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KOUROSH C GHALILI MD
NPI 1053305490
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Bensalem, PA

Active since August 31, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3070 BRISTOL PIKE STE 2-106, BENSALEM, PA 19020(215) 447-8612(267) 522-8209 Get Directions Write a Review

NPPES record last updated: December 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 26, 2018, Feb 28, 2017 (2 updates tracked since 2017).

About Kourosh C Ghalili Md NPPES

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

KOUROSH C GHALILI MD (NPI 1053305490) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Bensalem, Pennsylvania, licensed in Pennsylvania (MD429774) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of University Of Massachusetts Medical School (1987).

NPPES Registry Identity

NPI1053305490
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameKOUROSH C GHALILICredential: MD
Location Address3070 BRISTOL PIKE STE 2-106Bensalem, PA 19020-5357
Mailing Address3070 Bristol Pike Ste 2-106Bensalem, PA 19020-5357 · (215) 447-8612 · Fax (267) 522-8209
Phone(215) 447-8612
Fax(267) 522-8209
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1987
Enumeration DateAugust 31, 2005
Last NPPES UpdateDecember 26, 20182 updates tracked since enumeration
✔ NPI 1053305490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in PA · MD429774
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
3070 BRISTOL PIKE STE 2-106, Bensalem, PA 19020
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Other Identifiers 2

Medicaid1018398010001PA
Medicaid1018398010002PA

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

Kourosh C Ghalili 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 ID2163313255
PECOS Enrollment IDI20061221000259
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.

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.
183 services86 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
144 services83 patients
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.
115 services59 patients
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978
This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.
65 services64 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
54 services53 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
54 services53 patients

Hospital Affiliations CMS Care Compare

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

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19020 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
100%197 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,282 patients5/55-star benchmark: 100%
Patient-Centered Surgical Risk Assessment and Communication
100%290 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%1,157 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 298 patients
Patients screened: 100% · 298 patients
100%298 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Kourosh Ghalili's NPI number?

The NPI number for Kourosh Ghalili is 1053305490. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Kourosh Ghalili located?

Kourosh Ghalili practices at 3070 Bristol Pike Ste 2-106, Bensalem, PA 19020. The listed phone number is (215) 447-8612.

What is Kourosh Ghalili's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Kourosh Ghalili enrolled in Medicare?

Yes. Kourosh Ghalili 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.

Is Kourosh Ghalili affiliated with any hospitals?

According to CMS data, Kourosh Ghalili is affiliated with Jefferson Health- Northeast.

When was this NPI record last updated?

The NPPES record for Kourosh Ghalili was last updated on December 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.