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Active NPI 1902025596 Individual Practitioner Male Practitioner

Dr. Vishal Bhalani , MD

Urology • Cumming, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Vishal Bhalani, MD is a certified Urology practicing in Cumming, GA. With approximately 20 years of clinical experience since graduating from University Of Miami, Lm Miller School Of Medicine in 2006, Dr. Bhalani delivers high-quality medical care to the local community at 960 SANDERS RD STE 500.

Dr. Bhalani is affiliated with Upson Surgical Associates, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

960 Sanders Rd Ste 500

Cumming, GA 300415978

Telephone 6783217227
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Miami, Lm Miller School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Cumming, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +6.5 yrs vs City Avg
City Avg: 13.5 Yrs
State Avg: 27.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Cumming, GA (422 Statewide)

Telehealth Adoption Rate
100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
62.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bhalani (20 Years) 20 Yrs
Cumming Specialty Average (13.5 Years) 13.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
303 186 $314.00 $125.43
81003 Automated urinalysis test
294 241 $11.33 $2.20
51798 Ultrasound measurement of bladder capacity after voiding
228 143 $39.27 $11.01
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
215 165 $35.00 $16.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
207 207 $410.70 $164.17
99213 Established patient office or other outpatient visit, typically 15 minutes
119 94 $209.53 $88.57
52000 Diagnostic exam of bladder and urethra using an endoscope
85 82 $597.44 $227.15
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant
80 23 $2209.00 $821.61
51741 Electronic assessment of bladder emptying
69 55 $35.54 $13.01
76872 Ultrasound scan of pelvic region through rectum
53 53 $496.98 $135.23
76770 Complete ultrasound scan behind abdominal cavity
33 29 $277.00 $106.43
36415 Insertion of needle into vein for collection of blood sample
23 22 $10.00 $8.65
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant
23 23 $3231.00 $1199.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
22 22 $240.64 $107.47
55700 Biopsy of prostate gland
18 18 $591.78 $234.91
51700 Simple bladder irrigation and/or instillation
13 11 $193.00 $63.89

Medical Specialties & State Licenses

CMS Verified: 2023-07-25
Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License GA 074749

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License IL 125053804

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Hospital & Practice Group Affiliations

Upson Surgical Associates, Llc

612 W Gordon St, Thomaston, GA 302863480

Upson Surgical Associates, Llc

801 W Gordon St, Thomaston, GA 302863426

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Christina Bhatia , MSN, APRN FNP-C

Nurse Practitioner - Family

NPI 1154111987

Master of Science in Nursing, APRNFNPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 25, 2023

Registered at 960 SANDERS RD STE 500, CUMMING, GA 300415978 (Tel: 6783217227)

📍
Updated Business Mailing Address July 25, 2023

Registered at 960 SANDERS RD STE 500, CUMMING, GA 300415978 (Tel: 6783217227)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2023

Urology (License #125053804 in IL)

NPI Profile Active November 30, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2015

Registered at 1557 JANMAR RD, SNELLVILLE, GA 300785686 (Tel: 6783448900)

📍
Updated Business Mailing Address November 30, 2015

Registered at 1557 JANMAR RD, SNELLVILLE, GA 300785686 (Tel: 6783448900)

👤
Provider Name / Credentials Updated November 30, 2015

Recorded as VISHAL BHALANI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2015

Urology (License #074749 in GA)

🟢
Initial NPI Registration & Enumeration April 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1902025596
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2007
Last Update: July 25, 2023
Sole Proprietor: Yes

Mailing Address

960 Sanders Rd Ste 500

Cumming, GA 300415978

Phone: 6783217227

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.