BALA KRISHNA BHAT MD
NPI 1780603514
Internal Medicine in Arroyo Grande, CA

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
260 STATION WAY, SUITE A, ARROYO GRANDE, CA 93420(805) 481-3652(805) 481-1017 Get Directions Write a Review

NPPES record last updated: April 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bala Krishna Bhat Md NPPES

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

BALA KRISHNA BHAT MD (NPI 1780603514) is an individual internal medicine provider in Arroyo Grande, California, licensed in California (A43451) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1780603514
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBALA KRISHNA BHATCredential: MD
Location Address260 STATION WAY, SUITE AArroyo Grande, CA 93420-3359
Mailing Address2050 S Blosser RdSanta Maria, CA 93458-7310 · (805) 361-8028 · Fax (805) 361-8097
Fax(805) 481-1017
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateJuly 19, 2006
Last NPPES UpdateApril 21, 2015
NPI 1780603514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A43451
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.
260 STATION WAY, Arroyo Grande, CA 93420

Other Identifiers 12

Medicare OSCAR/certification551903CA
Medicare PINW1508BCA
OtherW1508CA · Medicare Group Plan
MedicaidFHC70593FCA
Medicare PINW1508ACA
Other1447277488CA · Cmc Npi#
Medicare PINWA43451ACA
OtherHAP70593FCA · Family Planning
Medicare UPINE25206CA
Medicare PINCQ689YCA
Other1780603514CA · Nppes
Medicare PINCQ689ZZCA

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

Bala Krishna Bhat 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 ID5597858704
PECOS Enrollment IDI20070904000736
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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
462 services258 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
175 services118 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
134 services113 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
115 services110 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
92 services87 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
30 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93420 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%3,059 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
53%411 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%128 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
74%2,363 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
73%2,363 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
6%2,363 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
20%2,363 patients
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 27

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
21 suppliers171 claims369 services$5.45 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers18 claims18 services$2.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers49 claims74 services$0.92 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers29 claims29 services$30.26 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197
DME-Medical/Surgical Supplies · category DA023N
1 supplier14 claims283 services$14.71 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier12 claims24 services$1.54 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 12

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

Chiropractor
260 STATION WAY, SUITE A
ARROYO GRANDE, CA 93420
Dentist (General Practice)
260 STATION WAY, SUITE E
ARROYO GRANDE, CA 93420
Nurse Practitioner (Family)
260 STATION WAY, 210
ARROYO GRANDE, CA 93420
Internal Medicine
260 STATION WAY
ARROYO GRANDE, CA 93420
Acupuncturist
260 STATION WAY
ARROYO GRANDE, CA 93420
Dietitian, Registered
260 STATION WAY
ARROYO GRANDE, CA 93420
Dietitian, Registered
260 STATION WAY
ARROYO GRANDE, CA 93420
Chiropractor
260 STATION WAY
ARROYO GRANDE, CA 93420

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 Bala Bhat's NPI number?

The NPI number for Bala Bhat is 1780603514. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Bala Bhat located?

Bala Bhat practices at 260 Station Way Suite A, Arroyo Grande, CA 93420. The listed phone number is (805) 481-3652.

What is Bala Bhat's specialty?

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

Is Bala Bhat enrolled in Medicare?

Yes. Bala Bhat 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.

When was this NPI record last updated?

The NPPES record for Bala Bhat was last updated on April 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.