CHELLA R BHAGYAM (DO) – Sports Medicine (Family Medicine) Physician, NPI 1255836128
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
340 SPORTS MEDICINE in IL
Provider Addresses for CHELLA R BHAGYAM (DO)
2000 OVALTINE CT UNIT 307
VILLA PARK, IL 601815603
Phone: (715) 338-1273
Type: Location
PO BOX 3158
PORTLAND, OR 972083158
Phone: (541) 732-8790
Type: Mailing
70 BOWER DR STE 240
MEDFORD, OR 975013689
Phone: (541) 732-8790
Fax: (541) 732-3415
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-06-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220627002270 | I | Sports Medicine | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 320 | 58 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 203 | 137 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 63 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 74 | 52 | $0 |
| 73564 | X-ray of knee, 4 or more views | 27 | 22 | $0 |
Insurance plans in this area (ZIP 60181)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | OR | |
| - | OR | |
| Internal Medicine, Critical Care (Intensivists) | OR | |
| - | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| Infectious Disease | NY | |
| Internal Medicine | OR | |
| - | OR |
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