Dr. Bassam R. Bilal, MD

  • Laguna Niguel, CA
  • Internist
NPI1306890827PAC ID8426941352
Medicare services, 2024
628
Medicare patients, 2024
321
Part D claims, 2024
8,475
Hospital affiliations
3
Industry payments
$7,120
Practice address
30281 Golden Lantern, Laguna Niguel, CA 92677-5979
Practice phone
Call (949) 495-7144
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Optumcare Medical Group

Primary care practice · Laguna Niguel, California

See all 13 affiliations

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Dr. Bassam R. Bilal is an internist in Laguna Niguel, California

Dr. Bilal practices at Optumcare Medical Group in Laguna Niguel, California.

Dr. Bilal's NPI, 1306890827, was assigned on May 20, 2006. Dr. Bilal graduated from University of Aleppo Faculty of Medicine in 1991. Dr. Bilal holds California license C150299.

NPI and contact details
Medicare PAC ID
8426941352
NPI enumeration date
May 20, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(949) 495-7144
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
61
Medical school graduation
1991

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Bassam R. Bilal practices at Optumcare Medical Group in Laguna Niguel, California

Dr. Bilal's primary practice is Optumcare Medical Group, at 30281 Golden Lantern, Laguna Niguel, CA 92677-5979. The practice phone is (949) 495-7144.

  • Optumcare Medical Group
    30281 Golden Lantern, Laguna Niguel, CA 92677-5979Phone(949) 495-7144

Source: Dmand AI Affiliation Data

Dr. Bassam R. Bilal is affiliated with 10 sites of care and 3 medical groups

Dr. Bilal's primary practice is Optumcare Medical Group in Laguna Niguel, California. Dr. Bilal is also affiliated with Hoag Hospital Newport Beach. The medical group on file is OptumCare Medical Group. Dmand AI also links Dr. Bilal to 2 more hospitals, 3 home health agencies, 2 hospices, 2 medical groups and 1 group practice or clinic, each named with a free account.

See all 13 affiliations for Dr. Bilal

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Bassam R. Bilal's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Bilal practices, 10 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Optumcare Medical GroupAvailable with a free account
+9 more sites and 2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Bassam R. Bilal is one of 16,751 internists in California

Internal medicine is Dr. Bilal's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dr. Bilal is board certified in internal medicine by the American Board of Internal Medicine. Dmand AI has Dr. Bilal's licenses on file in 4 states: California, Oklahoma, Ohio and West Virginia.

Specialties and state licenses

  • Internal medicine, CaliforniaPrimaryLicense C150299 · 2017 to 2027 · taxonomy 207R00000X
  • Oklahoma license2005 to 2019
  • Ohio license1999 to 2009
  • West Virginia license2004 to 2006

Clinical focus

Dmand AI lists acute sinusitis, acute skin infection, alcohol use disorders, alzheimer's disease, aneurysm, anxiety, atrial fibrillation and flutter and broken or dislocated ankle/ or foot among the conditions Dr. Bilal treats.

Internists near Dr. Bilal

Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Bassam R. Bilal billed Medicare for 628 services in 2024

CMS data shows 628 Medicare services from Dr. Bilal across 6 procedure codes in 2024, for 321 Medicare patients. Medicare paid $50,687 for them. Every service was in an office.

Medicare services, 2024628
Medicare patients321
Paid by Medicare$50,687
Procedure codes6

Dr. Bilal's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 4822024: 55916%
Other services
2023: 842024: 3262%
Tests and treatments
2023: 232024: 1917%
Lab and pathology
2023: 02024: 18

Dr. Bilal compared with the California median for internists, 2024

  • Dr. Bilal
  • California median
Medicare services
628vs 36174% above
Medicare patients
321vs 1512.1 times
Part D claims
7,736vs 42118.4 times

Medians across 15,815 internists in California with Dmand AI profiles that report each measure.

Dr. Bilal's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Bilal

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Bassam R. Bilal treated 321 Medicare patients in 2024, average age 75

CMS counts 321 Medicare patients who saw Dr. Bilal in 2024. The largest group is 65 to 74, with 152 patients. 75% of them have high cholesterol, and 71% have high blood pressure. 7% are also on Medicaid. Their average risk score is 0.97, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Bilal's median patient age at 70, with 53% women.

Medicare patients, 2024321
Average age75
Average risk score0.97
Also on Medicaid7%

Dr. Bilal's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Bilal's Medicare patients by sex, 2024

  • Women15548%
  • Men16652%

Chronic conditions among Dr. Bilal's Medicare patients, 2024

  1. High cholesterol75%
  2. High blood pressure71%
  3. Arthritis43%
  4. Ischemic heart disease23%
  5. Chronic kidney disease20%
  6. Mood disorders20%
  7. Anxiety19%
  8. Diabetes18%

Share of Medicare patients with each condition. A patient can have several.

Dr. Bilal's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 70

Patient panel by sex, all payers

  • Women53%
  • Men46%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Bassam R. Bilal wrote 8,475 Medicare Part D claims in 2024

In 2024, Dr. Bilal wrote 8,475 Medicare Part D claims for 1,015 patients. 90% of them were for generic drugs. CMS names the drug for 7,736 of them, across 128 drugs with 11 or more claims each, at $392,966 in total drug cost. In 2023, CMS named 6,540 claims across 112 drugs.

Part D claims, 20248,475
Drugs named by CMS128
Total drug cost$392,966
Part D patients1,015

Dr. Bilal's Part D claims by kind of drug, 2024

  • Generic7,657 claims90%
  • Brand-name773 claims9%
  • Other45 claims1%

Dr. Bilal's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Bilal's Part D claims, 2024

  • Opioids1%120 of 8,475 claims
  • Antibiotics3%253 of 8,475 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 6,5402024: 7,73618%

Drugs named by CMS: 128 in 2024, 112 in 2023.

See all prescribing by Dr. Bilal

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Bassam R. Bilal offers telehealth to Medicare patients

Dr. Bilal accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Bilal as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Removal of skin lesions: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)

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Dr. Bassam R. Bilal received $7,120 in industry payments from 2016 to 2025

CMS Open Payments shows 482 general payments to Dr. Bilal from 41 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 100% of the total. Eli Lilly and Company paid the most, $1,164.

General payments to Dr. Bilal by program year, 2016 to 2025

General payments to Dr. Bilal by kind, 2016 to 2025

$7.1Kin total
  • Food and beverage$7,092100%
  • Education$210%
  • Travel and lodging$80%

Companies that paid Dr. Bilal the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Bilal

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Bassam R. Bilal has 1 award and honors on record

Dmand AI lists 1 award for Dr. Bilal, most recently Fellow and Oklahoma ACP Governer's counsel member in 2005.

Awards and honors for Dr. Bilal

  1. 2005
    • Fellow and Oklahoma ACP Governer's counsel member

Source: Dmand AI Professional Profile Data

Dr. Bassam R. Bilal graduated from University of Aleppo Faculty of Medicine

Dr. Bilal graduated from University of Aleppo Faculty of Medicine in 1991. Dr. Bilal is a member of ACP.

  1. Medical schoolUniversity of Aleppo Faculty of Medicine
  2. Board certified in internal medicineAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Bassam R. Bilal accepts plans from 11 insurance carriers

Dr. Bilal is in network with 11 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. Medicare plans come from the most carriers, 7. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • Blue Cross Blue Shield of Massachusetts
  • HCSC
  • Regence Health Plans
  • Aspirus Health Plan
  • Blue Cross and Blue Shield of Kansas City
  • +3 more carriersWith a free account

Plan types Dr. Bilal accepts, by number of carriers

  1. Medicare7
  2. PPO7
  3. HMO4
  4. POS4
  5. EPO2

Source: Dmand AI Insurance Network Data

Sources for Dr. Bassam R. Bilal's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Bassam R. Bilal

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Bassam R. Bilal's NPI number?

Dr. Bassam R. Bilal's NPI number is 1306890827. It was assigned on May 20, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Bassam R. Bilal?

Dr. Bassam R. Bilal is an internist in Laguna Niguel, California. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).

Where does Dr. Bassam R. Bilal practice?

Dr. Bilal practices at 30281 Golden Lantern, Laguna Niguel, CA 92677-5979. Dr. Bilal's primary practice is Optumcare Medical Group in Laguna Niguel, California. Dmand AI also links Dr. Bilal to 2 hospitals, 3 home health agencies, 2 hospices, 2 medical groups and 1 group practice or clinic.

What is Dr. Bassam R. Bilal's office phone number?

The practice phone on file for Dr. Bilal is (949) 495-7144.

What is Dr. Bassam R. Bilal's medical license number?

Dr. Bilal holds California license C150299, one of the licenses on file in 4 states.

Which states has Dr. Bassam R. Bilal been licensed in?

Dmand AI has state licenses on file for Dr. Bilal in California (2017 to 2027), Oklahoma (2005 to 2019), Ohio (1999 to 2009) and West Virginia (2004 to 2006).

Which hospitals is Dr. Bassam R. Bilal affiliated with?

Dr. Bilal is affiliated with Hoag Hospital Newport Beach. Dmand AI links Dr. Bilal to 2 more hospitals.

What medical group is Dr. Bassam R. Bilal part of?

Dr. Bilal is linked to OptumCare Medical Group. Dmand AI links Dr. Bilal to 2 more medical groups.

Does Dr. Bassam R. Bilal accept Medicare?

Yes. CMS data shows Dr. Bilal billed Medicare for 628 services in 2024, and Dr. Bilal accepts Medicare assignment.

Does Dr. Bassam R. Bilal offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Bilal as offering telehealth services.

Show 8 more questionsShow fewer questions

How many Medicare patients does Dr. Bassam R. Bilal see?

CMS counts 321 Medicare patients who saw Dr. Bilal in 2024, with an average age of 75.

Is Dr. Bassam R. Bilal board certified?

Yes. Dr. Bilal is board certified in internal medicine by the American Board of Internal Medicine.

What services does Dr. Bassam R. Bilal bill to Medicare?

In 2024, Dr. Bilal's most billed Medicare services were office visit, established patient (99213), office visit, established patient (99214) and vaccine or vaccine administration (90677).

Where did Dr. Bassam R. Bilal go to medical school?

Dr. Bilal graduated from University of Aleppo Faculty of Medicine in 1991.

What drugs does Dr. Bassam R. Bilal prescribe most?

In 2024 Medicare Part D data, Dr. Bilal's most prescribed drugs by claims were Atorvastatin Calcium, Losartan Potassium and Amlodipine Besylate.

Has Dr. Bassam R. Bilal received payments from drug or device companies?

CMS Open Payments shows $7,120 in general payments to Dr. Bilal from 41 companies from 2016 to 2025. The largest total came from Eli Lilly and Company.

How long has Dr. Bassam R. Bilal been practicing?

Dr. Bilal graduated from medical school in 1991, 35 years ago.

What insurance does Dr. Bassam R. Bilal accept?

Dr. Bilal is in network with 11 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. Medicare plans come from the most carriers, 7. Check the plan with the practice before a visit.

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