DR. MAGDY M EL-KALLINY M.D.
NPI 1275504730
Neurological Surgery in Somerset, KY

Active since January 31, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
75 HAIL KNOB RD, SOMERSET, KY 42503(606) 678-9617(606) 678-9619 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 1, 2017 (2 updates tracked since 2017).

About Dr. Magdy M El-kalliny M.d. NPPES

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

DR. MAGDY M EL-KALLINY M.D. (NPI 1275504730) is an individual neurological surgery provider in Somerset, Kentucky, licensed in Kentucky (31399) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Lake Cumberland Regional Hospital, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1275504730
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. MAGDY M EL-KALLINYCredential: M.D.
Location Address75 HAIL KNOB RDSomerset, KY 42503-3434
Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (915) 920-7905 · Fax (615) 920-8935
Fax(606) 678-9619
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateJanuary 31, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1275504730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in KY · 31399
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
75 HAIL KNOB RD, Somerset, KY 42503

Other Identifiers 5

Other163996100KY · Federal Black Lung
Other000000051252KY · Bcbs Pin #
Other140003830KY · Rr Mcare
Medicaid643113992KY
OtherUMWAKY · 1508291

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

Dr. Magdy M El-kalliny 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 ID143428060
PECOS Enrollment IDI20101206000022
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 14

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,570 services16 patients
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml A9579
This is an MRI procedure where a gadolinium-based contrast agent is injected into your body. The agent enhances the images, making it easier to detect abnormalities. It's safe and side effects are rare. It's administered per milliliter as needed.
545 services30 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.
61 services51 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
33 services32 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
22 services12 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42503 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Neurological Surgery
75 HAIL KNOB RD
SOMERSET, KY 42503
Neurological Surgery
75 HAIL KNOB RD
SOMERSET, KY 42503
Physician Assistant (Surgical)
75 HAIL KNOB RD
SOMERSET, KY 42503
Nurse Practitioner
75 HAIL KNOB RD
SOMERSET, KY 42503
Physician Assistant (Surgical)
75 HAIL KNOB RD
SOMERSET, KY 42503
Physician Assistant (Medical)
75 HAIL KNOB RD
SOMERSET, KY 42503
Physician Assistant
75 HAIL KNOB RD
SOMERSET, KY 42503

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 Magdy El-kalliny's NPI number?

The NPI number for Magdy El-kalliny is 1275504730. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Magdy El-kalliny located?

Magdy El-kalliny practices at 75 Hail Knob Rd, Somerset, KY 42503. The listed phone number is (606) 678-9617.

What is Magdy El-kalliny's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Magdy El-kalliny enrolled in Medicare?

Yes. Magdy El-kalliny 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 Magdy El-kalliny affiliated with any hospitals?

According to CMS data, Magdy El-kalliny is affiliated with Lake Cumberland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Magdy El-kalliny was last updated on July 21, 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.