NAYYER GHIAS
NPI 1275566622
Hospitalist in Holyoke, MA

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
575 BEECH STREET, HOLYOKE, MA 01040(413) 534-2608(413) 540-5005 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nayyer Ghias NPPES

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

NAYYER GHIAS (NPI 1275566622) is an individual hospitalist provider in Holyoke, Massachusetts, licensed in Massachusetts (80299) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Holyoke Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1275566622
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameNAYYER GHIAS
Location Address575 BEECH STREETHolyoke, MA 01040
Mailing Address575 Beech StreetHolyoke, MA 01040 · (413) 534-2608 · Fax (413) 540-5005
Fax(413) 540-5005
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 9, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1275566622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MA · 80299
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

575 BEECH STREET, Holyoke, MA 01040

Other Identifiers 1

Medicare UPINF99316

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

Nayyer Ghias 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 ID2961446547
PECOS Enrollment IDI20050614001341
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 6

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
282 services139 patients
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.
244 services130 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
166 services156 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services36 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
25 services24 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Holyoke Medical Center

Acute Care Hospitals · Holyoke, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220024
Location575 Beech StreetHolyoke, MA 01040 · Hampden County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01040 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
95%240 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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 supplier14 claims14 services$15.68 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$64.51 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 5

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

Pathology (Anatomic Pathology & Clinical Pathology)
575 BEECH STREET, PIONEER V PAT ASSOC P C
HOLYOKE, MA 01040
Anesthesiology
575 BEECH STREET, DEPT. OF ANESTHESIA
HOLYOKE, MA 01040
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
575 BEECH STREET, HOLYOKE MEDICAL CENTER
HOLYOKE, MA 01040
Internal Medicine
575 BEECH STREET, HOLYOKE MEDICAL CENTER
HOLYOKE, MA 01040
Student in an Organized Health Care Education/Training Program
575 BEECH STREET
HOLYOKE, MA 01040

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 Nayyer Ghias's NPI number?

The NPI number for Nayyer Ghias is 1275566622. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Nayyer Ghias located?

Nayyer Ghias practices at 575 Beech Street, Holyoke, MA 01040. The listed phone number is (413) 534-2608.

What is Nayyer Ghias's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nayyer Ghias enrolled in Medicare?

Yes. Nayyer Ghias 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 Nayyer Ghias affiliated with any hospitals?

According to CMS data, Nayyer Ghias is affiliated with Holyoke Medical Center.

When was this NPI record last updated?

The NPPES record for Nayyer Ghias was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.