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DR. BILAL KHAN YOUSUFZAI M.D.
NPI 1023458916
Ophthalmology in Washington, DC

Active since June 25, 2013PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
110 IRVING ST NW, DEPT OF OPHTHALMOLOGY, WASHINGTON, DC 20010(202) 877-5658(202) 877-7743 Get Directions Write a Review

NPPES record last updated: April 9, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bilal Khan Yousufzai M.d. NPPES

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

DR. BILAL KHAN YOUSUFZAI M.D. (NPI 1023458916) is an individual ophthalmology provider in Washington, District Of Columbia, licensed in Georgia (006175) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2013).

NPPES Registry Identity

NPI1023458916
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. BILAL KHAN YOUSUFZAICredential: M.D.
Location Address110 IRVING ST NW, DEPT OF OPHTHALMOLOGYWashington, DC 20010-3017
Mailing Address110 Irving St Nw, Dept Of OphthalmologyWashington, DC 20010-3017 · (202) 877-5658 · Fax (202) 877-7743
Phone(202) 877-5658
Fax(202) 877-7743
Sole ProprietorYes
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2013
Enumeration DateJune 25, 2013
Last NPPES UpdateApril 9, 2014
✔ NPI 1023458916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in GA · 006175
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
110 IRVING ST NW, Washington, DC 20010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bilal Khan Yousufzai M.d. 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 ID143463802
PECOS Enrollment IDI20201026000346
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.

Areas of Expertise CMS Part B claims 12

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
23,280 services89 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,786 services804 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,677 services779 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
835 services212 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
380 services70 patients
Unclassified biologics J3590
Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.
62 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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.

MS. JANET E JUMPER N.P.
Nurse Practitioner (Acute Care)
110 IRVING ST NW, 4B42
WASHINGTON, DC 20010
District of Columbia (202) 877-7462
EMILY JEAN SIEGEL MD
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-8080
KIMBERLY SMITH
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (301) 902-1073
MISS ORE-OLUWA ODULANA LIMA DA SILVA CRNA
Nurse Anesthetist, Certified Registered
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7504
DR. FAY HORNG M.D.
Anesthesiology
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7504
DR. MICHAEL B SHVARTS MD
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7000
DR. SCOTT THOMAS MARTYNA D.M.D.
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW, DEPT. OF ORAL AND MAXILLOFACIAL SURGERY
WASHINGTON, DC 20010
District of Columbia (202) 877-7332
MS. NOOR-UL-HUDA AMER MEHDI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7000

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 Bilal Yousufzai's NPI number?

The NPI number for Bilal Yousufzai is 1023458916. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Where is Bilal Yousufzai located?

Bilal Yousufzai practices at 110 Irving St NW Dept Of Ophthalmology, Washington, DC 20010. The listed phone number is (202) 877-5658.

What is Bilal Yousufzai's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Bilal Yousufzai enrolled in Medicare?

Yes. Bilal Yousufzai 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.

What insurance does Bilal Yousufzai accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Bilal Yousufzai 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.

When was this NPI record last updated?

The NPPES record for Bilal Yousufzai was last updated on April 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.