MOHIT BANSAL MD
NPI 1902046493
Orthopaedic Surgery in Clearwater, FL

Active since February 24, 2009PECOS EnrolledAccepts Medicare Assignment
91.6/100
CMS Quality Rating
1988 GULF TO BAY BLVD, CLEARWATER, FL 33765(727) 953-8090(727) 953-8088 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mohit Bansal Md NPPES

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

MOHIT BANSAL MD (NPI 1902046493) is an individual orthopaedic surgery provider in Clearwater, Florida, licensed in Florida (ME110211) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with Adventhealth North Pinellas, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1902046493
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMOHIT BANSALCredential: MD
Location Address1988 GULF TO BAY BLVDClearwater, FL 33765-3550
Mailing Address1988 Gulf To Bay BlvdClearwater, FL 33765-3550 · (727) 953-8090 · Fax (727) 953-8088
Fax(727) 953-8088
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 24, 2009
Last NPPES UpdateJune 30, 2022
NPPES CertifiedJune 30, 2022
NPI 1902046493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in FL · ME110211 Licensed in NY · 246504 Licensed in NM · MD2010-0018
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1988 GULF TO BAY BLVD, Clearwater, FL 33765

Other Identifiers 5

Other14E5AFL · Bcbs Of Florida
OtherP00960351Railroad Medicare
Other1085391FL · Careplus
Medicaid003703900FL
Other9858391FL · Cigna Healthcare

Accepted 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

Mohit Bansal 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 ID1456520303
PECOS Enrollment IDI20110809000836
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 18

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
139 services136 patients
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.
114 services85 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.
60 services53 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
53 services39 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
49 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients

Hospital Affiliations CMS Care Compare 4

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

Adventhealth North Pinellas

Acute Care Hospitals · Tarpon Springs, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100055
Location1395 S Pinellas AveTarpon Springs, FL 34689 · Pinellas County
Emergency services

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100067
Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County
Emergency services

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Hca Florida Largo Hospital

Acute Care Hospitals · Largo, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100248
Location201 14th St SWLargo, FL 33770 · Pinellas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33765 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

91.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.15
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
85%944 patients3/55-star benchmark: 100%
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.
87%77 patients3/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
9%228 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
65%671 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 4% · 52 patients
Patients tobacco: 79% · 266 patients
99%266 patients5/55-star benchmark: 98%
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…
35%822 patients2/55-star benchmark: 100%
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.
3%822 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.

Other Providers at the Same Location NPPES 8

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

Orthopaedic Surgery
1988 GULF TO BAY BLVD
CLEARWATER, FL 33765
Specialist
1988 GULF TO BAY BLVD
CLEARWATER, FL 33765
Anesthesiology
1988 GULF TO BAY BLVD
CLEARWATER, FL 33765
Nurse Practitioner (Family)
1988 GULF TO BAY BLVD
CLEARWATER, FL 33765
Nurse Practitioner (Family)
1988 GULF TO BAY BLVD
CLEARWATER, FL 33765
Physician Assistant (Medical)
1988 GULF TO BAY BLVD
CLEARWATER, FL 33765
Nurse Practitioner
1988 GULF TO BAY BLVD
CLEARWATER, FL 33765
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1988 GULF TO BAY BLVD
CLEARWATER, FL 33765

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 Mohit Bansal's NPI number?

The NPI number for Mohit Bansal is 1902046493. It was assigned to this individual provider in the NPPES registry on February 24, 2009.

Where is Mohit Bansal located?

Mohit Bansal practices at 1988 Gulf To Bay Blvd, Clearwater, FL 33765. The listed phone number is (727) 953-8090.

What is Mohit Bansal's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Mohit Bansal enrolled in Medicare?

Yes. Mohit Bansal 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 Mohit Bansal accept?

Health plans from AvMed and Florida Blue (BlueCross BlueShield FL) list Mohit Bansal 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 Mohit Bansal affiliated with any hospitals?

According to CMS data, Mohit Bansal is affiliated with Adventhealth North Pinellas, St Anthonys Hospital, Morton Plant Hospital and Hca Florida Largo Hospital.

When was this NPI record last updated?

The NPPES record for Mohit Bansal was last updated on June 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.