DARIA M ABOLGHASEMI D.O.
NPI 1265847636
Surgery - Surgical Oncology in Baltimore, MD

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237(443) 777-7000 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2019, Jun 19, 2019 (2 updates tracked since 2019).

About Daria M Abolghasemi D.o. NPPES

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

DARIA M ABOLGHASEMI D.O. (NPI 1265847636) is an individual surgical oncology provider in Baltimore, Maryland, licensed in Maryland (H0091923) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2014).

NPPES Registry Identity

NPI1265847636
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameDARIA M ABOLGHASEMICredential: D.O.
Location Address9000 FRANKLIN SQUARE DRBaltimore, MD 21237-3901
Mailing Address1125 Route 22 Ste 270Bridgewater, NJ 08807-2939 · (973) 971-7762 · Fax (973) 971-7840
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2014
Enumeration DateJune 24, 2014
Last NPPES UpdateNovember 27, 20242 updates tracked since enumeration
NPPES CertifiedNovember 27, 2024
✔ NPI 1265847636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in MD · H0091923
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License 82656 (GA)
9000 FRANKLIN SQUARE DR, Baltimore, MD 21237

Accepted 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

Daria M Abolghasemi D.o. 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 ID2365778925
PECOS Enrollment IDI20241209003291
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 Reassignments

2

Medicare enrollment records show Daria Abolghasemi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG 3RD FL
Baltimore, MD 21239
  • Reassigned Medicare billing, Maryland enrollment
  • 2,602 clinicians in this Medicare group
Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 clinicians in this Medicare group

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 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.

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.
138 services125 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.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21237 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
$183.44 typical visit price
range $60.73 – $183.44
Typical copayment $45.86 (range $15.18 – $45.86)
Most-billed visit code 99205
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Other Providers at the Same Location NPPES 20

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

Clinical Medical Laboratory
9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237
Student in an Organized Health Care Education/Training Program
9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237
Internal Medicine
9000 FRANKLIN SQUARE DR, HOSPITALIST PROGRAM
BALTIMORE, MD 21237
Physician Assistant
9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237
Physical Therapist
9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237
Anesthesiology
9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237
Internal Medicine
9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237
Pediatrics
9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237

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 Daria Abolghasemi's NPI number?

The NPI number for Daria Abolghasemi is 1265847636. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Daria Abolghasemi located?

Daria Abolghasemi practices at 9000 Franklin Square Dr, Baltimore, MD 21237. The listed phone number is (443) 777-7000.

What is Daria Abolghasemi's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Daria Abolghasemi enrolled in Medicare?

Yes. Daria Abolghasemi 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 organizations bill Medicare for Daria Abolghasemi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daria Abolghasemi reassigns Medicare benefits to 2 organizations: Medstar Medical Group II LLC (Baltimore, MD) and Practice Associates Medical Group (Morristown, NJ). Each 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 Daria Abolghasemi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daria Abolghasemi accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Daria Abolghasemi 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 Daria Abolghasemi affiliated with any hospitals?

According to CMS data, Daria Abolghasemi is affiliated with Morristown Medical Center and Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for Daria Abolghasemi was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.