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

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: August 09, 2026.

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

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
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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, and ordering and referring status from the CMS PECOS system.

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.

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
Quality74.9
Promoting Interoperability99
Improvement Activities40
Cost39.16

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.

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.