2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1801155809 M.D.
Verify on CMS →

PREMAL BHAVSAR, M.D.

Physical Medicine & Rehabilitation Physician in NEW YORK, New York. 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
21
Medicare Part D claims · Physical Medicine & Rehabilitation Physician avg: 781
MIPS score
84.4744/100
▲ 1 pts above national avg 83.1 · [object Object]
What the federal data reveals: PREMAL BHAVSAR, M.D. is a Physical Medicine & Rehabilitation Physician ([object Object]) practicing in NEW YORK, New York with a Medicare Part D prescribing footprint of 21 claims . Their CMS MIPS Final Score of 84.4744/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: PREMAL BHAVSAR, M.D. reported a CMS MIPS final score of 84.4744 out of 100, above the 83.1 national average, and filed 21 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)

PREMAL BHAVSAR, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

PREMAL BHAVSAR, M.D. at a glance

Near national average

NPI registry status

Active

Issued 05/10/2012

NPI 1801155809

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

21 97% vs specialty avg

2023 prescription claims

Specialty avg: 781

MIPS final score

84.4744/100 1.3744000000000085% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Physical Medicine & Rehabilitation Physician compares to other specialties among New York providers

New York providers

Physical Medicine & Rehabilitation Physician share within New York

1. Physical Medicine & Rehabilitation Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Medicine & Rehabilitation Physician share within New York

Medicare quality performance — MIPS

PREMAL BHAVSAR, M.D.'s 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average

Near national average
MIPS Final Score
84.4744/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physical Medicine & Rehabilitation Physician) — 84.4744/100 vs national avg 83.1

0%100%National avg83%84.5%
MIPS final score (Physical Medicine & Rehabilitation Physician) — 84.4744/100 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).

PREMAL BHAVSAR, M.D. is a Physical Medicine & Rehabilitation Physician provider practicing in NEW YORK, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1801155809. 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.

PREMAL BHAVSAR, M.D. appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding M.D. credentials at 240 E 38TH ST, NEW YORK, NY, 10016, with a listed phone of (212) 263-6037. NPI 1801155809 was issued on 05/10/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BHAVSAR 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 21 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $835 in drug spend. 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 84.4744/100 for the 2023 performance year (Quality 93.334, Cost 54.914), compared with the national average of 83.1.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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

240 E 38TH ST
NEW YORK, NY 10016

Provider Details

NPI 1801155809
Specialty Physical Medicine & Rehabilitation Physician
Credentials M.D.
Gender Male
NPI Issued 05/10/2012

CMS Quality Score (MIPS)

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

84.4744
Final Score
Avg: 83.1
93.334
Quality
54.914
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PREMAL BHAVSAR, 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.

NEW YORK UNIVERSITY
NEW YORK, NY

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

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to PREMAL BHAVSAR, M.D.. To verify PREMAL BHAVSAR, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York 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.

21
Total Claims
$835
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
27
Total Day Supply
629
Generic Drug Cost
$183

Patient Demographics

Average Patient Age
75.9 years
Avg HCC Risk Score
0.91

Physical Medicine & Rehabilitation Physician Overview

How PREMAL BHAVSAR, M.D. fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

PREMAL BHAVSAR, M.D.'s 21 claims are below the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as BHAVSAR.

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PREMAL BHAVSAR, M.D.'s specialty?
PREMAL BHAVSAR, M.D. specializes in Physical Medicine & Rehabilitation Physician and practices in NEW YORK, New York. Credentials: M.D..
How much does PREMAL BHAVSAR, M.D. prescribe under Medicare Part D?
In 2023, PREMAL BHAVSAR, M.D. wrote 21 Medicare Part D claims totaling $835 in drug costs for N/A beneficiaries.
What is PREMAL BHAVSAR, M.D.'s Medicare quality score?
PREMAL BHAVSAR, M.D. has a CMS MIPS Final Score of 84.4744/100 (Quality: 93.334, Cost: 54.914). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PREMAL BHAVSAR, M.D. located?
PREMAL BHAVSAR, M.D. is located at 240 E 38TH ST, NEW YORK, NY, 10016. Phone: (212) 263-6037.
What is PREMAL BHAVSAR, M.D.'s NPI number?
PREMAL BHAVSAR, M.D.'s National Provider Identifier (NPI) is 1801155809, issued on 05/10/2012.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
Does PREMAL BHAVSAR, M.D. accept Medicare?
PREMAL BHAVSAR, M.D. appears in CMS Medicare data with 21 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PREMAL BHAVSAR, M.D.'s credentials?
PREMAL BHAVSAR, M.D.'s NPI is 1801155809 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

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