WAQAR AHMED MD
NPI 1225520273
Internal Medicine - Nephrology in Binghamton, NY

Active since June 05, 2018PECOS EnrolledAccepts Medicare Assignment
84.63/100
CMS Quality Rating
27 PARK AVE, FL 5, BINGHAMTON, NY 13903(607) 762-2251 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Waqar Ahmed Md NPPES

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

WAQAR AHMED MD (NPI 1225520273) is an individual nephrology provider in Binghamton, New York, licensed in New York (316273) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1225520273
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameWAQAR AHMEDCredential: MD
Location Address27 PARK AVE, FL 5Binghamton, NY 13903
Mailing Address33 Lewis Rd, Fl 2Binghamton, NY 13905-1055 · (607) 770-0025
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 5, 2018
Last NPPES UpdateJuly 14, 2022
NPPES CertifiedJuly 6, 2022
NPI 1225520273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in NY · 316273
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
27 PARK AVE, Binghamton, NY 13903

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

Waqar Ahmed 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 ID6800132945
PECOS Enrollment IDI20220719002022
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 10

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.
355 services185 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
272 services91 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.
270 services141 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.
190 services93 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
151 services26 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
134 services51 patients

Hospital Affiliations CMS Care Compare 5

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Chenango Memorial Hospital

Acute Care Hospitals · Norwich, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330033
Location179 North Broad StreetNorwich, NY 13815 · Chenango County
Emergency services Birthing friendly

Aurelia Osborn Fox Memorial Hospital

Acute Care Hospitals · Oneonta, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330085
LocationOne Norton AvenueOneonta, NY 13820 · Otsego County
Emergency services

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Delaware Valley Hospital, Inc

Critical Access Hospitals · Walton, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331312
Location1 Titus PlaceWalton, NY 13856 · Delaware County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13903 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

84.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.96
Promoting Interoperability100
Improvement Activities40
Cost54.42

Other Providers at the Same Location NPPES 13

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

Plastic Surgery
27 PARK AVE, SECOND FLOOR
BINGHAMTON, NY 13903
Nurse Practitioner
27 PARK AVE, FIFTH FLOOR
BINGHAMTON, NY 13903
Physician Assistant
27 PARK AVE, FL 2
BINGHAMTON, NY 13903
Plastic Surgery
27 PARK AVE, 2ND FL
BINGHAMTON, NY 13903
Internal Medicine (Nephrology)
27 PARK AVE, FIFTH FLOOR
BINGHAMTON, NY 13903
Nurse Practitioner (Family)
27 PARK AVE, 5TH FLOOR
BINGHAMTON, NY 13903
Plastic Surgery
27 PARK AVE, FL 2
BINGHAMTON, NY 13903
Surgery
27 PARK AVE, 2ND FL
BINGHAMTON, NY 13903

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 Waqar Ahmed's NPI number?

The NPI number for Waqar Ahmed is 1225520273. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Where is Waqar Ahmed located?

Waqar Ahmed practices at 27 Park Ave Fl 5, Binghamton, NY 13903. The listed phone number is (607) 762-2251.

What is Waqar Ahmed's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Waqar Ahmed enrolled in Medicare?

Yes. Waqar 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 Waqar Ahmed affiliated with any hospitals?

According to CMS data, Waqar Ahmed is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, Chenango Memorial Hospital, Aurelia Osborn Fox Memorial Hospital, United Health Services Hospitals, Inc and Delaware Valley Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Waqar Ahmed was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.