DR. SUMIT BHAGRA MBBS
NPI 1982684817
Internal Medicine - Endocrinology, Diabetes & Metabolism in Austin, MN

Q: What is Sumit Bhagra's NPI number?

The NPI number for Sumit Bhagra is 1982684817. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Q: What is Sumit Bhagra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Sumit Bhagra was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment

1000 1ST DR NW, AUSTIN, MN 55912(507) 433-7351 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 29, 2020, Jun 11, 2019 (2 updates tracked since 2019).

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About Dr. Sumit Bhagra Mbbs NPPES

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

DR. SUMIT BHAGRA MBBS (NPI 1982684817) is an individual endocrinology, diabetes & metabolism provider in Austin, Minnesota, licensed in Minnesota (48102) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System - Albert Lea And Austin, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1982684817

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameDR. SUMIT BHAGRACredential: MBBS

Location Address1000 1ST DR NWAustin, MN 55912-2941

Mailing Address1000 1st Dr NwAustin, MN 55912-2941 · (507) 433-7351

Phone(507) 433-7351

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateJanuary 18, 2006

Last NPPES UpdateSeptember 29, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2020

✔ NPI 1982684817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in MN · 48102

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

1000 1ST DR NW, Austin, MN 55912

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Dr. Sumit Bhagra Mbbs 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 ID6901827013

PECOS Enrollment IDI20051215000771

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 8

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.

117 services91 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

76 services60 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.

38 services38 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

32 services32 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

29 services20 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.

17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Mayo Clinic Health System - Albert Lea And Austin

Acute Care Hospitals · Albert Lea, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240043

Location404 West Fountain StreetAlbert Lea, MN 56007 · Freeborn County

Emergency services Birthing friendly

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240093

Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County

Emergency services Birthing friendly

Mayo Clinic Health System - Fairmont

Acute Care Hospitals · Fairmont, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number240166

Location800 Medical Center DriveFairmont, MN 56031 · Martin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55912 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

7 suppliers38 claims496 services$19.40 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

7 suppliers37 claims1,157 services$2.42 avg. paid by Medicare

Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238

DME-Medical/Surgical Supplies · category DA000N

3 suppliers14 claims14 services$169.96 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

11 suppliers53 claims224 services$5.54 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

4 suppliers35 claims35 services$307.84 avg. paid by Medicare

Insulin for administration through dme (i.e., insulin pump) per 50 units J1817

Treatment-Injections and Infusions (nononcologic) · category RI000N

4 suppliers25 claims2,100 services$5.21 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.

IZZA MIR D.O.

Internal Medicine