1. Home
  2. Directory
  3. Washington
  4. Richland
  5. Colon Rectal Surgery
  6. NPI Profile

LUAY D AILABOUNI MD
NPI 1114186459
Colon & Rectal Surgery in Richland, WA

Active since June 02, 2008PECOS EnrolledAccepts Medicare Assignment
83.05/100
CMS Quality Rating
1100 GOETHALS DRIVE, 2ND FLOOR, KADLEC CLINIC GENERAL & COLORECTAL SURGERY, RICHLAND, WA 99352(509) 942-3185(509) 946-1850 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2021, Mar 21, 2017 (2 updates tracked since 2017).

About Luay D Ailabouni Md NPPES

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

LUAY D AILABOUNI MD (NPI 1114186459) is an individual colon & rectal surgery provider in Richland, Washington, licensed in Washington (MD30623856) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Providence St Mary Medical Center, and maintains a secondary practice location in Richland.

NPPES Registry Identity

NPI1114186459
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameLUAY D AILABOUNICredential: MD
Location Address1100 GOETHALS DRIVE, 2ND FLOOR, KADLEC CLINIC GENERAL & COLORECTAL SURGERYRichland, WA 99352-3304
Mailing Address560 Gage Blvd, Suite 203Richland, WA 99352-8650 · (509) 942-3627 · Fax (509) 942-2268
Phone(509) 942-3185
Fax(509) 946-1850
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 2, 2008
Last NPPES UpdateApril 5, 20212 updates tracked since enumeration
NPPES CertifiedApril 5, 2021
✔ NPI 1114186459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in WA · MD30623856
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License MD60323856 (WA)
1100 GOETHALS DRIVE, 2ND FLOOR, Richland, WA 99352
Open in Google Maps ↗

Secondary Practice Location 1

Location 1780 Swift Blvd Ste 101Richland, WA 99352-3545 · Phone (509) 942-3288 · Fax (509) 946-1850

Other Identifiers 3

Other0310710WA · L&i
Medicaid500655571OR
Medicaid1114186459WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska 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

Luay D Ailabouni 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 ID8527207273
PECOS Enrollment IDI20130610000725
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 11

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
25 services25 patients
Partial removal of large bowel and reattachment to rectum using an endoscope 44207
This procedure involves the partial removal of the large bowel, also known as the colon, due to disease or other health concerns. Using an endoscope, a long, flexible tube with a camera, the surgeon will then reconnect the remaining healthy parts of the bowel to the rectum.
23 services23 patients
Partial release of large bowel and partial removal of large bowel using an endoscope 44213
This procedure involves using an endoscope, a flexible tube with a camera, to partially release and remove a section of your large bowel. It's a minimally invasive surgery that helps treat conditions like cancer or bowel obstruction.
23 services23 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
22 services22 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.
21 services21 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
19 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500002
Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County
Emergency services Birthing friendly

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

Lourdes Medical Center

Critical Access Hospitals · Pasco, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number501337
Location520 N Fourth AvenuePasco, WA 99301 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99352 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

83.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.47
Promoting Interoperability100
Improvement Activities40
Cost67.03

Referred Medical Equipment & Supplies CMS DME claims 17

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
5 suppliers27 claims690 services$2.84 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
4 suppliers19 claims23 services$6.11 avg. paid by Medicare
Ostomy skin barrier, liquid (spray, brush, etc.), per oz A4369
DME-Orthotic Devices · category DF010N
4 suppliers19 claims46 services$1.90 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
5 suppliers25 claims51 services$3.36 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
6 suppliers38 claims1,100 services$4.92 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
6 suppliers39 claims1,015 services$2.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Luay Ailabouni's NPI number?

The NPI number for Luay Ailabouni is 1114186459. It was assigned to this individual provider in the NPPES registry on June 2, 2008.

Where is Luay Ailabouni located?

Luay Ailabouni practices at 1100 Goethals Drive, 2nd Floor Kadlec Clinic General & Colorectal Surgery, Richland, WA 99352. The listed phone number is (509) 942-3185.

What is Luay Ailabouni's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Luay Ailabouni enrolled in Medicare?

Yes. Luay Ailabouni 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 Luay Ailabouni accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Luay Ailabouni 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 Luay Ailabouni affiliated with any hospitals?

According to CMS data, Luay Ailabouni is affiliated with Providence St Mary Medical Center, Kadlec Regional Medical Center and Lourdes Medical Center.

When was this NPI record last updated?

The NPPES record for Luay Ailabouni was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.