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MONICA BALI MD
NPI 1811082258
Family Medicine in Silver Spring, MD

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
13975 CONNECTICUT AVE, 308, SILVER SPRING, MD 20906(301) 460-8282 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Monica Bali Md NPPES

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

MONICA BALI MD (NPI 1811082258) is an individual family medicine provider in Silver Spring, Maryland, licensed in Maryland (D0059994) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1811082258
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMONICA BALICredential: MD
Location Address13975 CONNECTICUT AVE, 308Silver Spring, MD 20906-2921
Mailing Address19745 Framingham DriveGaithersburg, MD 20879 · (301) 869-0095
Phone(301) 460-8282
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateOctober 3, 2006
Last NPPES UpdateJune 25, 2008
✔ NPI 1811082258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D0059994
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13975 CONNECTICUT AVE, Silver Spring, MD 20906
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Other Identifiers 3

Medicare UPINI07199MD
Medicaid408142100MD
Medicare PING01859M01DC

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

Monica Bali 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 ID1254318652
PECOS Enrollment IDI20040702000880
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.

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.
661 services99 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
118 services65 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
73 services73 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
37 services36 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
24 services24 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20906 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.
91%3,326 patients3/55-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…
87%105 patients4/55-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.
99%323 patients4/55-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.
19%800 patients1/55-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…
99%749 patients4/55-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…
42%749 patients2/55-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.
31%749 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 2

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
8 suppliers29 claims67 services$5.50 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers16 claims21 services$1.13 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 20

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

MARYLAND DENTAL SPECIALTY GROUP
Dentist
13975 CONNECTICUT AVE, SUITE # 208
SILVER SPRING, MD 20906
Montgomery County (301) 598-3951
ATLANTIC PHYSICAL THERAPY AND REHAB CENTER LTD
Clinic/Center (Physical Therapy)
13975 CONNECTICUT AVE, SUITE 300
SILVER SPRING, MD 20906
Montgomery County (301) 598-7420
LEON DISCAVAGE, D.D.S., P.A.
Dentist (General Practice)
13975 CONNECTICUT AVE, SUITE 302
SILVER SPRING, MD 20906
Montgomery County (301) 871-6660
CAROLE BERBERICH L.AC, MST
Acupuncturist
13975 CONNECTICUT AVE
SILVER SPRING, MD 20906
Montgomery County (202) 483-7081
DR. NINA MIHAYCHUK DMD
Dentist (Endodontics)
13975 CONNECTICUT AVE, SUITE 208
SILVER SPRING, MD 20906
Montgomery County (301) 598-3951
DR. LEON R. DISCAVAGE
Dentist
13975 CONNECTICUT AVE, SUITE 302
SILVER SPRING, MD 20906
Montgomery County (301) 871-6660
DR. NEAL FRANCIS HOYSON DMD
Dentist (General Practice)
13975 CONNECTICUT AVE, SUITE 300
SILVER SPRING, MD 20906
Montgomery County (301) 871-8002
DONALD B. VOGEL MD PA
Psychiatry & Neurology (Psychiatry)
13975 CONNECTICUT AVE, SUITE 207
SILVER SPRING, MD 20906
Montgomery County (301) 460-7444

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 Monica Bali's NPI number?

The NPI number for Monica Bali is 1811082258. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Monica Bali located?

Monica Bali practices at 13975 Connecticut Ave 308, Silver Spring, MD 20906. The listed phone number is (301) 460-8282.

What is Monica Bali's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Monica Bali enrolled in Medicare?

Yes. Monica Bali 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 Monica Bali was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.