DR. AMR OSMAN EL-NAGGAR M.D.
NPI 1033180757
Neurological Surgery in Somerset, KY

Q: What is Amr El-naggar's NPI number?

The NPI number for Amr El-naggar is 1033180757. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Q: What is Amr El-naggar's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Q: When was this NPI record last updated?

The NPPES record for Amr El-naggar was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment

45.03/100

CMS Quality Rating

350 HOSPITAL WAY, SUITE 270, SOMERSET, KY 42503(606) 678-9617(606) 678-9619 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Amr Osman El-naggar M.d. NPPES

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

DR. AMR OSMAN EL-NAGGAR M.D. (NPI 1033180757) is an individual neurological surgery provider in Somerset, Kentucky, licensed in Kentucky (27637) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Lake Cumberland Regional Hospital, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1033180757

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameDR. AMR OSMAN EL-NAGGARCredential: M.D.

Location Address350 HOSPITAL WAY, SUITE 270Somerset, KY 42503-2872

Mailing Address401 Waitsboro DrSomerset, KY 42503-8717 · (606) 678-0612

Phone(606) 678-9617

Fax(606) 678-9619

Sole ProprietorNo

Medical School CMSOtherGraduated 1977

Enumeration DateJanuary 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1033180757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

License✔ Licensed in KY · 27637

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

350 HOSPITAL WAY, Somerset, KY 42503

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Other Identifiers 5

Medicare ID-Type Unspecified0326802KY

Medicare UPINE56520KY

Other000000051251KY · Bcbs Pin #

OtherUMWAKY · 1508291

Medicaid64276371KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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

Dr. Amr Osman El-naggar 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 ID3577546746

PECOS Enrollment IDI20040614000167

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

Medicare enrollment records show Amr El-naggar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lake Cumberland Physician Practices, LLC

0.1 mi

Urology

30 MEDPARK SQUARE, SUITE 1
Somerset, KY 42503

Reassigned Medicare billing, Kentucky enrollment
78 clinicians in this Medicare group

NPI 1982073813 (606) 451-0485

Drez One, LLC

0.5 mi

Neurological Surgery

305 MEDPARK DR
Somerset, KY 42503

Reassigned Medicare billing, Kentucky enrollment

NPI 1427336635 (606) 263-2912

University Of Louisville Phyisicians, Inc.

97 mi

Sleep Medicine

3920 DUTCHMANS LN
Louisville, KY 40207

Reassigned Medicare billing, Kentucky enrollment
Medicare enrollment name: University Of Louisville Physicians Inc
2,337 clinicians in this Medicare group

NPI 1679222632 (502) 259-6610

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 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.

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

41 services41 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

35 services27 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

32 services27 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

28 services28 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

25 services18 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

19 services19 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

16 services16 patients

Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance 22513

This procedure treats a broken bone in the middle of your spine. A stabilizing device is placed to support the damaged area. Imaging guidance, like X-rays, is used to ensure precise placement of the device. This aids in your recovery and helps maintain spine stability.

15 services13 patients

Mri scan of middle spinal canal without contrast 72146

An MRI scan of the middle spinal canal without contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. This helps doctors identify any abnormalities or issues in your spinal canal. No dye is used in this procedure.

15 services15 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

14 services13 patients

Treatment of broken lower spine bone with placement of stabilizing device 22514

This procedure involves fixing a broken bone in the lower spine. A stabilizing device is inserted to support the bone, promoting healing and reducing pain. The device helps to maintain proper spinal alignment and stability during your recovery period.

12 services12 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY

2/5 CMS rating

OwnershipProprietary

CMS Certification Number180132

Location305 Langdon StreetSomerset, KY 42503 · Pulaski County

Emergency services Birthing friendly

Russell County Hospital

Critical Access Hospitals · Russell Springs, KY

OwnershipGovernment - Local

CMS Certification Number181330

Location153 Dowell RoadRussell Springs, KY 42642 · Russell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42503 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

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

45.03/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

30.6

Improvement Activities

Cost

27.35

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.

MR. RAINER ALLEN OLIVER DO

Internal Medicine

350 HOSPITAL WAY, SUITE 101
SOMERSET, KY 42503

Pulaski County (606) 451-5093

DAVID M REILLY M.D.

Family Medicine

350 HOSPITAL WAY, SUITE 100
SOMERSET, KY 42503

Pulaski County (606) 451-2601

JOSEPH G WEIGEL M.D.

Internal Medicine

350 HOSPITAL WAY, SUITE 100
SOMERSET, KY 42503

Pulaski County (606) 451-2629

MISS SUSAN MICHELE PELL ATC, PA-C

Physician Assistant

350 HOSPITAL WAY, SUITE 100
SOMERSET, KY 42503

Pulaski County (606) 451-2628

LAKE CUMBERLAND REGIONAL HOSPITAL, LLC

Thoracic Surgery (Cardiothoracic Vascular Surgery)

350 HOSPITAL WAY, SUITE 220
SOMERSET, KY 42503

Pulaski County (606) 451-0300

LAKE CUMBERLAND REGIONAL HOSPITAL LLC

Internal Medicine (Pulmonary Disease)

350 HOSPITAL WAY, SUITE 250
SOMERSET, KY 42503

Pulaski County (606) 678-0171

RICHARD F ATKINSON

Student in an Organized Health Care Education/Training Program

350 HOSPITAL WAY
SOMERSET, KY 42503

Pulaski County (630) 291-6874

TRAVIS MASSENGALE D.O.

Family Medicine

350 HOSPITAL WAY
SOMERSET, KY 42503

Pulaski County (606) 451-2624

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 Amr El-naggar's NPI number?

The NPI number for Amr El-naggar is 1033180757. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Amr El-naggar located?

Amr El-naggar practices at 350 Hospital Way Suite 270, Somerset, KY 42503. The listed phone number is (606) 678-9617.

What is Amr El-naggar's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Amr El-naggar enrolled in Medicare?

Yes. Amr El-naggar 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 Amr El-naggar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amr El-naggar reassigns Medicare benefits to 3 organizations: Lake Cumberland Physician Practices, LLC (Somerset, KY), Drez One, LLC (Somerset, KY) and University Of Louisville Phyisicians, Inc. (Louisville, 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 Amr El-naggar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amr El-naggar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Amr El-naggar 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 Amr El-naggar affiliated with any hospitals?

According to CMS data, Amr El-naggar is affiliated with Lake Cumberland Regional Hospital and Russell County Hospital.

When was this NPI record last updated?

The NPPES record for Amr El-naggar was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.