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2026 NPPES data Specialist NPI 1063473494 M.D.
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Bal Bhandari, M.D.

Specialist in Bastrop, Louisiana.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,567 in Specialist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
3K
Medicare Part D claims · 1K beneficiaries · Specialist avg: 2K
Generic prescribing
71%
generic claims · 29% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.3/100
▼ 7 pts below national avg 83.5 · Above neutral
Industry payments
$1.1K
66 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Bal Bhandari, M.D. reported a CMS MIPS final score of 76.3/100 - below the 83.5 national average - and filed 3,078 Medicare Part D claims in 2024.

76.3/100
MIPS score · -7 vs avg
3K
Part D claims, 2024
71%
generic prescribing
$1.1K
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Bal Bhandari, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1063473494), first enumerated 03/28/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 3,078 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 76.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    3 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $1.1K in reported industry payments (66 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1063473494 · Specialist

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-BELOW · RX-MID · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1063473494
  • ENUM-LEGACY 2006
  • TAX-MEGA 70K Specialist
  • MIPS-BELOW 76.3/100
  • RX-MID 3,078
  • BOOK-LIGHT 704 in Louisiana
  • PHOTO-FINISH William Omalley · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Bal Bhandari, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

76 ≥ 17th percentile 17% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Bal Bhandari, M.D. sits

This provider among specialist peers

Across the 4,261 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Bal Bhandari, M.D. writes more Part D claims than 81% of them and scores higher on MIPS quality than 28% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 0Bal Bhandari, M.D., Part D claim volume, percentile in specialty: 81 · MIPS quality, percentile: 28
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one specialist peer from a representative sample of 60; the gold marker is Bal Bhandari, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Bal Bhandari, M.D.?

Below national average

NPI registry status

Active

Issued 03/28/2006

NPI 1063473494

Primary specialty

Specialist

High-volume

69,567 US NPIs in this specialty

Medicare Part D claims

3,078 102% vs specialty avg

2024 prescription claims

Specialty avg: 1,524

MIPS final score

76.3/100 7.2 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Louisiana

How Specialist compares to other specialties among Louisiana providers

Louisiana providers
Case Manager/Care Coordinator9.6%Mental Health Counselor7.2%Behavior Technician5.5%Student in an Organized Heal…5.1%Pharmacist5.1%Family Nurse Practitioner4.6%Specialist0.8%
Largest specialties in Louisiana (% of in-state providers)

Medicare quality performance, MIPS

Bal Bhandari, M.D.'s 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
76.3/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%76.3%
MIPS final score (Specialist) - 76.3/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

616 S WASHINGTON ST
Bastrop, LA 71220
(318) 283-2177

Provider Details

NPI 1063473494
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 03/28/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

76.3428
Final Score
Measured-score avg: 83.5
81.1894
Quality
38.275
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where Bal Bhandari, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

According to CMS billing records, Bal Bhandari, M.D. is affiliated with 3 Medicare-billing facilities.

Hospital Service District NO 1A OF The Parish OF Richland State OF LA
Delhi, LA
Morehouse Community Medical Centers, Inc.
Bastrop, LA
Morehouse Parish Hospital Service District 1
Bastrop, LA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Bal Bhandari, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

Janssen Biotech, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Above average

Bal Bhandari, M.D. - brand share 29.0%
Specialist average

29% brand-name claims vs 71% generic, on 3,078 2024 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

3,078
Total Claims
$2.8M
Total Drug Cost
1,040
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,899.833
Total Day Supply
93,943
Brand vs Generic
29% brand / 71% generic
Brand Drug Cost
$2.7M
Generic Drug Cost
$92K
Antibiotic Claims
103

Patient Demographics

Average Patient Age
69.9 years
Avg HCC Risk Score
1.35
Gender Split
60% female / 40% male
Age Distribution
<65: 205, 65-74: 532, 75-84: 262, 85+: 41

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Bal Bhandari, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Omeprazole
 624
Linzess
Linaclotide
346
Gavilyte-G
Peg3350/Sod Sulf,bicarb,cl/Kcl
240
Gavilyte-C
Peg3350/Sod Sulf,bicarb,cl/Kcl
225
Peg-3350 And Electrolytes
Peg3350/Sod Sulf,bicarb,cl/Kcl
133
Pantoprazole Sodium
 115
Lactulose
 94
Zenpep
Lipase/Protease/Amylase
65
Mesalamine
 63
Dicyclomine Hcl
 59

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

More Specialist in LA → All providers in Louisiana → Compare specialties →

Specialist Overview

How Bal Bhandari, M.D. fits within the Specialist landscape nationally.

69,567
Specialist Providers in US
55
States with Specialist
1,524
Avg Claims per Provider

Bal Bhandari, M.D.'s 3,078 claims are above the specialty average of 1,524.

Nationwide Specialist peers with similar MIPS or enrollment year

Two federal-record peer sets for Bhandari, both outside Louisiana so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (76.3 here).

William Omalley 76.3 NY Heidi Bates 76.4 VA Nita Sumida 76.4 VA Juan Garcia 76.4 NY

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Pamela Foresman Auburn, NY Michael Bentley Montgomery, AL Charis Meng New York, NY Susan Gannon Albany, NY

Nearby Specialist Providers in Louisiana

Other clinicians with the same primary specialty enrolled in Louisiana, drawn from the same CMS NPPES roster as Bhandari.

One of 704 Specialist providers enrolled in Louisiana, 5 are shown here.

Dr. Fadi Abou-Issa
MD
Houma, LA
Dr. Tamer Acikalin
M.D.
Marrero, LA
Elsie Adams
MSW
New Orleans, LA
Dr. Deborah Adcock
M.D.
Shreveport, LA
Dr. Iqbal Ahmad
M.D.
Baton Rouge, LA

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is Bal Bhandari, M.D.'s specialty? ▼
Bal Bhandari, M.D. specializes in Specialist and practices in Bastrop, Louisiana. Credentials: M.D..
How much does Bal Bhandari, M.D. prescribe under Medicare Part D? ▼
In 2024, Bal Bhandari, M.D. wrote 3,078 Medicare Part D claims totaling $2.8M in drug costs for 1,040 beneficiaries.
What is Bal Bhandari, M.D.'s Medicare quality score? ▼
Bal Bhandari, M.D. has a CMS MIPS Final Score of 76.3/100 (Quality: 81.2, Cost: 38.3). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Bal Bhandari, M.D. located? ▼
Bal Bhandari, M.D. is located at 616 S WASHINGTON ST, Bastrop, LA, 71220. Phone: (318) 283-2177.
What is Bal Bhandari, M.D.'s NPI number? ▼
Bal Bhandari, M.D.'s National Provider Identifier (NPI) is 1063473494, issued on 03/28/2006.
Does Bal Bhandari, M.D. prescribe more brand-name or generic drugs? ▼
Bal Bhandari, M.D.'s prescribing is 29% brand-name and 71% generic drugs by claim count, with $2.7M in brand drug costs.
How many Specialist providers are there in the US? ▼
There are 69,567 Specialist providers across 55 states in the US. The average Specialist provider writes 1,524 Medicare Part D claims per year.
What drugs does Bal Bhandari, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Bal Bhandari, M.D.'s most frequently prescribed drugs include Omeprazole, Linzess, Gavilyte-G. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Bal Bhandari, M.D. accept Medicare? ▼
Bal Bhandari, M.D. appears in CMS Medicare data with 3,078 Part D claims and 1,040 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Bal Bhandari, M.D.'s credentials? ▼
Bal Bhandari, M.D.'s NPI is 1063473494 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.