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ANTOINE EL KHOURY M.D.
NPI 1225292485
Obstetrics & Gynecology in Great Barrington, MA

Active since July 16, 2008PECOS EnrolledAccepts Medicare Assignment
780 MAIN ST, GREAT BARRINGTON, MA 01230(413) 528-1470(413) 528-3167 Get Directions Write a Review

NPPES record last updated: July 14, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Antoine El Khoury M.d. NPPES

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

ANTOINE EL KHOURY M.D. (NPI 1225292485) is an individual obstetrics & gynecology provider in Great Barrington, Massachusetts, licensed in Massachusetts (237208) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Berkshire Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1225292485
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameANTOINE EL KHOURYCredential: M.D.
Location Address780 MAIN STGreat Barrington, MA 01230-2148
Mailing Address780 Main StGreat Barrington, MA 01230-2148 · (413) 528-1470 · Fax (413) 528-3167
Phone(413) 528-1470
Fax(413) 528-3167
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 16, 2008
Last NPPES UpdateJuly 14, 2014
✔ NPI 1225292485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MA · 237208
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
780 MAIN ST, Great Barrington, MA 01230
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Antoine El Khoury 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 ID7911065578
PECOS Enrollment IDI20081027000038
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 2

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.

Irrigation of vagina and/or application of drug to treat infection 57150
This procedure involves gently flushing the internal area with a sterile solution to cleanse it. After cleansing, a medication is applied to help treat any existing infection. This process is performed by a healthcare professional to ensure your comfort and safety.
34 services16 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Berkshire Medical Center

Acute Care Hospitals · Pittsfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220046
Location725 North StreetPittsfield, MA 01201 · Berkshire County
Emergency services Birthing friendly

Fairview Hospital

Critical Access Hospitals · Great Barrington, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221302
Location29 Lewis AvenueGreat Barrington, MA 01230 · Berkshire County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01230 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
81%126 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
91%443 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
57%481 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 366 patients
Patients tobacco: 7% · 29 patients
88%366 patients4/55-star benchmark: 98%
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 12

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

PATRICIA F MCKEON PA
Physician Assistant
780 MAIN ST, STE 1
GT BARRINGTON, MA 01230
Berkshire County (413) 528-2418
EAST MOUNTAIN MEDICAL ASSOCIATES P C
Internal Medicine
780 MAIN ST, STE 1
GT BARRINGTON, MA 01230
Berkshire County (413) 528-2418
LUZVIMIN D GARZON M.D.
Obstetrics & Gynecology
780 MAIN ST
GREAT BARRINGTON, MA 01230
Berkshire County (413) 528-1470
DERMATOLOGY CENTER IN THE BERKSHIRES, P.C.
Dermatology
780 MAIN ST, SUITE 9
GREAT BARRINGTON, MA 01230
Berkshire County (413) 528-5184
GOLD OPHTHALMOLOGIC ASSOCIATES, P.C.
Ophthalmology
780 MAIN ST, SUITE 9
GREAT BARRINGTON, MA 01230
Berkshire County (413) 528-3355
ANDREW W POTLER DO
Internal Medicine
780 MAIN ST
GT BARRINGTON, MA 01230
Berkshire County (413) 528-2418
DANIEL W PATEL MD
Internal Medicine
780 MAIN ST, STE 1
GT BARRINGTON, MA 01230
Berkshire County (413) 528-2418
LINDA K BAXTER CNM MS
Advanced Practice Midwife
780 MAIN ST, BARRINGTON OBGYN
GREAT BARRINGTON, MA 01230
Berkshire County (413) 528-1470

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 Antoine El Khoury's NPI number?

The NPI number for Antoine El Khoury is 1225292485. It was assigned to this individual provider in the NPPES registry on July 16, 2008.

Where is Antoine El Khoury located?

Antoine El Khoury practices at 780 Main St, Great Barrington, MA 01230. The listed phone number is (413) 528-1470.

What is Antoine El Khoury's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Antoine El Khoury enrolled in Medicare?

Yes. Antoine El Khoury 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 Antoine El Khoury accept?

Health plans from Anthem Blue Cross and Blue Shield list Antoine El Khoury 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 Antoine El Khoury affiliated with any hospitals?

According to CMS data, Antoine El Khoury is affiliated with Berkshire Medical Center and Fairview Hospital.

When was this NPI record last updated?

The NPPES record for Antoine El Khoury was last updated on July 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.