NPI registry status
Active
2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1366554578 MD
Verify on CMS → Bankim Bhatt, MD
Endocrinology, Diabetes & Metabolism Physician in Center Valley, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 7,852 in Endocrinology, Diabetes & Metabolism Physician, 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
1K
Medicare Part D claims · 279 beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
36%
generic claims · 57% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.6/100
▲ 13 pts above national avg 83.1 · Exceptional
Industry payments
$778.9
13 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Bankim Bhatt, MD reported a CMS MIPS final score of 95.6/100 - above the 83.1 national average - and filed 1,175 Medicare Part D claims in 2023.
- 95.6/100
- MIPS score · +13 vs avg
- 1K
- Part D claims, 2023
- 36%
- generic prescribing
- Likely
- board-certified (heuristic)
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.
Bankim Bhatt, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
96 Top 21% higher than 79% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Bankim Bhatt, MD sits
This provider among endocrinology, diabetes & metabolism physician peers
Across the 2,521 endocrinology, diabetes & metabolism physician providers who report both Medicare Part D prescribing and a MIPS quality score, Bankim Bhatt, MD writes more Part D claims than 28% of them and scores higher on MIPS quality than 83% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one endocrinology, diabetes & metabolism physician peer from a representative sample of 60; the gold marker is Bankim Bhatt, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Bankim Bhatt, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Bankim Bhatt, MD?
High performer (top quartile)Primary specialty
Endocrinology, Diabetes & Metabolism Physician
Medicare Part D claims
1,175 55% vs specialty avg
MIPS final score
95.6/100 12.5 pts vs avg
Specialty distribution in Pennsylvania
How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Bankim Bhatt, MD's 2023 MIPS final score plotted against the Endocrinology, Diabetes & Metabolism Physician national average
- MIPS Final Score
- 95.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Endocrinology, Diabetes & Metabolism Physician) - 95.6/100 vs national avg 83.1
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).
Bankim Bhatt, MD appears in the CMS NPPES registry as a Endocrinology, Diabetes & Metabolism Physician provider holding MD credentials at 5445 LANARK RD STE 300, Center Valley, PA, 18034, with a listed phone of (484) 526-7300. NPI 1366554578 was issued on 09/01/2006.
Medicare Part D records for calendar year 2023 show 1,175 prescription claims written by this provider, covering 279 Medicare beneficiaries and totaling roughly $889K in drug spend, split 57% brand-name and 36% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.6/100 for the 2023 performance year (Quality 80.6), compared with the national average of 83.1.
Endocrinology, Diabetes & Metabolism Physician is a mid-sized specialty nationwide, with 7,852 enrolled providers across 54 states and an average of 2,639 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1366554578 |
|---|---|
| Specialty | Endocrinology, Diabetes & Metabolism Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 09/01/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
95.6426
Final Score
Avg: 83.1
80.5735
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Bankim Bhatt, MD 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.
St Lukes Physician Group Inc
Quakertown, PA
St Lukes Warren Physician Group PC
Phillipsburg, NJ
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 Bankim Bhatt, MD. Source: openpaymentsdata.cms.gov.
Total received
$779
Largest payer
Novo Nordisk 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.
License & disciplinary context - Pennsylvania PA-BOM 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Bankim Bhatt, MD. To verify Bankim Bhatt, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Brand-heavy
Bankim Bhatt, MD - brand share 57.0%
Endocrinology, Diabetes & Metabolism Physician average
57% brand-name claims vs 36% generic, on 1,175 2023 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 2023.
1,175
Total Claims
$889K
Total Drug Cost
279
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,525
- Total Day Supply
- 74,983
- Brand vs Generic
- 57% brand / 36% generic
- Brand Drug Cost
- $850K
- Generic Drug Cost
- $20K
Patient Demographics
- Average Patient Age
- 69.1 years
- Avg HCC Risk Score
- 1.77
- Gender Split
- 39% female / 61% male
- Age Distribution
- <65: 58, 65-74: 140, 75-84: 66, 85+: 15
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Bankim Bhatt, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
140 claims
- Ozempic
Ozempic
106 claims
- Jardiance
Jardiance
85 claims
- Metformin Hcl 51
Metformin Hcl
51 claims
- Trulicity 48
Trulicity
48 claims
- Metformin Hcl Er 46
Metformin Hcl Er
46 claims
- Novolog Flexpen 36
Novolog Flexpen
36 claims
- Tresiba Flextouch … 28
Tresiba Flextouch U-100
28 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 140 |
| Ozempic Semaglutide | 106 |
| Jardiance Empagliflozin | 85 |
| Metformin Hcl | 51 |
| Trulicity Dulaglutide | 48 |
| Metformin Hcl Er Metformin Hcl | 46 |
| Novolog Flexpen Insulin Aspart | 36 |
| Tresiba Flextouch U-100 Insulin Degludec | 28 |
| Glimepiride | 25 |
| Januvia Sitagliptin Phosphate | 22 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Endocrinology, Diabetes & Metabolism Physician in PA →
All providers in Pennsylvania →
Compare specialties →
Endocrinology, Diabetes & Metabolism Physician Overview
How Bankim Bhatt, MD fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.
7,852
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,639
Avg Claims per Provider
Bankim Bhatt, MD's 1,175 claims are below the specialty average of 2,639.
Nearby Endocrinology, Diabetes & Metabolism Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Bhatt.
Dr. Munira Abbasi
MD
Pittsburgh, PA
Dr. Jana Abraham
MD
Berwyn, PA
Dr. Rachel Abramczyk
DO
Parkesburg, PA
Dr. Michael Adler
M.D.
Lewisburg, PA
Shivani Agarwal
Philadelphia, PA
Compare Endocrinology, Diabetes & Metabolism Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Endocrinology, Diabetes & Metabolism Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Pennsylvania
Frequently Asked Questions
What is Bankim Bhatt, MD's specialty? ▼
Bankim Bhatt, MD specializes in Endocrinology, Diabetes & Metabolism Physician and practices in Center Valley, Pennsylvania. Credentials: MD.
How much does Bankim Bhatt, MD prescribe under Medicare Part D? ▼
In 2023, Bankim Bhatt, MD wrote 1,175 Medicare Part D claims totaling $889K in drug costs for 279 beneficiaries.
What is Bankim Bhatt, MD's Medicare quality score? ▼
Bankim Bhatt, MD has a CMS MIPS Final Score of 95.6/100 (Quality: 80.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Bankim Bhatt, MD located? ▼
Bankim Bhatt, MD is located at 5445 LANARK RD STE 300, Center Valley, PA, 18034. Phone: (484) 526-7300.
What is Bankim Bhatt, MD's NPI number? ▼
Bankim Bhatt, MD's National Provider Identifier (NPI) is 1366554578, issued on 09/01/2006.
Does Bankim Bhatt, MD prescribe more brand-name or generic drugs? ▼
Bankim Bhatt, MD's prescribing is 57% brand-name and 36% generic drugs by claim count, with $850K in brand drug costs.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US? ▼
There are 7,852 Endocrinology, Diabetes & Metabolism Physician providers across 54 states in the US. The average Endocrinology, Diabetes & Metabolism Physician provider writes 2,639 Medicare Part D claims per year.
What drugs does Bankim Bhatt, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Bankim Bhatt, MD's most frequently prescribed drugs include Levothyroxine Sodium, Ozempic, Jardiance. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Bankim Bhatt, MD accept Medicare? ▼
Bankim Bhatt, MD appears in CMS Medicare data with 1,175 Part D claims and 279 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Bankim Bhatt, MD's credentials? ▼
Bankim Bhatt, MD's NPI is 1366554578 with credentials MD. 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 (2023). 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 April 2026 (NPPES) / 2023 (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 PlainDoctor editorial team.