NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1396792263 MD
Verify on CMS → Bipin Bhatt, MD
Pulmonary Disease Physician in Sebring, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,271 in Pulmonary Disease 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
2K
Medicare Part D claims · 489 beneficiaries · Pulmonary Disease Physician avg: 1K
MIPS score
28.2/100
▼ 55 pts below national avg 83.1 · Below average
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Bipin Bhatt, MD reported a CMS MIPS final score of 28.2/100 - below the 83.1 national average - and filed 2,063 Medicare Part D claims in 2023.
- 28.2/100
- MIPS score · -55 vs avg
- 2K
- Part D claims, 2023
- 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.
Bipin 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
28 3rd percentile higher than 3% 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 Bipin Bhatt, MD sits
This provider among pulmonary disease physician peers
Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Bipin Bhatt, MD writes more Part D claims than 71% of them and scores higher on MIPS quality than 5% - placing this provider in the high-volume, lower-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 pulmonary disease physician peer from a representative sample of 60; the gold marker is Bipin Bhatt, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Bipin Bhatt, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Bipin Bhatt, MD?
Below national averagePrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
2,063 42% vs specialty avg
MIPS final score
28.2/100 54.9 pts vs avg
Specialty distribution in Florida
How Pulmonary Disease Physician compares to other specialties among Florida providers
Medicare quality performance, MIPS
Bipin Bhatt, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 28.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 28.2/100 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).
Bipin Bhatt, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 6801 US HWY 27 NORTH, Sebring, FL, 33870, with a listed phone of (863) 382-8877. NPI 1396792263 was issued on 05/27/2006.
Medicare Part D records for calendar year 2023 show 2,063 prescription claims written by this provider, covering 489 Medicare beneficiaries and totaling roughly $392K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 28.2/100 for the 2023 performance year (Quality 0, Cost 94.1), compared with the national average of 83.1.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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 | 1396792263 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/27/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
28.2446
Final Score
Avg: 83.1
0
Quality
94.1488
Cost
Reporting: Individual
License & disciplinary context - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Bipin Bhatt, MD. To verify Bipin Bhatt, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
2,063
Total Claims
$392K
Total Drug Cost
489
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,916
- Total Day Supply
- 103,551
- Generic Drug Cost
- $38K
- Antibiotic Claims
- 446
Patient Demographics
- Average Patient Age
- 74.5 years
- Avg HCC Risk Score
- 1.89
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 63, 65-74: 169, 75-84: 186, 85+: 71
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Bipin Bhatt, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Albuterol Sulfate …
Albuterol Sulfate Hfa
517 claims
- Montelukast Sodium
Montelukast Sodium
213 claims
- Doxycycline Hyclate 170
Doxycycline Hyclate
170 claims
- Fluticasone Propio… 165
Fluticasone Propionate
165 claims
- Cefuroxime 160
Cefuroxime
160 claims
- Ventolin Hfa 108
Ventolin Hfa
108 claims
- Prednisone 89
Prednisone
89 claims
- Symbicort 66
Symbicort
66 claims
| Drug | Claims |
|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 517 |
| Montelukast Sodium | 213 |
| Doxycycline Hyclate | 170 |
| Fluticasone Propionate | 165 |
| Cefuroxime Cefuroxime Axetil | 160 |
| Ventolin Hfa Albuterol Sulfate | 108 |
| Prednisone | 89 |
| Symbicort Budesonide/Formoterol Fumarate | 66 |
| Azithromycin | 55 |
| Methylprednisolone | 48 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Bipin Bhatt, MD fits within the Pulmonary Disease Physician landscape nationally.
9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Bipin Bhatt, MD's 2,063 claims are above the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Bhatt.
Dr. Ahmed Abdel Fadil
MD
Tampa, FL
David Abia Trujillo
Jacksonville, FL
Dr. Sunoj Abraham
MD
Crystal River, FL
Dr. Yaw Abu
M.D
Belle Glade, FL
Dr. Abeer Abutaleb
M.D.
Pensacola, FL
Compare Pulmonary Disease 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 Florida medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease 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.
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Frequently Asked Questions
What is Bipin Bhatt, MD's specialty? ▼
Bipin Bhatt, MD specializes in Pulmonary Disease Physician and practices in Sebring, Florida. Credentials: MD.
How much does Bipin Bhatt, MD prescribe under Medicare Part D? ▼
In 2023, Bipin Bhatt, MD wrote 2,063 Medicare Part D claims totaling $392K in drug costs for 489 beneficiaries.
What is Bipin Bhatt, MD's Medicare quality score? ▼
Bipin Bhatt, MD has a CMS MIPS Final Score of 28.2/100 (Quality: 0, Cost: 94.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Bipin Bhatt, MD located? ▼
Bipin Bhatt, MD is located at 6801 US HWY 27 NORTH, Sebring, FL, 33870. Phone: (863) 382-8877.
What is Bipin Bhatt, MD's NPI number? ▼
Bipin Bhatt, MD's National Provider Identifier (NPI) is 1396792263, issued on 05/27/2006.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Bipin Bhatt, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Bipin Bhatt, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Montelukast Sodium, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Bipin Bhatt, MD accept Medicare? ▼
Bipin Bhatt, MD appears in CMS Medicare data with 2,063 Part D claims and 489 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Bipin Bhatt, MD's credentials? ▼
Bipin Bhatt, MD's NPI is 1396792263 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.