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DR. AHMED MAHMOUD MD
NPI 1043238553
Pain Medicine - Interventional Pain Medicine in Wylie, TX

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
613 S HIGHWAY 78 STE 200, WYLIE, TX 75098(469) 562-4232(972) 201-9656 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2022, Oct 16, 2019 (2 updates tracked since 2019).

About Dr. Ahmed Mahmoud Md NPPES

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

DR. AHMED MAHMOUD MD (NPI 1043238553) is an individual interventional pain medicine provider in Wylie, Texas, licensed in Texas (Q8294) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott And White Medical Center Mckinney, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1043238553
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDR. AHMED MAHMOUDCredential: MD
Location Address613 S HIGHWAY 78 STE 200Wylie, TX 75098-5525
Mailing Address613 S Highway 78 Ste 200Wylie, TX 75098-5525 · (469) 562-4232 · Fax (972) 201-9656
Phone(469) 562-4232
Fax(972) 201-9656
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 17, 2006
Last NPPES UpdateDecember 19, 20222 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
✔ NPI 1043238553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in TX · Q8294
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 227525 (MA), 23594 (WV)
613 S HIGHWAY 78 STE 200, Wylie, TX 75098
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Other Identifiers 18

Other7956672Aetna
Other96501601MA · Network
Other96501601Network
Other202705274Uhp
Other32024RI · Nhp
Other524095Fallon
Other611000601RI · Dol
Other611000600MA · Dol
Other413611RI · Blue Chip
Other875014Cigna
OtherAA49931Hphc
OtherAA49937Hphc
MedicaidAM64251RI
Medicaid2121433MA
Other31700RI · Bcbs
Other202705274Great West
Other448534Tufts
OtherJ40435MA · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Ahmed Mahmoud Md 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 ID42215972
PECOS Enrollment IDI20170915002619
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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,977 services554 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.
1,060 services437 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
456 services144 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
307 services68 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
299 services288 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
147 services44 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott And White Medical Center Mckinney

Acute Care Hospitals · Mc Kinney, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670082
Location5252 West University DriveMc Kinney, TX 75071 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75098 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 13

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers33 claims33 services$41.23 avg. paid by Medicare
Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
3 suppliers28 claims28 services$8.69 avg. paid by Medicare
Hospital bed, fixed height, with any type side rails, with mattress E0250
DME-Hospital Beds · category DB000N
1 supplier14 claims14 services$31.34 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers47 claims47 services$49.10 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
3 suppliers35 claims35 services$38.58 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
4 suppliers20 claims40 services$25.72 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 2

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

ADVANCED PAIN & REHABILITATION ASSOCIATION PLLC
Physical Medicine & Rehabilitation
613 S HIGHWAY 78 STE 200
WYLIE, TX 75098
Collin County (469) 562-4232
AIMERGENCY CONNECTCARE, LLC
Clinic/Center
613 S HIGHWAY 78 STE 200
WYLIE, TX 75098
Collin County (561) 231-0536

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 Ahmed Mahmoud's NPI number?

The NPI number for Ahmed Mahmoud is 1043238553. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Ahmed Mahmoud located?

Ahmed Mahmoud practices at 613 S Highway 78 Ste 200, Wylie, TX 75098. The listed phone number is (469) 562-4232.

What is Ahmed Mahmoud's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Ahmed Mahmoud enrolled in Medicare?

Yes. Ahmed Mahmoud 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 Ahmed Mahmoud accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Ahmed Mahmoud 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 Ahmed Mahmoud affiliated with any hospitals?

According to CMS data, Ahmed Mahmoud is affiliated with Baylor Scott And White Medical Center Mckinney.

When was this NPI record last updated?

The NPPES record for Ahmed Mahmoud was last updated on December 19, 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.