ROMY BHAGAT MD
NPI 1912562927
Family Medicine in Cartersville, GA

Active since May 06, 2019PECOS EnrolledAccepts Medicare Assignment
98.1/100
CMS Quality Rating
1328 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA 30120(770) 382-0029 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Nov 15, 2022, Sep 19, 2022 and 1 more (4 updates tracked since 2019).

About Romy Bhagat Md NPPES

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

ROMY BHAGAT MD (NPI 1912562927) is an individual family medicine provider in Cartersville, Georgia, licensed in Georgia (93261) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Mclaren Flint, and maintains a secondary practice location in Rome.

NPPES Registry Identity

NPI1912562927
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROMY BHAGATCredential: MD
Location Address1328 JOE FRANK HARRIS PKWY SECartersville, GA 30120-4221
Mailing Address420 E 2nd Ave Ste 103Rome, GA 30161-3210 · (706) 509-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 6, 2019
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
NPI 1912562927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 93261
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.

1328 JOE FRANK HARRIS PKWY SE, Cartersville, GA 30120

Secondary Practice Location 1

Location 1304 Shorter Ave NW Ste 201Rome, GA 30165-4256 · Phone (706) 509-3300 · Fax (706) 509-3301

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

Romy Bhagat 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 ID840525747
PECOS Enrollment IDI20240810000073
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 4

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.
83 services48 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.
39 services26 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
36 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mclaren Flint

Acute Care Hospitals · Flint, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230141
Location401 S Ballenger HighwayFlint, MI 48532 · Genesee County
Emergency services Birthing friendly

Mclaren Lapeer Region

Acute Care Hospitals · Lapeer, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230193
Location1375 N Main StLapeer, MI 48446 · Lapeer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30120 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

98.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability96
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Family)
1328 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120
Nurse Practitioner (Family)
1328 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120
Family Medicine
1328 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120
Non-Pharmacy Dispensing Site
1328 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120
Family Medicine
1328 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120
Family Medicine
1328 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120
Family Medicine
1328 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120
Family Medicine
1328 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120

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 Romy Bhagat's NPI number?

The NPI number for Romy Bhagat is 1912562927. It was assigned to this individual provider in the NPPES registry on May 6, 2019.

Where is Romy Bhagat located?

Romy Bhagat practices at 1328 Joe Frank Harris Pkwy SE, Cartersville, GA 30120. The listed phone number is (770) 382-0029.

What is Romy Bhagat's specialty?

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

Is Romy Bhagat enrolled in Medicare?

Yes. Romy Bhagat 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 Romy Bhagat accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Romy Bhagat 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 Romy Bhagat affiliated with any hospitals?

According to CMS data, Romy Bhagat is affiliated with Mclaren Flint and Mclaren Lapeer Region.

When was this NPI record last updated?

The NPPES record for Romy Bhagat was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.