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AHSAN USMAN MD
NPI 1215016571
Hospitalist in Belleville, IL

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
4500 MEMORIAL DR, BELLEVILLE, IL 62226(618) 257-6220 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 29, 2021, Aug 16, 2017 (2 updates tracked since 2017).

About Ahsan Usman Md NPPES

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

AHSAN USMAN MD (NPI 1215016571) is an individual hospitalist provider in Belleville, Illinois, licensed in Illinois (036-121212) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and maintains a secondary practice location in Pekin.

NPPES Registry Identity

NPI1215016571
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameAHSAN USMANCredential: MD
Location Address4500 MEMORIAL DRBelleville, IL 62226-5360
Mailing Address670 Mason Ridge Center Dr Ste 300Saint Louis, MO 63141-8573 · (314) 996-7600
Phone(618) 257-6220
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 6, 2006
Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
✔ NPI 1215016571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036-121212
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35088242 (OH)
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 036-121212 (IL)
4500 MEMORIAL DR, Belleville, IL 62226
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Secondary Practice Location 1

Location 11021 Court Street, Suite BPekin, IL 61554-4807 · Phone (309) 642-6705 · Fax (309) 347-2623

Other Identifiers 3

Medicaid3810007764WV
Medicaid1215016571MO
Medicaid2703828OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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

Ahsan Usman 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 ID6507864998
PECOS Enrollment IDI20080823000101, I20091119000437
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 9

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
2,133 services486 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
331 services147 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
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.
243 services242 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.
101 services100 patients
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.
63 services41 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
53 services49 patients

Hospital Affiliations CMS Care Compare 5

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Gateway Regional Medical Center

Acute Care Hospitals · Granite City, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140125
Location2100 Madison AvenueGranite City, IL 62040 · Madison County
Emergency services

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$17.60 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$91.00 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,320 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier11 claims11 services$12.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CEP AMERICA - ILLINOIS SNF, LLP
Internal Medicine (Infectious Disease)
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 233-7750
MS. LAUREN NICOLE MARSHALL FNP
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-5455
MR. LITO T RUFIN NP
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-6220
KIM C WRIGLEY P.A.
Physician Assistant
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-6220
BRIAN BENDEL
Nurse Anesthetist, Certified Registered
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (561) 623-2008
DR. PAUL D SANDER MD
Pain Medicine (Pain Medicine)
4500 MEMORIAL DR, ANESTHESIA DEPT
BELLEVILLE, IL 62226
St. Clair County (618) 257-4076
DR. NEIL MCCLYMONT D.O.
Emergency Medicine
4500 MEMORIAL DR, MEMORIAL HOSPITAL - ER
BELLEVILLE, IL 62226
St. Clair County (618) 233-7750
DR. VIBHU DHAWAN MD
Internal Medicine
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-6220

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 Ahsan Usman's NPI number?

The NPI number for Ahsan Usman is 1215016571. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Ahsan Usman located?

Ahsan Usman practices at 4500 Memorial Dr, Belleville, IL 62226. The listed phone number is (618) 257-6220.

What is Ahsan Usman's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ahsan Usman enrolled in Medicare?

Yes. Ahsan Usman 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 Ahsan Usman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Ahsan Usman 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 Ahsan Usman affiliated with any hospitals?

According to CMS data, Ahsan Usman is affiliated with Ssm Health St Mary's Hospital -Centralia, Gateway Regional Medical Center, Memorial Hospital, Hshs St Elizabeth's Hospital and Ssm Health St Mary's Hospital - St Louis.

When was this NPI record last updated?

The NPPES record for Ahsan Usman was last updated on March 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.