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DR. RAYMOND ELSOUEIDI M.D.
NPI 1033348768
Internal Medicine - Hematology & Oncology in Hazard, KY

Active since July 02, 2009PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
200 MEDICAL CENTER DR, HAZARD, KY 41701(606) 439-6600 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Raymond Elsoueidi M.d. NPPES

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

DR. RAYMOND ELSOUEIDI M.D. (NPI 1033348768) is an individual hematology & oncology provider in Hazard, Kentucky, licensed in Kentucky (42826) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Whitesburg Arh Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1033348768
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. RAYMOND ELSOUEIDICredential: M.D.
Location Address200 MEDICAL CENTER DRHazard, KY 41701-9466
Mailing Address200 Medical Center DrHazard, KY 41701-9466 · (606) 439-6600
Phone(606) 439-6600
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 2, 2009
Last NPPES UpdateSeptember 15, 2022
NPPES CertifiedSeptember 15, 2022
✔ NPI 1033348768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in KY · 42826✔ Licensed in KY · TP573
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
200 MEDICAL CENTER DR, Hazard, KY 41701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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. Raymond Elsoueidi 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 ID5597818856
PECOS Enrollment IDI20090804000284
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 8

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.
232 services103 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.
106 services76 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
43 services24 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.
23 services23 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
18 services16 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.
18 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Whitesburg Arh Hospital

Acute Care Hospitals · Whitesburg, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180002
Location240 Hospital RoadWhitesburg, KY 41858 · Letcher County
Emergency services Birthing friendly

Highlands Arh Regional Medical Center

Acute Care Hospitals · Prestonsburg, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180005
Location5000 Kentucky Route 321Prestonsburg, KY 41653 · Floyd County
Emergency services Birthing friendly

Hazard Arh Regional Medical Center

Acute Care Hospitals · Hazard, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180029
Location100 Medical Center DriveHazard, KY 41701 · Perry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41701 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
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.

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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier14 claims14 services$18.96 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier16 claims16 services$12.58 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.

C KRISHNASWAMY MD PSC
Psychiatry & Neurology (Neurology)
200 MEDICAL CENTER DR, SUITE 3P
HAZARD, KY 41701
Perry County (606) 487-7955
SYDNEY ROARK APRN
Nurse Practitioner
200 MEDICAL CENTER DR
HAZARD, KY 41701
Perry County (606) 439-3952
DR. WILLIAM BURLIN GIBSON D.M.D.
Dentist (Oral and Maxillofacial Surgery)
200 MEDICAL CENTER DR, SUITE 2-O
HAZARD, KY 41701
Perry County (606) 487-0088
HAZARD RADIOLOGY ASSOCIATES INC.
Radiology (Diagnostic Radiology)
200 MEDICAL CENTER DR, SUITE 1-N
HAZARD, KY 41701
Perry County (606) 439-5057
BIGHNESH SATPATHY M.D.
Radiology (Vascular & Interventional Radiology)
200 MEDICAL CENTER DR
HAZARD, KY 41701
Perry County (606) 439-5057
VIDYA B YALAMANCHI MD
Internal Medicine (Cardiovascular Disease)
200 MEDICAL CENTER DR
HAZARD, KY 41701
Perry County (606) 487-7510
FRANK DANIEL MONGIARDO M.D. P.S.C
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
200 MEDICAL CENTER DR, SUITE 2N
HAZARD, KY 41701
Perry County (606) 439-4466
DR. SAMUEL DEAN BAILEY M.D.
Internal Medicine (Hematology & Oncology)
200 MEDICAL CENTER DR
HAZARD, KY 41701
Perry County (606) 487-7902

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 Raymond Elsoueidi's NPI number?

The NPI number for Raymond Elsoueidi is 1033348768. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Where is Raymond Elsoueidi located?

Raymond Elsoueidi practices at 200 Medical Center Dr, Hazard, KY 41701. The listed phone number is (606) 439-6600.

What is Raymond Elsoueidi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Raymond Elsoueidi enrolled in Medicare?

Yes. Raymond Elsoueidi 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 Raymond Elsoueidi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource and 1 other insurer list Raymond Elsoueidi 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 Raymond Elsoueidi affiliated with any hospitals?

According to CMS data, Raymond Elsoueidi is affiliated with Whitesburg Arh Hospital, Highlands Arh Regional Medical Center and Hazard Arh Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Raymond Elsoueidi was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.