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ATEF H EL GASSIER MBBS
NPI 1053699934
Internal Medicine in Huntington, WV

Active since July 27, 2011PECOS EnrolledAccepts Medicare Assignment
1249 15TH ST, SUITE 2000, HUNTINGTON, WV 25701(304) 691-1000(304) 691-1693 Get Directions Write a Review

NPPES record last updated: October 10, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Atef H El Gassier Mbbs NPPES

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

ATEF H EL GASSIER MBBS (NPI 1053699934) is an individual internal medicine provider in Huntington, West Virginia, licensed in Kentucky (47496) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1053699934
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameATEF H EL GASSIERCredential: MBBS
Location Address1249 15TH ST, SUITE 2000Huntington, WV 25701-3662
Mailing Address1249 15th St, Suite 2000Huntington, WV 25701-3662 · (304) 691-1000 · Fax (304) 691-1693
Phone(304) 691-1000
Fax(304) 691-1693
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 27, 2011
Last NPPES UpdateOctober 10, 2014
✔ NPI 1053699934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 47496
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1249 15TH ST, Huntington, WV 25701
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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

Atef H El Gassier Mbbs 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 ID4789824442
PECOS Enrollment IDI20141020001715
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 6

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 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.
262 services102 patients
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.
120 services66 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
89 services89 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services16 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.
24 services24 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.
14 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180010
LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County
Emergency services

Saint Joseph Mount Sterling

Acute Care Hospitals · Mount Sterling, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180064
Location225 Falcon DriveMount Sterling, KY 40353 · Montgomery County
Emergency services Birthing friendly

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County
Emergency services Birthing friendly

Saint Joseph Berea

Critical Access Hospitals · Berea, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181329
Location305 Estill StreetBerea, KY 40403 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25701 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%200 patients4/55-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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
7 suppliers46 claims46 services$16.84 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers43 claims43 services$81.43 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.

FAHAD K SHEIKH MD
Student in an Organized Health Care Education/Training Program
1249 15TH ST, SUITE 2000
HUNTINGTON, WV 25701
Cabell County (304) 691-1000
HEATHER R AULICK CFNP
Nurse Practitioner (Family)
1249 15TH ST, SUITE 4000
HUNTINGTON, WV 25701
Cabell County (304) 691-8500
DR. JAMES ROBERT HAYES MD
Internal Medicine
1249 15TH ST
HUNTINGTON, WV 25701
Cabell County (304) 691-1000
MRS. BARBARA DENISE AKPANUDO FNP-BC
Nurse Practitioner (Family)
1249 15TH ST, SUITE 3000
HUNTINGTON, WV 25701
Cabell County (304) 691-1000
PETER OTTAVIANO DO
Internal Medicine (Pulmonary Disease)
1249 15TH ST, SUITE 3000
HUNTINGTON, WV 25701
Cabell County (304) 691-1000
FREZGHI KEBREAB MD
Internal Medicine
1249 15TH ST, SUITE 2000
HUNTINGTON, WV 25701
Cabell County (304) 691-1000
AMRIT ANAND THAKUR MD
Internal Medicine (Cardiovascular Disease)
1249 15TH ST
HUNTINGTON, WV 25701
Cabell County (304) 691-1000
DAVID FRANCKE MD
Internal Medicine (Interventional Cardiology)
1249 15TH ST, 2000
HUNTINGTON, WV 25701
Cabell County (304) 691-1000

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 Atef El Gassier's NPI number?

The NPI number for Atef El Gassier is 1053699934. It was assigned to this individual provider in the NPPES registry on July 27, 2011.

Where is Atef El Gassier located?

Atef El Gassier practices at 1249 15th St Suite 2000, Huntington, WV 25701. The listed phone number is (304) 691-1000.

What is Atef El Gassier's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Atef El Gassier enrolled in Medicare?

Yes. Atef El Gassier 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 Atef El Gassier accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Atef El Gassier 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 Atef El Gassier affiliated with any hospitals?

According to CMS data, Atef El Gassier is affiliated with Saint Joseph Hospital, Saint Joseph Mount Sterling, Saint Joseph East and Saint Joseph Berea.

When was this NPI record last updated?

The NPPES record for Atef El Gassier was last updated on October 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.