DR. PAWAN BHATNAGAR M.D.
NPI 1821057233
Ophthalmology - Retina Specialist in Slingerlands, NY

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1220 NEW SCOTLAND RD, SUITE NUMBER 201, SLINGERLANDS, NY 12159(518) 533-6550(518) 533-6556 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Pawan Bhatnagar M.d. NPPES

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

DR. PAWAN BHATNAGAR M.D. (NPI 1821057233) is an individual retina specialist in Slingerlands, New York, licensed in New York (239925) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Samaritan Hospital Of Troy, New York, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2002).

NPPES Registry Identity

NPI1821057233
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. PAWAN BHATNAGARCredential: M.D.
Location Address1220 NEW SCOTLAND RD, SUITE NUMBER 201Slingerlands, NY 12159-9386
Mailing Address1220 New Scotland Rd, Suite Number 201Slingerlands, NY 12159-9386 · (518) 533-6550 · Fax (518) 533-6556
Fax(518) 533-6556
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2002
Enumeration DateMarch 23, 2006
Last NPPES UpdateApril 29, 2020
NPPES CertifiedApril 29, 2020
✔ NPI 1821057233 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 NY · 239925
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 239925 (NY), 35-08-3433-B (OH)
1220 NEW SCOTLAND RD, Slingerlands, NY 12159

Accepted 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. Pawan Bhatnagar M.d. 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 ID345316501
PECOS Enrollment IDI20080912000013, I20150216000822
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

3

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

Retina Specialist
1220 NEW SCOTLAND RD, SUITE 201
Slingerlands, NY 12159
  • Reassigned Medicare billing, New York enrollment
  • 9 clinicians in this Medicare group
Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group
Ophthalmology
322 DEWEY ST
Bennington, VT 05201
  • Reassigned Medicare billing, Vermont enrollment
  • 12 clinicians in this Medicare group

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, 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.
6,886 services30 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.
2,473 services1,033 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,597 services920 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.
1,316 services346 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.
1,006 services147 patients
Injection, ranibizumab, 0.1 mg J2778
Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.
342 services22 patients

Hospital Affiliations CMS Care Compare

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

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12159 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Pediatrics (Adolescent Medicine)
1220 NEW SCOTLAND RD, SUITE 203
SLINGERLANDS, NY 12159
Anesthesiology (Pain Medicine)
1220 NEW SCOTLAND RD, SUITE 103
SLINGERLANDS, NY 12159
Ophthalmology
1220 NEW SCOTLAND RD, SUITE 302
SLINGERLANDS, NY 12159
Ophthalmology (Retina Specialist)
1220 NEW SCOTLAND RD, SUITE 201
SLINGERLANDS, NY 12159
Physician Assistant
1220 NEW SCOTLAND RD, SUITE 103
SLINGERLANDS, NY 12159
Ophthalmology
1220 NEW SCOTLAND RD, SUITE 101
SLINGERLANDS, NY 12159
Specialist
1220 NEW SCOTLAND RD, SUITE 303
SLINGERLANDS, NY 12159
Ophthalmology (Retina Specialist)
1220 NEW SCOTLAND RD, SUITE 201
SLINGERLANDS, NY 12159

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 Pawan Bhatnagar's NPI number?

The NPI number for Pawan Bhatnagar is 1821057233. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Pawan Bhatnagar located?

Pawan Bhatnagar practices at 1220 New Scotland Rd Suite Number 201, Slingerlands, NY 12159. The listed phone number is (518) 533-6550.

What is Pawan Bhatnagar's specialty?

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

Is Pawan Bhatnagar enrolled in Medicare?

Yes. Pawan Bhatnagar 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.

Which organizations bill Medicare for Pawan Bhatnagar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pawan Bhatnagar reassigns Medicare benefits to 3 organizations: Retina Consultant, PLLC (Slingerlands, NY), Albany Medical College (Albany, NY) and Advanced Eyecare PC (Bennington, VT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pawan Bhatnagar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pawan Bhatnagar accept?

Health plans from Anthem Blue Cross and Blue Shield list Pawan Bhatnagar 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 Pawan Bhatnagar affiliated with any hospitals?

According to CMS data, Pawan Bhatnagar is affiliated with Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Pawan Bhatnagar was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.