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YOUSOF E ELGARIED MBBS
NPI 1013294164
Internal Medicine - Pulmonary Disease in Pikeville, KY

Active since November 03, 2011PECOS EnrolledAccepts Medicare Assignment
911 BYPASS RD, PIKEVILLE, KY 41501(606) 218-3500 Get Directions Write a Review

NPPES record last updated: July 14, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Yousof E Elgaried Mbbs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOUSOF E ELGARIED MBBS (NPI 1013294164) is an individual pulmonary disease provider in Pikeville, Kentucky, licensed in Kentucky (49189) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1013294164
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameYOUSOF E ELGARIEDCredential: MBBS
Location Address911 BYPASS RDPikeville, KY 41501-1689
Mailing AddressPo Box 432Pikeville, KY 41502-0432 · (606) 218-3500
Phone(606) 218-3500
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 3, 2011
Last NPPES UpdateJuly 14, 2016
✔ NPI 1013294164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in KY · 49189
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
911 BYPASS RD, Pikeville, KY 41501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Yousof E Elgaried Mbbs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416197686
PECOS Enrollment IDI20161104000988
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Yousof Elgaried reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clark Regional Physician Practices LLC
89 mi
Rural Health
129 STONE TRACE DR
Mt Sterling, KY 40353
  • Reassigned Medicare billing, Kentucky enrollment
  • 88 clinicians in this Medicare group
NPI 1780356253 (859) 498-6006
Baptist Health Medical Group Inc
183 mi
Internal Medicine
2413 RING RD STE 100
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 967 clinicians in this Medicare group
NPI 1093338527 (270) 737-0077

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
340 services197 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
228 services69 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
124 services123 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
124 services123 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
78 services78 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
64 services60 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Saint Joseph Mount Sterling

Acute Care Hospitals · Mount Sterling, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180064
Location225 Falcon DriveMount Sterling, KY 40353 · Montgomery County
Emergency services Birthing friendly

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180092
Location175 Hospital DriveWinchester, KY 40391 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers16 claims16 services$42.16 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers11 claims24 services$1.67 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers11 claims11 services$60.52 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers19 claims103 services$2.80 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
11 suppliers182 claims182 services$17.67 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
4 suppliers35 claims35 services$894.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABDEL RAHMAN LATAIFEH MBBS
Internal Medicine (Critical Care Medicine)
911 BYPASS RD
PIKEVILLE, KY 41501
Pike County (606) 218-4524
SELINA A. HOLLEY DIETITIAN
Dietitian, Registered
911 BYPASS RD
PIKEVILLE, KY 41501
Pike County (606) 218-3500
LESLIE A. ARNETT APRN
Nurse Practitioner
911 BYPASS RD, CLINIC 2
PIKEVILLE, KY 41501
Pike County (606) 218-6402
KRISTA CORA DOTSON
Registered Nurse
911 BYPASS RD
PIKEVILLE, KY 41501
Pike County (606) 430-2201
AARON RATLIFF PHARMD
Pharmacist
911 BYPASS RD
PIKEVILLE, KY 41501
Pike County (606) 218-3576
MICHAEL D LUDLOW APRN
Nurse Practitioner
911 BYPASS RD
PIKEVILLE, KY 41501
Pike County (606) 218-3500
PIKEVILLE MEDICAL CENTER, INC.
Nurse Anesthetist, Certified Registered
911 BYPASS RD
PIKEVILLE, KY 41501
Pike County (606) 218-3500
PIKEVILLE MEDICAL CENTER, INC.
Ambulance (Land Transport)
911 BYPASS RD
PIKEVILLE, KY 41501
Pike County (606) 430-3519

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yousof Elgaried's NPI number?

The NPI number for Yousof Elgaried is 1013294164. It was assigned to this individual provider in the NPPES registry on November 3, 2011.

Where is Yousof Elgaried located?

Yousof Elgaried practices at 911 Bypass Rd, Pikeville, KY 41501. The listed phone number is (606) 218-3500.

What is Yousof Elgaried's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Yousof Elgaried enrolled in Medicare?

Yes. Yousof Elgaried is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Yousof Elgaried's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yousof Elgaried reassigns Medicare benefits to 2 organizations: Clark Regional Physician Practices LLC (Mt Sterling, KY) and Baptist Health Medical Group Inc (Elizabethtown, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yousof Elgaried's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yousof Elgaried accept?

Health plans from Anthem Blue Cross and Blue Shield list Yousof Elgaried as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Yousof Elgaried affiliated with any hospitals?

According to CMS data, Yousof Elgaried is affiliated with Baptist Health Hardin, Saint Joseph Mount Sterling and Clark Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Yousof Elgaried was last updated on July 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.