DR. SAMIA ABDUL GHAFFAR MD
NPI 1093004988
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Fresno, CA

Q: What is Samia Ghaffar's NPI number?

The NPI number for Samia Ghaffar is 1093004988. It was assigned to this individual provider in the NPPES registry on March 31, 2011.

Q: What is Samia Ghaffar's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Samia Ghaffar was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since March 31, 2011PECOS EnrolledAccepts Medicare Assignment

85.78/100

CMS Quality Rating

45 E RIVER PARK PL W STE 104, FRESNO, CA 93720(559) 320-0530(559) 320-0532 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2026, Nov 7, 2019, Sep 3, 2019 and 4 more (7 updates tracked since 2017).

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About Dr. Samia Abdul Ghaffar Md NPPES

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

DR. SAMIA ABDUL GHAFFAR MD (NPI 1093004988) is an individual orthopaedic surgery of the spine provider in Fresno, California, licensed in California (A122660) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, Irvine, California College Of Medicine (2011).

NPPES Registry Identity

NPI1093004988

Entity TypeIndividualFemale

Primary Taxonomy207XS0117X

Provider Legal NameDR. SAMIA ABDUL GHAFFARCredential: MD

Location Address45 E RIVER PARK PL W STE 104Fresno, CA 93720-1565

Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 453-5200

Phone(559) 320-0530

Fax(559) 320-0532

Sole ProprietorNo

Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2011

Enumeration DateMarch 31, 2011

Last NPPES UpdateFebruary 5, 20267 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2026

✔ NPI 1093004988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in CA · A122660

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

45 E RIVER PARK PL W STE 104, Fresno, CA 93720

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Secondary Practice Locations 2

Location 1805 W Acequia Ave Ste 2DVisalia, CA 93291-6164 · Phone (559) 622-8687 · Fax (559) 622-8693

Location 21510 E Herndon Ave Ste 230Fresno, CA 93720-3392 · Phone (559) 450-2663 · Fax (559) 450-2724

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samia Abdul Ghaffar 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 ID6204126386

PECOS Enrollment IDI20171023002892

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.

Medicare Billing Reassignments

Medicare enrollment records show Samia Ghaffar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Foundation Medical Group

1.4 mi

Internal Medicine

7370 N PALM AVE STE 101
Fresno, CA 93711

Reassigned Medicare billing, California enrollment
508 clinicians in this Medicare group

NPI 1003329491 (559) 228-5400

Saint Agnes Medical Foundation

1.9 mi

Internal Medicine

1303 E HERNDON AVE, SUITE 850
Fresno, CA 93720

Reassigned Medicare billing, California enrollment
296 clinicians in this Medicare group

NPI 1558819482 (559) 450-5611

Neurosurgical Associates Medical Group Inc

2.1 mi

Neurological Surgery

7130 N SHARON AVE, #100
Fresno, CA 93720

Reassigned Medicare billing, California enrollment
8 clinicians in this Medicare group

NPI 1083725220 (559) 449-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

279 services162 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.

131 services131 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

90 services79 patients

Mri scan of lower spinal canal before and after contrast 72158

An MRI scan of the lower spinal canal with contrast is a non-invasive imaging procedure. It uses magnetic fields to generate detailed images of your lower spine. A contrast agent is injected to enhance these images, helping doctors see issues more clearly.

56 services50 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

36 services19 patients

Mri scan of upper spinal canal before and after contrast 72156

An MRI scan of the upper spinal canal before and after contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. Contrast dye is injected to enhance these images, providing clearer visuals for accurate diagnosis.

26 services19 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.

25 services23 patients

Release of middle or lower spinal cord and/or nerves, single segment 63057

This procedure involves relieving pressure on the middle or lower spinal cord or nerves. A single section of the spine is focused on. It can help reduce pain, improve mobility, and enhance overall quality of life.

21 services13 patients

Harvest of bone fragment for spine bone graft 20937

A harvest of a bone fragment for a spine bone graft is a procedure where a small piece of bone is taken from another part of your body. This bone is then used to help repair or strengthen areas in your spine that may be damaged or weak.

19 services18 patients

Graft of donor bone to spine 20931

A graft of donor bone to the spine is a procedure where a piece of bone from a donor is attached to your spine to help it heal or improve its structure. This is often done to strengthen the spine or aid in recovery from injury or disease.

18 services17 patients

Insertion of wire or pin to bone for traction 20650

This procedure involves placing a wire or pin into your bone to apply traction, helping to align and stabilize the bone for healing. It's commonly used for fractures or dislocations. You'll be given anesthesia for comfort during the procedure.

15 services15 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

14 services14 patients

Release of lower spinal cord and/or nerves, single segment 63056

This procedure involves freeing the lower spinal cord or nerves from any compression in a single segment. It can alleviate pain or discomfort, improve mobility, and enhance overall quality of life. This is performed by a skilled surgeon under anesthesia.

13 services13 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

12 services12 patients

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.

85.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

91.3

Promoting Interoperability

100

Improvement Activities

Cost

61.3

Other Providers at the Same Location NPPES 8

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

ROBERT L. MACDONALD MD

Neurological Surgery