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AFTAB HASSAN JAFRI M.D.
NPI 1255696605
Surgery in Decatur, IL

Active since July 11, 2012PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1730 E LAKE SHORE DR APT 1084, DECATUR, IL 62521(217) 329-1000 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Aftab Hassan Jafri M.d. NPPES

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

AFTAB HASSAN JAFRI M.D. (NPI 1255696605) is an individual surgery provider in Decatur, Illinois, licensed in Michigan (4301097533) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Musc Health Florence Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1255696605
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameAFTAB HASSAN JAFRICredential: M.D.
Location Address1730 E LAKE SHORE DR APT 1084Decatur, IL 62521-3809
Mailing Address1730 E Lake Shore Dr Apt 1084Decatur, IL 62521-3809 · (217) 329-1000
Phone(217) 329-1000
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 11, 2012
Last NPPES UpdateDecember 30, 2021
NPPES CertifiedDecember 30, 2021
✔ NPI 1255696605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 4301097533
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1730 E LAKE SHORE DR APT 1084, Decatur, IL 62521
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Other Identifiers 1

Other201572MI · General Surgery

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Aftab Hassan Jafri 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 ID2860796000
PECOS Enrollment IDI20230816002085
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.

Medicare Billing Reassignment

Medicare enrollment records show Aftab Jafri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Musc Community Physicians
628 mi
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
NPI 1841878006 (803) 245-6290

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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 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.
145 services51 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.
80 services75 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.
57 services41 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.
39 services30 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.
18 services18 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420091
Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62521 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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 Aftab Jafri's NPI number?

The NPI number for Aftab Jafri is 1255696605. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Where is Aftab Jafri located?

Aftab Jafri practices at 1730 E Lake Shore Dr Apt 1084, Decatur, IL 62521. The listed phone number is (217) 329-1000.

What is Aftab Jafri's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Aftab Jafri enrolled in Medicare?

Yes. Aftab Jafri 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.

Which organization bills Medicare for Aftab Jafri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aftab Jafri reassigns Medicare benefits to Musc Community Physicians (Bamberg, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Aftab Jafri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Aftab Jafri accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Aftab Jafri 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 Aftab Jafri affiliated with any hospitals?

According to CMS data, Aftab Jafri is affiliated with Musc Health Florence Medical Center.

When was this NPI record last updated?

The NPPES record for Aftab Jafri was last updated on December 30, 2021. 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.