DR. AMR HOSSAM ELDIN BEHIRI DO
NPI 1154588580
Internal Medicine in Ashburn, VA

Medicare Participation & PECOS Enrollment Status

Amr Behiri is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Amr Behiri is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

• Is the provider registered in PECOS? Yes

• PECOS PAC ID: 749351906

  What is the PECOS Associate Control ID?
  A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

• PECOS Enrollment ID: I20110309000723, I20110512000157, I20220111000485

  What is the Provider Enrollment ID?
  The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

• Accepts Medicare Assignment? Yes

  What does it mean "accepts medicare assignment"?
  When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
  A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

• Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

• Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

• Eligible to Order or Refer a Home Health Agency (HHA): Yes

• Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Orthotic Devices

• DME-Orthotic Devices (DF000N)

  Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) (HCPCS:A4314)

  3 DME suppliers used 119 Medicare Claims 119 Services Paid

• DME-Orthotic Devices (DF000N)

  Urinary catheter anchoring device, adhesive skin attachment, each (HCPCS:A4333)

  2 DME suppliers used 31 Medicare Claims 130 Services Paid

• DME-Orthotic Devices (DF000N)

  Urinary catheter anchoring device, leg strap, each (HCPCS:A4334)

  1 DME suppliers used 23 Medicare Claims 23 Services Paid

• DME-Orthotic Devices (DF000N)

  Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each (HCPCS:A4357)

  3 DME suppliers used 117 Medicare Claims 117 Services Paid

• DME-Orthotic Devices (DF000N)

  Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each (HCPCS:A4358)

  1 DME suppliers used 17 Medicare Claims 34 Services Paid

• DME-Orthotic Devices (DF010N)

  Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each (HCPCS:A4388)

  2 DME suppliers used 28 Medicare Claims 560 Services Paid

• DME-Orthotic Devices (DF010N)

  Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each (HCPCS:A4414)

  1 DME suppliers used 11 Medicare Claims 220 Services Paid

• DME-Orthotic Devices (DF000N)

  Tracheostomy care kit for established tracheostomy (HCPCS:A4629)

  2 DME suppliers used 12 Medicare Claims 358 Services Paid

• DME-Orthotic Devices (DF010N)

  Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each (HCPCS:A5063)

  1 DME suppliers used 11 Medicare Claims 220 Services Paid

• DME-Orthotic Devices (DF000N)

  Tracheostomy tube collar/holder, each (HCPCS:A7526)

  2 DME suppliers used 13 Medicare Claims 388 Services Paid

Durable Medical Equipment

• DME-Medical/Surgical Supplies (DA000N)

  Tape, non-waterproof, per 18 square inches (HCPCS:A4450)

  1 DME suppliers used 46 Medicare Claims 3208 Services Paid

• DME-Medical/Surgical Supplies (DA023N)

  Collagen based wound filler, dry form, sterile, per gram of collagen (HCPCS:A6010)

  1 DME suppliers used 20 Medicare Claims 556 Services Paid

• DME-Medical/Surgical Supplies (DA023N)

  Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing (HCPCS:A6196)

  2 DME suppliers used 110 Medicare Claims 3058 Services Paid

• DME-Medical/Surgical Supplies (DA023N)

  Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing (HCPCS:A6197)

  1 DME suppliers used 17 Medicare Claims 286 Services Paid

• DME-Medical/Surgical Supplies (DA023N)

  Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing (HCPCS:A6212)

  3 DME suppliers used 99 Medicare Claims 1337 Services Paid

• DME-Medical/Surgical Supplies (DA023N)

  Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing (HCPCS:A6219)

  2 DME suppliers used 63 Medicare Claims 1776 Services Paid

• DME-Medical/Surgical Supplies (DA023N)

  Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing (HCPCS:A6220)

  1 DME suppliers used 39 Medicare Claims 1071 Services Paid

• DME-Medical/Surgical Supplies (DA023N)

  Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing (HCPCS:A6222)

  3 DME suppliers used 33 Medicare Claims 842 Services Paid

• DME-Medical/Surgical Supplies (DA023N)

  Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing (HCPCS:A6223)

  1 DME suppliers used 11 Medicare Claims 246 Services Paid

• DME-Medical/Surgical Supplies (DA023N)

  Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing (HCPCS:A6252)

  1 DME suppliers used 32 Medicare Claims 824 Services Paid

• DME-Medical/Surgical Supplies (DA023N)

  Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing (HCPCS:A6253)

  1 DME suppliers used 11 Medicare Claims 212 Services Paid

• DME-Medical/Surgical Supplies (DA023N)

  Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard (HCPCS:A6446)

  3 DME suppliers used 61 Medicare Claims 6337 Services Paid

• DME-Other DME (DE000N)

  Walker, folding, wheeled, adjustable or fixed height (HCPCS:E0143)

  10 DME suppliers used 102 Medicare Claims 102 Services Paid

• DME-Other DME (DE000N)

  Seat attachment, walker (HCPCS:E0156)

  6 DME suppliers used 26 Medicare Claims 26 Services Paid

• DME-Other DME (DE000N)

  Commode chair, mobile or stationary, with fixed arms (HCPCS:E0163)

  12 DME suppliers used 154 Medicare Claims 154 Services Paid

• DME-Other DME (DE000N)

  Commode chair, mobile or stationary, with detachable arms (HCPCS:E0165)

  4 DME suppliers used 20 Medicare Claims 20 Services Paid

• DME-Other DME (DE000N)

  Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty (HCPCS:E0181)

  5 DME suppliers used 187 Medicare Claims 187 Services Paid

• DME-Other DME (DE000N)

  Gel or gel-like pressure pad for mattress, standard mattress length and width (HCPCS:E0185)

  10 DME suppliers used 166 Medicare Claims 166 Services Paid

• DME-Hospital Beds (DB000N)

  Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)

  16 DME suppliers used 1101 Medicare Claims 1101 Services Paid

• DME-Hospital Beds (DB000N)

  Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress (HCPCS:E0294)

  1 DME suppliers used 151 Medicare Claims 151 Services Paid

• DME-Hospital Beds (DB000N)

  Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress (HCPCS:E0295)

  1 DME suppliers used 34 Medicare Claims 34 Services Paid

• DME-Oxygen and Supplies (DC000N)

  Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

  15 DME suppliers used 229 Medicare Claims 244 Services Paid

• DME-Other DME (DE000N)

  Nebulizer, with compressor (HCPCS:E0570)

  5 DME suppliers used 30 Medicare Claims 30 Services Paid

• DME-Other DME (DE000N)

  Respiratory suction pump, home model, portable or stationary, electric (HCPCS:E0600)

  2 DME suppliers used 11 Medicare Claims 11 Services Paid

• DME-Other DME (DE001N)

  Continuous positive airway pressure (cpap) device (HCPCS:E0601)

  2 DME suppliers used 11 Medicare Claims 11 Services Paid

• DME-Other DME (DE000N)

  Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) (HCPCS:E0630)

  8 DME suppliers used 101 Medicare Claims 101 Services Paid

• DME-Other DME (DE000N)

  Transfer device, any type, each (HCPCS:E0705)

  4 DME suppliers used 12 Medicare Claims 12 Services Paid

• DME-Other DME (DE000N)

  Iv pole (HCPCS:E0776)

  3 DME suppliers used 42 Medicare Claims 42 Services Paid

• DME-Other DME (DE000N)

  Trapeze bars, a/k/a patient helper, attached to bed, with grab bar (HCPCS:E0910)

  4 DME suppliers used 21 Medicare Claims 21 Services Paid

• DME-Wheelchairs (DD000N)

  Heel loop/holder, any type, with or without ankle strap, each (HCPCS:E0951)

  10 DME suppliers used 189 Medicare Claims 373 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each (HCPCS:E0955)

  3 DME suppliers used 21 Medicare Claims 21 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, wheel lock brake extension (handle), each (HCPCS:E0961)

  11 DME suppliers used 158 Medicare Claims 278 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, anti-tipping device, each (HCPCS:E0971)

  12 DME suppliers used 258 Medicare Claims 514 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each (HCPCS:E0973)

  9 DME suppliers used 134 Medicare Claims 263 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory (HCPCS:E1028)

  2 DME suppliers used 11 Medicare Claims 11 Services Paid

• DME-Other DME (DE000N)

  Transport chair, adult size, patient weight capacity up to and including 300 pounds (HCPCS:E1038)

  3 DME suppliers used 58 Medicare Claims 58 Services Paid

• DME-Wheelchairs (DD000N)

  Manual adult size wheelchair, includes tilt in space (HCPCS:E1161)

  2 DME suppliers used 11 Medicare Claims 11 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each (HCPCS:E1226)

  3 DME suppliers used 87 Medicare Claims 87 Services Paid

• DME-Oxygen and Supplies (DC002N)

  Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

  16 DME suppliers used 266 Medicare Claims 266 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches (HCPCS:E2201)

  5 DME suppliers used 23 Medicare Claims 23 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches (HCPCS:E2201)

  3 DME suppliers used 100 Medicare Claims 100 Services Paid

• DME-Wheelchairs (DD021N)

  General use wheelchair seat cushion, width less than 22 inches, any depth (HCPCS:E2601)

  14 DME suppliers used 314 Medicare Claims 314 Services Paid

• DME-Wheelchairs (DD021N)

  General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware (HCPCS:E2611)

  13 DME suppliers used 229 Medicare Claims 229 Services Paid

• DME-Wheelchairs (DD000N)

  Standard wheelchair (HCPCS:K0001)

  18 DME suppliers used 1493 Medicare Claims 1495 Services Paid

• DME-Wheelchairs (DD000N)

  Standard hemi (low seat) wheelchair (HCPCS:K0002)

  1 DME suppliers used 38 Medicare Claims 38 Services Paid

• DME-Wheelchairs (DD000N)

  Lightweight wheelchair (HCPCS:K0003)

  7 DME suppliers used 446 Medicare Claims 446 Services Paid

• DME-Wheelchairs (DD000N)

  High strength, lightweight wheelchair (HCPCS:K0004)

  3 DME suppliers used 23 Medicare Claims 23 Services Paid

• DME-Wheelchairs (DD000N)

  Heavy duty wheelchair (HCPCS:K0006)

  7 DME suppliers used 112 Medicare Claims 112 Services Paid

• DME-Wheelchairs (DD000N)

  Extra heavy duty wheelchair (HCPCS:K0007)

  5 DME suppliers used 23 Medicare Claims 23 Services Paid

• DME-Wheelchairs (DD021N)

  Elevating leg rests, pair (for use with capped rental wheelchair base) (HCPCS:K0195)

  14 DME suppliers used 570 Medicare Claims 571 Services Paid

Unknown

• Other-Enteral and Parenteral (OB006N)

  Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4034)

  4 DME suppliers used 20 Medicare Claims 548 Services Paid

• Other-Enteral and Parenteral (OB006N)

  Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4035)

  4 DME suppliers used 37 Medicare Claims 964 Services Paid

• Other-Enteral and Parenteral (OB006N)

  Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4152)

  6 DME suppliers used 52 Medicare Claims 27434 Services Paid

• Other-Enteral and Parenteral (OB006N)

  Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4154)

  1 DME suppliers used 13 Medicare Claims 6652 Services Paid

• Other-Enteral and Parenteral (OB005N)

  Enteral nutrition infusion pump, any type (HCPCS:B9002)

  3 DME suppliers used 30 Medicare Claims 30 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Initial nursing facility visit per day, typically 35 minutes

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

This service was performed 32 times for 32 patients

Initial nursing facility visit per day, typically 45 minutes

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

This service was performed 37 times for 37 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 18 times for 18 patients

New patient office or other outpatient visit, 45-59 minutes

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.

This service was performed 24 times for 24 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

This service was performed 882 times for 712 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

This service was performed 456 times for 245 patients

Physician Visit Costs

The typical physician office visit costs for Medicare beneficiaries in this area are: $32.26 for a new patient copayment and $24.78 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 20148 ZIP code area.

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Amr Behiri is affiliated with the following medical facilities:

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Frequently Asked Questions