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MOHAMED ABOU SHOUSHA MD
NPI 1174839583
Ophthalmology in Saint Louis, MO

Active since August 23, 2010PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1755 S GRAND BLVD, SAINT LOUIS, MO 63104(305) 243-2020 Get Directions Write a Review

NPPES record last updated: May 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mohamed Abou Shousha Md NPPES

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

MOHAMED ABOU SHOUSHA MD (NPI 1174839583) is an individual ophthalmology provider in Saint Louis, Missouri, licensed in Missouri (2011017310) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1174839583
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMOHAMED ABOU SHOUSHACredential: MD
Location Address1755 S GRAND BLVDSaint Louis, MO 63104-1540
Mailing Address1755 S Grand BlvdSaint Louis, MO 63104-1540 · (305) 243-2020
Phone(305) 243-2020
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 23, 2010
Last NPPES UpdateMay 19, 2015
✔ NPI 1174839583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in MO · 2011017310✔ Licensed in FL · MFC1668
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1755 S GRAND BLVD, Saint Louis, MO 63104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Molina Healthcare 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

Mohamed Abou Shousha 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 ID1557559168
PECOS Enrollment IDI20101227000358
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 4

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.
71 services63 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.
40 services28 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.
38 services29 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.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

DR. GILLIAN MEADE HEINECKE M.D.
Dermatology
1755 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 256-3430
MR. CHANG YE WANG M.D.
Student in an Organized Health Care Education/Training Program
1755 S GRAND BLVD
ST. LOUIS, MO 63104
St. Louis City (314) 256-3400
JORDAN BENJAMIN LEYNES PA, M.M.S
Physician Assistant
1755 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (636) 352-5416
MS. EGLE MIKONE M.D
Student in an Organized Health Care Education/Training Program
1755 S GRAND BLVD
ST LOUIS, MO 63104
St. Louis City (314) 617-2777
DR. MEGAN ALEXIS WALTERS M.D.
Orthopaedic Surgery (Foot and Ankle Surgery)
1755 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 256-3850
OSCAR A CRUZ MD
Ophthalmology
1755 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 256-3232
MAHMOOD QALBANI MD
Anesthesiology
1755 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 256-3850
CLAUDIA SOPHIA MORR VERENZUELA M.D
Dermatology
1755 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 256-3407

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 Mohamed Abou Shousha's NPI number?

The NPI number for Mohamed Abou Shousha is 1174839583. It was assigned to this individual provider in the NPPES registry on August 23, 2010.

Where is Mohamed Abou Shousha located?

Mohamed Abou Shousha practices at 1755 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (305) 243-2020.

What is Mohamed Abou Shousha's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mohamed Abou Shousha enrolled in Medicare?

Yes. Mohamed Abou Shousha 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 Mohamed Abou Shousha accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Molina Healthcare and UnitedHealthcare list Mohamed Abou Shousha 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.

When was this NPI record last updated?

The NPPES record for Mohamed Abou Shousha was last updated on May 19, 2015. 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.