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KARIM IBRAHIM MD
NPI 1043839418
Family Medicine in Morgantown, WV

Active since April 15, 2020PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
6000 MEMORIAL CHURCH DR STE A, MORGANTOWN, WV 26501(304) 598-7313(304) 598-7319 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Karim Ibrahim Md NPPES

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

KARIM IBRAHIM MD (NPI 1043839418) is an individual family medicine provider in Morgantown, West Virginia, licensed in West Virginia (32342) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043839418
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKARIM IBRAHIMCredential: MD
Location Address6000 MEMORIAL CHURCH DR STE AMorgantown, WV 26501-1503
Mailing Address6000 Memorial Church Dr Ste AMorgantown, WV 26501-1503 · (304) 598-7313 · Fax (304) 598-7319
Phone(304) 598-7313
Fax(304) 598-7319
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 15, 2020
Last NPPES UpdateJune 27, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1043839418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 32342
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6000 MEMORIAL CHURCH DR STE A, Morgantown, WV 26501
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11 Huntington Way Ste 100Fairmont, WV 26554-8819 · Phone (304) 368-2422 · Fax (304) 368-2426
Location 21000 Mon Health Medical Park Dr Ste 1201Morgantown, WV 26505-1143 · Phone (304) 599-9400 · Fax (304) 599-8917

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Karim Ibrahim 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 ID9739506411
PECOS Enrollment IDI20230811002305
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 7

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.
222 services129 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.
150 services109 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
66 services57 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
42 services42 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
23 services13 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510024
Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26501 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

ARIELLE ELIZABETH PLACKE DO
Family Medicine
6000 MEMORIAL CHURCH DR STE A
MORGANTOWN, WV 26501
Monongalia County (304) 598-7313
MONONGALIA COUNTY GENERAL HOSPITAL COMPANY
Family Medicine
6000 MEMORIAL CHURCH DR STE A
MORGANTOWN, WV 26501
Monongalia County (304) 598-7313
ASHLEY M BAINBRIDGE DO
Family Medicine
6000 MEMORIAL CHURCH DR STE A
MORGANTOWN, WV 26501
Monongalia County (304) 598-7313

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 Karim Ibrahim's NPI number?

The NPI number for Karim Ibrahim is 1043839418. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Karim Ibrahim located?

Karim Ibrahim practices at 6000 Memorial Church Dr Ste A, Morgantown, WV 26501. The listed phone number is (304) 598-7313.

What is Karim Ibrahim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karim Ibrahim enrolled in Medicare?

Yes. Karim Ibrahim 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 Karim Ibrahim accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Karim Ibrahim 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 Karim Ibrahim affiliated with any hospitals?

According to CMS data, Karim Ibrahim is affiliated with West Virginia University Hospitals, Inc and Mon Health Medical Center.

When was this NPI record last updated?

The NPPES record for Karim Ibrahim was last updated on June 27, 2023. 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.