

Sarah Bush Lincoln Health Center

77 mi

Critical Access

650 W TAYLOR ST
Vandalia, IL 62471

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1306959689 (Illinois)
121 clinicians in this Medicare group

NPI 1912988734 (618) 283-1232

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 16

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.

1,260 services21 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.

675 services272 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

376 services157 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.

277 services67 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.

145 services101 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.

122 services81 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.

110 services100 patients

Diabetes outpatient self-management training services, individual, per 30 minutes G0108

This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.

69 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.

40 services40 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.

33 services14 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

23 services22 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

23 services23 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.

22 services22 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

22 services11 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

19 services13 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment 95250

This process involves a tiny sensor placed under your skin that checks your blood sugar levels in tissue fluid regularly. The sensor sends these readings to a device, allowing you to track your levels in real-time. This is provided by your healthcare provider.

16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Hillsboro Area Hospital

Critical Access Hospitals · Hillsboro, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141332

Location1200 E Tremont StreetHillsboro, IL 62049 · Montgomery County

Emergency services

Fayette County Hospital

Critical Access Hospitals · Vandalia, IL

OwnershipVoluntary non-profit - Other

CMS Certification Number141346

Location650 W Taylor StVandalia, IL 62471 · Fayette County

Emergency services

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260020

Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County

Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260032

LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County

Emergency services Birthing friendly

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260077

Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

99.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Promoting Interoperability

100

Improvement Activities

Cost

80.67

Reported Quality Measures

Controlling High Blood Pressure

84%893 patients4/55-star benchmark: 98%

Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

100%73 patients5/55-star benchmark: 100%

Coronary Artery Disease (CAD): Antiplatelet Therapy

100%144 patients5/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

15%1,142 patients4/55-star benchmark: 98%

e-Prescribing

99%3,620 patients4/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 860 patients

Patients screened: 100% · 860 patients

100%89 patients5/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

98%773 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

86%1,086 patients4/55-star benchmark: 91%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

8 suppliers53 claims703 services$17.78 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

9 suppliers52 claims1,655 services$2.37 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

51 suppliers189 claims826 services$6.01 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

3 suppliers11 claims11 services$2.95 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

25 suppliers71 claims137 services$1.08 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

3 suppliers19 claims19 services$300.61 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 5

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

SOUTH COUNTY ENDOCRINOLOGY AND OBESITY MEDICINE LLC

Clinic/Center (Multi-Specialty)