SAMEH R YONAN MD NPI 1013092147
Anesthesiology - Pain Medicine in Lorain, OH

About SAMEH R YONAN MD

Sameh Yonan is a provider established in Lorain, Ohio and his medical specialization is Anesthesiology with a focus in pain medicine with more than 27 years of experience. The NPI number of Sameh Yonan is 1013092147 and was assigned on October 2006. The practitioner's primary taxonomy code is 207LP2900X with license number 35084393 (OH). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1013092147
Provider Name SAMEH R YONAN MD
Location Address4804 LEAVITT RD LORAIN, OH 44053
Location Phone(440) 989-2066
Mailing Address4804 LEAVITT RD LORAIN, OH 44053
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1996
Is Sole Proprietor?No
Enumeration Date10-26-2006
Last Update Date03-27-2017

Sameh Yonan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Sameh Yonan is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Cleveland Clinic, Fairview Hospital and Lutheran Hospital.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 30, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207LP2900X
ClassificationAnesthesiology
TypeAllopathic & Osteopathic Physicians
SpecializationPain Medicine
License No.35084393
License StateOH
Taxonomy DescriptionAn anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

SAMEH R YONAN MD
4804 LEAVITT RD
LORAIN, OH
ZIP 44053
Phone: (440) 989-2066
Fax: (440) 989-1153

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Mailing Address

SAMEH R YONAN MD
4804 LEAVITT RD
LORAIN, OH
ZIP 44053
Phone: (440) 989-2066
Fax: (440) 989-1153


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID4284661257
PECOS Enrollment IDI20050721000007
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% N/A
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% N/A
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 30
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 689Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • 136Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter (HCPCS:G0434)
  • 105Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 101Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes (HCPCS:99144)
  • 99Injections of substances into lower or sacral spine (HCPCS:62311)
  • 66Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)
  • 66Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64494)
  • 25Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)
  • 22Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • 13Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Sameh Yonan is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
CLEVELAND CLINIC9500 EUCLID AVENUE
CLEVELAND, OH 44195
(216) 445-8400Acute Care Hospitals360180
FAIRVIEW HOSPITAL18101 LORAIN AVENUE
CLEVELAND, OH 44111
(216) 476-7000Acute Care Hospitals360077
LUTHERAN HOSPITAL1730 WEST 25TH STREET
CLEVELAND, OH 44113
(216) 696-4300Acute Care Hospitals360087

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology35084393OHNo

Taxonomy Description: an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
YO7364401MEDICARE PIN (08)OH
I33729MEDICARE UPIN (02)OH
2600797MEDICAID (05)OH

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013092147
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202309418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 9 + 4 + 1 + 8 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1013092147 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235116906 TERRENCE M OLITSKY PA-C
Individual
Physician Assistant4804 LEAVITT RD STE A
LORAIN, OH 44053
(440) 989-2066
1982892493 GIRGIS EMIL GIRGIS DO
Individual
Anesthesiology4804 LEAVITT RD SUITE A
LORAIN, OH 44053
(440) 989-2066
1407034655OUTREACH PROFESSIONAL SERVICES INC.
Organization
Orthopaedic Surgery4804 LEAVITT RD
LORAIN, OH 44053
(440) 989-2066
1548264179DR. BHARAT C. SHAH M.D.
Individual
Specialist4804 LEAVITT RD SUITE A
LORAIN, OH 44053
(440) 989-2066
1245218775DR. OSAMA A MALAK M.D.
Individual
Specialist4804 LEAVITT RD
LORAIN, OH 44053
(440) 989-2066
1194729749MR. SAMUEL C LOFTON III PA-C
Individual
Physician Assistant (Medical)4804 LEAVITT RD
LORAIN, OH 44053
(440) 324-5588
1124095112COMPREHENSIVE PAIN CARE CENTER, INC
Organization
Specialist4804 LEAVITT RD STE A
LORAIN, OH 44053
(440) 989-2066
1649250218LORAIN SURGERY CENTER, LLC
Organization
Clinic/Center (Ambulatory Surgical)4804 LEAVITT RD STE B
LORAIN, OH 44053
(440) 245-0016

Frequently Asked Questions

What is Sameh Yonan MD NPI number?

The NPI number assigned to Sameh Yonan MD is 1013092147, registered as an "individual" on October 26, 2006

Where is Sameh Yonan MD located?

The provider is located at 4804 Leavitt Rd Lorain, Oh 44053 and the phone number is (440) 989-2066

Which is Sameh Yonan MD specialty?

The provider's speciality is Anesthesiology with a focus in Pain Medicine

How many years of experience does Sameh Yonan MD have?

The provider has more than 27 years of experience.

What insurance does Sameh Yonan MD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Sameh Yonan MD registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are some of the services provided by Sameh Yonan MD?

The most common procedures or services performed by this practitioner are: Injection, triamcinolone acetonide, not otherwise specified, 10 mg, Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter, Aspiration and/or injection of large joint or joint capsule, Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes, Injections of substances into lower or sacral spine, Injections of lower or sacral spine facet joint using imaging guidance, Injections of lower or sacral spine facet joint using imaging guidance, Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance, Injections of tendon sheath, ligament, or muscle membrane and Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance.

Is Sameh Yonan MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: CLEVELAND CLINIC, FAIRVIEW HOSPITAL and LUTHERAN HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Sameh Yonan MD was last updated on October 26, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]