FAISEL AHMAD M.D.
NPI 1154543916
Ophthalmology - Retina Specialist in Marion, IL

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment
81.12/100
CMS Quality Rating
1200 W DEYOUNG ST, MARION, IL 62959(618) 993-5686(618) 997-6250 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 20, 2026, Apr 10, 2017 (2 updates tracked since 2017).

About Faisel Ahmad M.d. NPPES

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

FAISEL AHMAD M.D. (NPI 1154543916) is an individual retina specialist in Marion, Illinois, licensed in Illinois (036126730) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1154543916
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameFAISEL AHMADCredential: M.D.
Location Address1200 W DEYOUNG STMarion, IL 62959-4437
Mailing Address1200 W Deyoung StMarion, IL 62959-4437 · (618) 993-5686 · Fax (618) 997-6250
Fax(618) 997-6250
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2006
Enumeration DateMay 2, 2007
Last NPPES UpdateApril 20, 20262 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1154543916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Licenses✔ Licensed in IL · 036126730✔ Licensed in MO · 2011002933
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125-051104 (IL)
Also ListedOphthalmologyTaxonomy 207W00000X · License 036.126730 (IL)
1200 W DEYOUNG ST, Marion, IL 62959

Secondary Practice Locations 5

Location 12900 Broadway St Ste AMount Vernon, IL 62864-2341 · Phone (618) 244-2777
Location 21001 N Beadle DrCarbondale, IL 62901-1150 · Phone (618) 549-2282
Location 3520 E North AveFlora, IL 62839-2534 · Phone (618) 662-3202
Location 41201 W Main StCarmi, IL 62821-1388 · Phone (618) 384-5112
Location 5297 S Silver Springs RdCape Girardeau, MO 63703-6309 · Phone (573) 651-5200

Accepted Insurance

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

Faisel Ahmad M.d. 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 ID1153502091
PECOS Enrollment IDI20110224000586, I20110314000085
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 Reassignment

Medicare enrollment records show Faisel Ahmad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
1200 W DEYOUNG ST
Marion, IL 62959
  • Reassigned Medicare billing, Illinois and Missouri enrollments
  • 33 clinicians in this Medicare group

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 18

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
28,620 services112 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
1,439 services843 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,430 services789 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,336 services1,153 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,305 services898 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
452 services220 patients

Hospital Affiliations CMS Care Compare

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62959 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

81.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost20.4

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%538 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.

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.

Optometrist
1200 W DEYOUNG ST
MARION, IL 62959
Durable Medical Equipment & Medical Supplies
1200 W DEYOUNG ST
MARION, IL 62959
Optometrist
1200 W DEYOUNG ST
MARION, IL 62959
Physician Assistant
1200 W DEYOUNG ST
MARION, IL 62959
Anesthesiology
1200 W DEYOUNG ST
MARION, IL 62959
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1200 W DEYOUNG ST
MARION, IL 62959
Optometrist
1200 W DEYOUNG ST
MARION, IL 62959
Ophthalmology
1200 W DEYOUNG ST
MARION, IL 62959

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 Faisel Ahmad's NPI number?

The NPI number for Faisel Ahmad is 1154543916. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Faisel Ahmad located?

Faisel Ahmad practices at 1200 W Deyoung St, Marion, IL 62959. The listed phone number is (618) 993-5686.

What is Faisel Ahmad's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Faisel Ahmad enrolled in Medicare?

Yes. Faisel Ahmad 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.

Which organization bills Medicare for Faisel Ahmad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Faisel Ahmad reassigns Medicare benefits to Marion Eye Centers Ltd. (Marion, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Faisel Ahmad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Faisel Ahmad accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 11 other insurers list Faisel Ahmad 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 Faisel Ahmad affiliated with any hospitals?

According to CMS data, Faisel Ahmad is affiliated with Herrin Hospital.

When was this NPI record last updated?

The NPPES record for Faisel Ahmad was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.