TERESA GHAZOUL M.D.
NPI 1265475370
Plastic Surgery in Wooster, OH

Q: What is Teresa Ghazoul's NPI number?

The NPI number for Teresa Ghazoul is 1265475370. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Q: What is Teresa Ghazoul's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Teresa Ghazoul was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 14, 2006PECOS Enrolled

73.97/100

CMS Quality Rating

1761 BEALL AVE STE 104, WOOSTER, OH 44691(330) 202-3350(330) 202-3356 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 13, 2023, Dec 29, 2020 (2 updates tracked since 2020).

On this page

About Teresa Ghazoul M.d. NPPES

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

TERESA GHAZOUL M.D. (NPI 1265475370) is an individual plastic surgery provider in Wooster, Ohio, licensed in Ohio (35-056696) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265475370

Entity TypeIndividualFemale

Primary Taxonomy208200000X

Provider Legal NameTERESA GHAZOULCredential: M.D.

Location Address1761 BEALL AVE STE 104Wooster, OH 44691-2342

Mailing Address1761 Beall Ave Ste 104Wooster, OH 44691-2342 · (330) 202-3350 · Fax (330) 202-3356

Phone(330) 202-3350

Fax(330) 202-3356

Sole ProprietorNo

Enumeration DateJune 14, 2006

Last NPPES UpdateApril 13, 20232 updates tracked since enumeration

NPPES CertifiedApril 13, 2023

✔ NPI 1265475370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in OH · 35-056696

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1761 BEALL AVE STE 104, Wooster, OH 44691

Open in Google Maps ↗

Other Identifiers 1

Medicaid0928634OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Ghazoul M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Teresa Ghazoul reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bloomington Medical Services LLC

0.1 mi

Internal Medicine

1761 BEALL AVE
Wooster, OH 44691

Reassigned Medicare billing, Ohio enrollment
126 clinicians in this Medicare group

NPI 1528246683 (330) 263-8428

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 4

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.

29 services21 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.

22 services22 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.

19 services15 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44691 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

73.97/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.9

Promoting Interoperability

Improvement Activities

Cost

39.16

Other Providers at the Same Location NPPES 2

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

DR. ROBERT CHARLES SISKA M.D.

Surgery (Plastic and Reconstructive Surgery)

1761 BEALL AVE STE 104
WOOSTER, OH 44691

Wayne County (330) 202-3350

YIYING KIM PAC

Physician Assistant

1761 BEALL AVE STE 104
WOOSTER, OH 44691

Wayne County (330) 202-3350

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 Teresa Ghazoul's NPI number?

The NPI number for Teresa Ghazoul is 1265475370. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Teresa Ghazoul located?

Teresa Ghazoul practices at 1761 Beall Ave Ste 104, Wooster, OH 44691. The listed phone number is (330) 202-3350.

What is Teresa Ghazoul's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Teresa Ghazoul enrolled in Medicare?

Yes. Teresa Ghazoul is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Teresa Ghazoul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Ghazoul reassigns Medicare benefits to Bloomington Medical Services LLC (Wooster, OH). 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 Teresa Ghazoul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Ghazoul accept?

Health plans from CareSource and MedMutual list Teresa Ghazoul 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.

When was this NPI record last updated?

The NPPES record for Teresa Ghazoul was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.