Dr. Sumit Bhatia, MD

  • Bloomington, IL
  • Retina specialist (ophthalmology) physician
NPI1780670596PAC ID5092744649
Medicare services, 2024
13,292
Medicare patients, 2024
245
Part D claims, 2024
287
Publications
2
Clinical trials
1
Practice address
1008 N Center, Bloomington, IL 61701
Practice phone
Call (309) 827-2020
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Bloomington Eye Institute

Surgery Center - Medicare-Certified · Bloomington, Illinois

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Dr. Sumit Bhatia is a retina specialist (ophthalmology) physician in Bloomington, Illinois

Dr. Bhatia practices at Bloomington Eye Institute in Bloomington, Illinois.

Dr. Bhatia's NPI, 1780670596, was assigned on September 27, 2005. Dr. Bhatia graduated from Pritzker School of Medicine in 2001. Dr. Bhatia holds Illinois license 036117968.

NPI and contact details
Medicare PAC ID
5092744649
NPI enumeration date
September 27, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(309) 827-2020
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
51
Medical school graduation
2001

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

Dr. Sumit Bhatia practices at Bloomington Eye Institute in Bloomington, Illinois

Dr. Bhatia's primary practice is Bloomington Eye Institute, at 1008 N Center, Bloomington, IL 61701. The practice phone is (309) 827-2020.

  • Bloomington Eye Institute
    1008 N Center, Bloomington, IL 61701Phone(309) 827-2020

Source: Dmand AI Affiliation Data

Dr. Sumit Bhatia is affiliated with 2 sites of care and 1 medical group

Dr. Bhatia's primary practice is Bloomington Eye Institute in Bloomington, Illinois. Dmand AI also links Dr. Bhatia to 1 physician office and 1 medical group, each named with a free account.

Bloomington Eye InstituteSurgery Center - Medicare-Certified · Bloomington, IllinoisPrimary
1 physician officeName with a free account1 medical groupName with a free accountParent health systemName with a free account
See all 3 affiliations for Dr. Bhatia

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Sumit Bhatia's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Bhatia practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Bloomington Eye InstituteAvailable with a free account
+1 more site and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Sumit Bhatia is one of 67 retina specialist (ophthalmology) physicians in Illinois

Retina specialist is Dr. Bhatia's primary specialty in the NPI Registry, under taxonomy code 207WX0107X. Dr. Bhatia is board certified in ophthalmology by the American Board of Ophthalmology. Dmand AI has Dr. Bhatia's licenses on file in 2 states: Illinois and Massachusetts.

Specialties and state licenses

  • Retina specialist (ophthalmology), IllinoisPrimaryLicense 036117968 · 2007 to 2026 · taxonomy 207WX0107X
  • Ophthalmology, MassachusettsLicense 223699 · 2005 to 2007 · taxonomy 207W00000X

Clinical focus

Dmand AI lists age-related macular degeneration, cataract, dry eye, eye infection or inflammation, glaucoma, inflammation of iris, laser destruction of retinal or choroid lesions and retinal detachment among the conditions Dr. Bhatia treats.

Retina specialist (ophthalmology) physicians near Dr. Bhatia

Counts of retina specialist (ophthalmology) physicians with a Dmand AI profile, by place and practice. Each opens the list.

67retina specialist (ophthalmology) physicians in Illinois
2retina specialist (ophthalmology) physicians in Bloomington

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

Dr. Sumit Bhatia billed Medicare for 13,292 services in 2024

CMS data shows 13,292 Medicare services from Dr. Bhatia across 12 procedure codes in 2024, for 245 Medicare patients. Medicare paid $809,568 for them.

Medicare services, 202413,292
Medicare patients245
Paid by Medicare$809,568
Procedure codes12

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

  • 2023
  • 2024
Drugs given in the office
2023: 7,5692024: 11,52352%
Tests and treatments
2023: 7162024: 90426%
Surgery
2023: 4012024: 53533%
Office and hospital visits
2023: 2302024: 33043%

Where Dr. Bhatia's Medicare services took place, 2024

  • In an office13,281100%
  • In a facility110%

Dr. Bhatia compared with the Illinois median for retina specialist (ophthalmology) physicians, 2024

  • Dr. Bhatia
  • Illinois median
Medicare services
13,292vs 15,73116% below
Medicare patients
245vs 71065% below
Part D claims
262vs 23113% above

Medians across 68 retina specialist (ophthalmology) physicians in Illinois with Dmand AI profiles that report each measure.

Dr. Bhatia'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. Bhatia

Need commercial claims for Dr. Bhatia?

Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Bhatia and other retina specialist (ophthalmology) physicians in Illinois.

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

Dr. Sumit Bhatia treated 245 Medicare patients in 2024, average age 75

CMS counts 245 Medicare patients who saw Dr. Bhatia in 2024. The largest group is 65 to 74, with 109 patients. 74% of them have high blood pressure, and 71% have high cholesterol. 4% are also on Medicaid. Their average risk score is 1.22, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Bhatia's median patient age at 75, with 54% women.

Medicare patients, 2024245
Average age75
Average risk score1.22
Also on Medicaid4%

Dr. Bhatia's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Bhatia's Medicare patients by sex, 2024

  • Women13455%
  • Men11145%

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

  1. High blood pressure74%
  2. High cholesterol71%
  3. Arthritis42%
  4. Diabetes28%
  5. Ischemic heart disease25%
  6. Anxiety22%
  7. Chronic kidney disease21%
  8. Atrial fibrillation18%

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

Dr. Bhatia's patients across all payers

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

Patient panel by age, all payers

Median age 75

Patient panel by sex, all payers

  • Women54%
  • Men46%

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

Dr. Sumit Bhatia wrote 287 Medicare Part D claims in 2024

In 2024, Dr. Bhatia wrote 287 Medicare Part D claims for 77 patients. 63% of them were for generic drugs. CMS names the drug for 262 of them, across 8 drugs with 11 or more claims each, at $15,432 in total drug cost. In 2023, CMS named 307 claims across 9 drugs.

Part D claims, 2024287
Drugs named by CMS8
Total drug cost$15,432
Part D patients77

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

  • Generic181 claims63%
  • Brand-name106 claims37%

Dr. Bhatia'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.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 3072024: 26215%

Drugs named by CMS: 8 in 2024, 9 in 2023.

See all prescribing by Dr. Bhatia

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

How Dr. Sumit Bhatia takes part in Medicare

Dr. Bhatia accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Cataract surgery: 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. Sumit Bhatia has 2 publications on record

Dmand AI links 2 papers to Dr. Bhatia in 2021. Dr. Bhatia's most frequent co-authors are Seenu M. Hariprasad, Kevin Hasmukh Patel, MD and Nicolas A. Yannuzzi, MD.

Papers2

Dr. Bhatia's most frequent co-authors

Recent publications by Dr. Bhatia

See all 2 publications and co-authors

See who Dr. Bhatia researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Bhatia works with, so you can find a warm path to the right retina specialist (ophthalmology) physicians.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Sumit Bhatia has worked on 1 clinical trial

Dmand AI links Dr. Bhatia to 1 clinical trial. Conditions studied include Geographic Atrophy and Macular Degeneration.

Conditions in Dr. Bhatia's trials

  • Geographic Atrophy
  • Macular Degeneration

Investigators on the most trials with Dr. Bhatia

Recent clinical trials with Dr. Bhatia

Sources: Dmand AI Research Linkage; and ClinicalTrials.gov (National Library of Medicine)

Dr. Sumit Bhatia received $1,905 in industry payments from 2016 to 2025

CMS Open Payments shows 73 general payments to Dr. Bhatia from 13 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 98% of the total. Allergan Inc. paid the most, $475.

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

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

$1.9Kin total
  • Food and beverage$1,87298%
  • Entertainment$332%

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

Share is of all general payments to this clinician.

See all payments to Dr. Bhatia

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

Dr. Sumit Bhatia has 2 awards and honors on record

Dmand AI lists 2 awards for Dr. Bhatia, most recently CMS Stage 1 EHR in 2013.

Awards and honors for Dr. Bhatia

  1. 2013
    • CMS Stage 1 EHR
  2. Undated
    • AAO Fellow

Source: Dmand AI Professional Profile Data

Dr. Sumit Bhatia graduated from Pritzker School of Medicine

Dr. Bhatia graduated from Pritzker School of Medicine in 2001. Dr. Bhatia is a member of AAO.

  1. Medical schoolPritzker School of Medicine
  2. Board certified in ophthalmologyAmerican Board of Ophthalmology

Source: Dmand AI Professional Profile Data

Dr. Sumit Bhatia accepts plans from 9 insurance carriers

Dr. Bhatia is in network with 9 carriers, including Aetna, Blue Cross Blue Shield of Massachusetts and Blue Cross Blue Shield of Michigan. HMO plans come from the most carriers, 6. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Massachusetts
  • Blue Cross Blue Shield of Michigan
  • Humana
  • United Healthcare
  • Health Alliance
  • Blue Cross and Blue Shield of Kansas City
  • CMS Medicare
  • +1 more carriersWith a free account

Plan types Dr. Bhatia accepts, by number of carriers

  1. HMO6
  2. Medicare5
  3. PPO5
  4. POS4
  5. EPO2

Source: Dmand AI Insurance Network Data

Sources for Dr. Sumit Bhatia'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 DataDmand AI Org Hierarchy 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)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Clinical trials and co-investigatorsDmand AI Research LinkageClinicalTrials.gov (National Library of Medicine) (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. Sumit Bhatia

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. Sumit Bhatia's NPI number?

Dr. Sumit Bhatia's NPI number is 1780670596. It was assigned on September 27, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. Sumit Bhatia?

Dr. Sumit Bhatia is a retina specialist (ophthalmology) physician in Bloomington, Illinois. The primary specialty in the NPI Registry is Retina Specialist (Ophthalmology) Physician (taxonomy code 207WX0107X).

Where does Dr. Sumit Bhatia practice?

Dr. Bhatia practices at 1008 N Center, Bloomington, IL 61701. Dr. Bhatia's primary practice is Bloomington Eye Institute in Bloomington, Illinois. Dmand AI also links Dr. Bhatia to 1 physician office and 1 medical group.

What is Dr. Sumit Bhatia's office phone number?

The practice phone on file for Dr. Bhatia is (309) 827-2020.

What is Dr. Sumit Bhatia's medical license number?

Dr. Bhatia holds Illinois license 036117968, one of the licenses on file in 2 states.

Which states has Dr. Sumit Bhatia been licensed in?

Dmand AI has state licenses on file for Dr. Bhatia in Illinois (2007 to 2026) and Massachusetts (2005 to 2007).

Does Dr. Sumit Bhatia accept Medicare?

Yes. CMS data shows Dr. Bhatia billed Medicare for 13,292 services in 2024, and Dr. Bhatia accepts Medicare assignment.

How many Medicare patients does Dr. Sumit Bhatia see?

CMS counts 245 Medicare patients who saw Dr. Bhatia in 2024, with an average age of 75.

Is Dr. Sumit Bhatia board certified?

Yes. Dr. Bhatia is board certified in ophthalmology by the American Board of Ophthalmology.

What services does Dr. Sumit Bhatia bill to Medicare?

In 2024, Dr. Bhatia's most billed Medicare services were injected or infused drug (J2777), injected or infused drug (J2781) and eye exam or test (92134).

Show 7 more questionsShow fewer questions

Where did Dr. Sumit Bhatia go to medical school?

Dr. Bhatia graduated from Pritzker School of Medicine in 2001.

What drugs does Dr. Sumit Bhatia prescribe most?

In 2024 Medicare Part D data, Dr. Bhatia's most prescribed drugs by claims were Prednisolone Acetate, Atropine Sulfate and Ofloxacin.

Has Dr. Sumit Bhatia received payments from drug or device companies?

CMS Open Payments shows $1,905 in general payments to Dr. Bhatia from 13 companies from 2016 to 2025. The largest total came from Allergan Inc.

How long has Dr. Sumit Bhatia been practicing?

Dr. Bhatia graduated from medical school in 2001, 25 years ago.

Does Dr. Sumit Bhatia do research?

Dmand AI links 2 publications to Dr. Bhatia. Dr. Bhatia has worked on 1 clinical trial.

Who does Dr. Sumit Bhatia publish with?

Dr. Bhatia's most frequent co-authors are Seenu M. Hariprasad (1 shared paper), Kevin Hasmukh Patel, MD (1 shared paper) and Nicolas A. Yannuzzi, MD (1 shared paper).

What insurance does Dr. Sumit Bhatia accept?

Dr. Bhatia is in network with 9 carriers, including Aetna, Blue Cross Blue Shield of Massachusetts and Blue Cross Blue Shield of Michigan. HMO plans come from the most carriers, 6. Check the plan with the practice before a visit.

Selling to retina specialist practices?

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