DR. MUHAMMAD TAYYAB BADSHAH MD
NPI 1295195261
Internal Medicine - Endocrinology, Diabetes & Metabolism in Gettysburg, PA

Active since March 03, 2016PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
40 V TWIN DR STE 205, GETTYSBURG, PA 17325(717) 339-2790 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2026, Apr 30, 2024, Sep 27, 2021 and 3 more (6 updates tracked since 2016).

About Dr. Muhammad Tayyab Badshah Md NPPES

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

DR. MUHAMMAD TAYYAB BADSHAH MD (NPI 1295195261) is an individual endocrinology, diabetes & metabolism provider in Gettysburg, Pennsylvania, licensed in Pennsylvania (MD424593) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1295195261
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. MUHAMMAD TAYYAB BADSHAHCredential: MD
Location Address40 V TWIN DR STE 205Gettysburg, PA 17325-7878
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateMarch 3, 2016
Last NPPES UpdateMay 8, 20266 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
NPI 1295195261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses Licensed in PA · MD424593 Licensed in FL · ME80419 Licensed in MN · 79504 Licensed in NJ · 25IA13097100
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
40 V TWIN DR STE 205, Gettysburg, PA 17325

Secondary Practice Locations 4

Location 13000 Old Alabama Rd # 119-608Alpharetta, GA 30022-5860 · Phone (678) 277-3051
Location 21106 E Prospect Rd Ste 100Fort Collins, CO 80525-5304 · Phone (970) 224-3636
Location 3502 E 2nd StDuluth, MN 55805-1913 · Phone (218) 786-8364
Location 41221 Sixth St Ste 208Traverse City, MI 49684-2360 · Phone (231) 935-2045 · Fax (231) 935-2046

Accepted Insurance

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. Muhammad Tayyab Badshah Md 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 ID244206605
PECOS Enrollment IDI20250501000338
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 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.

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.
13 services13 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

Hospital Affiliations CMS Care Compare 3

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

Essentia Health Deer River

Critical Access Hospitals · Deer River, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241360
Location115 10th Avenue NortheastDeer River, MN 56636 · Itasca County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17325 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers12 claims12 services$169.80 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 17

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

Internal Medicine (Critical Care Medicine)
40 V TWIN DR STE 205
GETTYSBURG, PA 17325
Internal Medicine (Endocrinology, Diabetes & Metabolism)
40 V TWIN DR STE 205
GETTYSBURG, PA 17325
Physician Assistant (Medical)
40 V TWIN DR STE 205
GETTYSBURG, PA 17325
Massage Therapist
40 V TWIN DR STE 205
GETTYSBURG, PA 17325
Internal Medicine (Pulmonary Disease)
40 V TWIN DR STE 205
GETTYSBURG, PA 17325
Massage Therapist
40 V TWIN DR STE 205
GETTYSBURG, PA 17325
Internal Medicine (Endocrinology, Diabetes & Metabolism)
40 V TWIN DR STE 205
GETTYSBURG, PA 17325
Internal Medicine (Endocrinology, Diabetes & Metabolism)
40 V TWIN DR STE 205
GETTYSBURG, PA 17325

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 Muhammad Badshah's NPI number?

The NPI number for Muhammad Badshah is 1295195261. It was assigned to this individual provider in the NPPES registry on March 3, 2016.

Where is Muhammad Badshah located?

Muhammad Badshah practices at 40 V Twin Dr Ste 205, Gettysburg, PA 17325. The listed phone number is (717) 339-2790.

What is Muhammad Badshah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Muhammad Badshah enrolled in Medicare?

Yes. Muhammad Badshah 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.

What insurance does Muhammad Badshah accept?

Health plans from Medica list Muhammad Badshah 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 Muhammad Badshah affiliated with any hospitals?

According to CMS data, Muhammad Badshah is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth and Essentia Health Deer River.

When was this NPI record last updated?

The NPPES record for Muhammad Badshah was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.