2026 NPPES data Addiction Medicine (Internal Medicine) Physician NPI 1437681541
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BHAVNA BALI

Addiction Medicine (Internal Medicine) Physician in ATHENS, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
414
Medicare Part D claims · 59 beneficiaries · Addiction Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
71.7884/100
▼ 11 pts below national avg 83.1 · [object Object]
What the federal data reveals: BHAVNA BALI is a Addiction Medicine (Internal Medicine) Physician ([object Object]) practicing in ATHENS, Georgia with a Medicare Part D prescribing footprint of 414 claims across 59 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 71.7884/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: BHAVNA BALI reported a CMS MIPS final score of 71.7884 out of 100, below the 83.1 national average, and filed 414 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

BHAVNA BALI 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).

BHAVNA BALI at a glance

Below national average

NPI registry status

Active

Issued 03/29/2017

NPI 1437681541

Primary specialty

Addiction Medicine (Internal Medicine) Physician

Niche

553 US NPIs in this specialty

Medicare Part D claims

414 70% vs specialty avg

2023 prescription claims

Specialty avg: 1,403

MIPS final score

71.7884/100 11.311599999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Georgia

How Addiction Medicine (Internal Medicine) Physician compares to other specialties among Georgia providers

Georgia providers

Addiction Medicine (Internal Medicine) Physician share within Georgia

1. Addiction Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Addiction Medicine (Internal Medicine) Physician share within Georgia

Medicare quality performance — MIPS

BHAVNA BALI's 2023 MIPS final score plotted against the Addiction Medicine (Internal Medicine) Physician national average

Below national average
MIPS Final Score
71.7884/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Addiction Medicine (Internal Medicine) Physician) — 71.7884/100 vs national avg 83.1

0%100%National avg83%71.8%
MIPS final score (Addiction Medicine (Internal Medicine) Physician) — 71.7884/100 vs national avg 83.1

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).

BHAVNA BALI is a Addiction Medicine (Internal Medicine) Physician provider practicing in ATHENS, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1437681541. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

BHAVNA BALI appears in the CMS NPPES registry as a Addiction Medicine (Internal Medicine) Physician provider at 1270 PRINCE AVE # 70, ATHENS, GA, 30606, with a listed phone of (706) 475-7055. NPI 1437681541 was issued on 03/29/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 414 prescription claims written by this provider, covering 59 Medicare beneficiaries and totaling roughly $116K in drug spend, split 12% brand-name and 88% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 71.7884/100 for the 2023 performance year (Quality 48.3237, Cost 57.6377), compared with the national average of 83.1.

Addiction Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 553 enrolled providers across 46 states and an average of 1,403 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

1270 PRINCE AVE # 70
ATHENS, GA 30606

Provider Details

NPI 1437681541
Specialty Addiction Medicine (Internal Medicine) Physician
Gender Female
NPI Issued 03/29/2017

CMS Quality Score (MIPS)

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

71.7884
Final Score
Avg: 83.1
48.3237
Quality
57.6377
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where BHAVNA BALI 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.

LIVE LIFE NOW HEALTH GROUP PA
CHARLESTON, SC
THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP
HERSHEY, PA

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

Brand vs generic prescribing mix · Typical

BHAVNA BALI — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 414 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.

414
Total Claims
$116K
Total Drug Cost
59
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
424
Total Day Supply
10,200
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$52K
Generic Drug Cost
$63K

Patient Demographics

Average Patient Age
58.4 years
Avg HCC Risk Score
1.76
Gender Split
51% female / 49% male
Age Distribution
<65: 35, 65-74: 20, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
244
Zubsolv
Buprenorphine Hcl/Naloxone Hcl
29
Gabapentin
21
Naltrexone Hcl
13

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

Addiction Medicine (Internal Medicine) Physician Overview

How BHAVNA BALI fits within the Addiction Medicine (Internal Medicine) Physician landscape nationally.

553
Addiction Medicine (Internal Medicine) Physician Providers in US
46
States with Addiction Medicine (Internal Medicine) Physician
1,403
Avg Claims per Provider

BHAVNA BALI's 414 claims are below the specialty average of 1,403.

Nearby Addiction Medicine (Internal Medicine) Physician Providers in Georgia

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

Compare Addiction Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BHAVNA BALI's specialty?
BHAVNA BALI specializes in Addiction Medicine (Internal Medicine) Physician and practices in ATHENS, Georgia.
How much does BHAVNA BALI prescribe under Medicare Part D?
In 2023, BHAVNA BALI wrote 414 Medicare Part D claims totaling $116K in drug costs for 59 beneficiaries.
What is BHAVNA BALI's Medicare quality score?
BHAVNA BALI has a CMS MIPS Final Score of 71.7884/100 (Quality: 48.3237, Cost: 57.6377). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BHAVNA BALI located?
BHAVNA BALI is located at 1270 PRINCE AVE # 70, ATHENS, GA, 30606. Phone: (706) 475-7055.
What is BHAVNA BALI's NPI number?
BHAVNA BALI's National Provider Identifier (NPI) is 1437681541, issued on 03/29/2017.
Does BHAVNA BALI prescribe more brand-name or generic drugs?
BHAVNA BALI's prescribing is 12% brand-name and 88% generic drugs by claim count, with $52K in brand drug costs.
How many Addiction Medicine (Internal Medicine) Physician providers are there in the US?
There are 553 Addiction Medicine (Internal Medicine) Physician providers across 46 states in the US. The average Addiction Medicine (Internal Medicine) Physician provider writes 1,403 Medicare Part D claims per year.
What drugs does BHAVNA BALI prescribe most often?
Based on 2023 Medicare Part D data, BHAVNA BALI's most frequently prescribed drugs include Buprenorphine-Naloxone, Zubsolv, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BHAVNA BALI accept Medicare?
BHAVNA BALI appears in CMS Medicare data with 414 Part D claims and 59 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BHAVNA BALI's credentials?
BHAVNA BALI's NPI is 1437681541. 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

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