Prabhat Bhama, MD, MPH, FACS
NPI 1962415430 · Otolaryngology/Facial Plastic Surgery Physician · Everett, WA
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prabhat Bhama, MD, MPH, FACS is a Otolaryngology/Facial Plastic Surgery Physician provider in Everett, WA (NPI 1962415430).
Provider details
- NPI number
- 1962415430
- Entity type
- Individual
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MPH, FACS
- Sex
- Male
- Sole proprietor
- No
- License
- MD61030796 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
285 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Diagnostic Exam of Nasal Passages Using an Endoscope31231 | 76 | $188 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 47 | $128 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 33 | $166 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 33 | $219 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 21 | $179 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 21 | 16 |
| Cephalexin | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$394 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 3216 Norton Ave Ste 202Everett, WA 98201-4290Phone: (425) 297-5350Fax: (425) 297-5355
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2025-08-07
- Certified
- 2025-08-07
Frequently asked questions
- What is Prabhat Bhama's NPI number?
- Prabhat Bhama's National Provider Identifier (NPI) is 1962415430, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prabhat Bhama's specialty?
- Prabhat Bhama is listed in the NPPES registry with a primary specialty of Otolaryngology/Facial Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Prabhat Bhama located?
- Prabhat Bhama's practice location on file with NPPES is 1330 Rockefeller Ave Ste 310, Everett, WA 98201-1677.
- What is Prabhat Bhama's phone number?
- The practice phone number listed in the NPPES registry for Prabhat Bhama is (425) 297-5359.
- Does Prabhat Bhama accept Medicare?
- Prabhat Bhama is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prabhat Bhama's NPI active?
- Yes — Prabhat Bhama's NPI (1962415430) is active in the NPPES registry as of the last update on 2025-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.