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DR. MOUSTAFA SAID AHMED M.D.
NPI 1225182751
Internal Medicine - Gastroenterology in Frederick, MD

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment
89.97/100
CMS Quality Rating
804 TOLL HOUSE AVE, FREDERICK, MD 21701(301) 695-7000(301) 695-7255 Get Directions Write a Review

NPPES record last updated: June 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Moustafa Said Ahmed M.d. NPPES

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

DR. MOUSTAFA SAID AHMED M.D. (NPI 1225182751) is an individual gastroenterology provider in Frederick, Maryland, licensed in Maryland (D0065427) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of George Washington University School Of Medicine (2001).

NPPES Registry Identity

NPI1225182751
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MOUSTAFA SAID AHMEDCredential: M.D.
Location Address804 TOLL HOUSE AVEFrederick, MD 21701-4519
Mailing Address804 Toll House AveFrederick, MD 21701-4519 · (301) 695-7000 · Fax (301) 695-7255
Phone(301) 695-7000
Fax(301) 695-7255
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2001
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJune 27, 2013
✔ NPI 1225182751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MD · D0065427
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
804 TOLL HOUSE AVE, Frederick, MD 21701
Open in Google Maps ↗

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

Dr. Moustafa Said Ahmed 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 ID3173614716
PECOS Enrollment IDI20070810000256, I20131007000201
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 6

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.
433 services328 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
218 services217 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
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.
183 services183 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
132 services126 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
114 services113 patients
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251
This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.
59 services59 patients

Hospital Affiliations CMS Care Compare

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21701 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

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.

89.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.79
Promoting Interoperability100
Improvement Activities40
Cost68.79

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
80%105 patients4/55-star benchmark: 87%
Colorectal Cancer Screening
68%1,110 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
98%531 patients5/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%232 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
89%1,959 patients4/55-star benchmark: 100%
e-Prescribing
99%710 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
98%1,664 patients5/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 214 patients
Patients screened: 99% · 214 patients
95%22 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%476 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 665 patients
Patients totalRate: 1% · 665 patients
1%665 patients4/55-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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIGESTIVE DISEASE SOLUTIONS, LLC
Specialist
804 TOLL HOUSE AVE
FREDERICK, MD 21701
Frederick County (301) 695-7000
LISA A COLLINS CRNP
Nurse Practitioner (Adult Health)
804 TOLL HOUSE AVE
FREDERICK, MD 21701
Frederick County (301) 695-7000
WILLIAM O. MILLER, M.D., P.A.
Specialist
804 TOLL HOUSE AVE
FREDERICK, MD 21701
Frederick County (301) 695-7000

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 Moustafa Ahmed's NPI number?

The NPI number for Moustafa Ahmed is 1225182751. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Moustafa Ahmed located?

Moustafa Ahmed practices at 804 Toll House Ave, Frederick, MD 21701. The listed phone number is (301) 695-7000.

What is Moustafa Ahmed's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Moustafa Ahmed enrolled in Medicare?

Yes. Moustafa Ahmed 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.

Is Moustafa Ahmed affiliated with any hospitals?

According to CMS data, Moustafa Ahmed is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Moustafa Ahmed was last updated on June 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.