DR. SUMIT BHATIA MD
NPI 1780670596
Ophthalmology - Retina Specialist in Normal, IL

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment
71.4/100
CMS Quality Rating
2010 JACOBSSEN DR STE C, NORMAL, IL 61761(815) 390-7271 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2025, Feb 15, 2023, Oct 28, 2022 and 2 more (5 updates tracked since 2016).

About Dr. Sumit Bhatia Md NPPES

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

DR. SUMIT BHATIA MD (NPI 1780670596) is an individual retina specialist in Normal, Illinois, licensed in Illinois (036117968) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Braidwood, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1780670596
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. SUMIT BHATIACredential: MD
Location Address2010 JACOBSSEN DR STE CNormal, IL 61761-6280
Mailing Address2010 Jacobssen Dr Ste CNormal, IL 61761-6280 · (815) 390-7271
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 27, 2005
Last NPPES UpdateFebruary 25, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
NPI 1780670596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in IL · 036117968
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 223699 (MA)
2010 JACOBSSEN DR STE C, Normal, IL 61761

Secondary Practice Location 1

Location 1170 E Main StBraidwood, IL 60408-1912 · Phone (815) 390-7271

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. Sumit Bhatia 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 ID5092744649
PECOS Enrollment IDI20070728000066
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 11

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, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
9,300 services22 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
767 services207 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
524 services100 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
338 services33 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.
200 services136 patients
Injection, bevacizumab, 10 mg J9035
Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
160 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61761 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

71.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.01
Promoting Interoperability84
Improvement Activities40
Cost19.01

Other Providers at the Same Location NPPES

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

Ophthalmology (Retina Specialist)
2010 JACOBSSEN DR STE C
NORMAL, IL 61761

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 Sumit Bhatia's NPI number?

The NPI number for Sumit Bhatia is 1780670596. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Sumit Bhatia located?

Sumit Bhatia practices at 2010 Jacobssen Dr Ste C, Normal, IL 61761. The listed phone number is (815) 390-7271.

What is Sumit Bhatia's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Sumit Bhatia enrolled in Medicare?

Yes. Sumit Bhatia 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 Sumit Bhatia was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.