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DR. BHUPINDER S KHAIRA MD
NPI 1740364306
Surgery in Gainesville, TX

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
75.96/100
CMS Quality Rating
1627 N GRAND AVE, GAINESVILLE, TX 76240(940) 668-6878(940) 668-1980 Get Directions Write a Review

NPPES record last updated: October 13, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bhupinder S Khaira Md NPPES

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

DR. BHUPINDER S KHAIRA MD (NPI 1740364306) is an individual surgery provider in Gainesville, Texas, licensed in Texas (H1791) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with North Texas Medical Center, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1740364306
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. BHUPINDER S KHAIRACredential: MD
Location Address1627 N GRAND AVEGainesville, TX 76240
Mailing AddressPo Box 1378Gainesville, TX 76241 · (940) 668-6878 · Fax (940) 668-1980
Phone(940) 668-6878
Fax(940) 668-1980
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateOctober 24, 2006
Last NPPES UpdateOctober 13, 2011
✔ NPI 1740364306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · H1791
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1627 N GRAND AVE, Gainesville, TX 76240
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Other Identifiers 3

Medicare UPINB23920
Medicare ID-Type UnspecifiedOODF66
Medicaid032775101TX

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bhupinder S Khaira 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 ID4284612904
PECOS Enrollment IDI20100504000748
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 10

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 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.
234 services169 patients
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.
137 services123 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
114 services114 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
103 services103 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
68 services66 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.
51 services49 patients

Hospital Affiliations CMS Care Compare

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

North Texas Medical Center

Acute Care Hospitals · Gainesville, TX
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450090
Location1900 Hospital BlvdGainesville, TX 76240 · Cooke County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76240 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

75.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality59.91
Promoting Interoperability100
Improvement Activities40
Cost59.96

Reported Quality Measures

Breast Cancer Screening
10%488 patients1/55-star benchmark: 93%
Colorectal Cancer Screening
56%1,037 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
50%462 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%257 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
88%257 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
76%2,593 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
20%1,625 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
14%1,351 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 2% · 1,037 patients
2%1,037 patients
Provide Patients Electronic Access to Their Health Information
94%485 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%668 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 812 patients
Patients totalRate: 2% · 814 patients
2%814 patients4/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES

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

GAINESVILLE HOSPITAL DISTRICT
Clinic/Center (Multi-Specialty)
1627 N GRAND AVE
GAINESVILLE, TX 76240
Cooke County (940) 668-6878

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 Bhupinder Khaira's NPI number?

The NPI number for Bhupinder Khaira is 1740364306. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Bhupinder Khaira located?

Bhupinder Khaira practices at 1627 N Grand Ave, Gainesville, TX 76240. The listed phone number is (940) 668-6878.

What is Bhupinder Khaira's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Bhupinder Khaira enrolled in Medicare?

Yes. Bhupinder Khaira 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 Bhupinder Khaira accept?

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

According to CMS data, Bhupinder Khaira is affiliated with North Texas Medical Center.

When was this NPI record last updated?

The NPPES record for Bhupinder Khaira was last updated on October 13, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.