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DR. MUHAMMAD USAMA MD
NPI 1306370077
Internal Medicine - Sleep Medicine in Auburn, WA

Active since April 19, 2017PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
121 N DIVISION ST STE 340, AUBURN, WA 98001(253) 833-7711 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2024, Apr 13, 2023, Dec 21, 2021 and 4 more (7 updates tracked since 2017).

About Dr. Muhammad Usama Md NPPES

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

DR. MUHAMMAD USAMA MD (NPI 1306370077) is an individual sleep medicine provider in Auburn, Washington, licensed in Washington (MD61530961) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Multicare Auburn Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1306370077
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameDR. MUHAMMAD USAMACredential: MD
Location Address121 N DIVISION ST STE 340Auburn, WA 98001-4931
Mailing Address121 N Division St Ste 340Auburn, WA 98001-4931 · (253) 833-7711
Phone(253) 833-7711
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 19, 2017
Last NPPES UpdateJuly 17, 20247 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1306370077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in WA · MD61530961
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
121 N DIVISION ST STE 340, Auburn, WA 98001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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 Usama 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 ID6709156797
PECOS Enrollment IDI20240813003205
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 7

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.
170 services63 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.
43 services42 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.
36 services21 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.
31 services31 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
16 services16 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Multicare Auburn Medical Center

Acute Care Hospitals · Auburn, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500015
Location202 North Division Street Plaza OneAuburn, WA 98001 · King County
Emergency services Birthing friendly

Multicare Good Samaritan Hospital

Acute Care Hospitals · Puyallup, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500079
Location401 15th Avenue SEPuyallup, WA 98372 · Pierce County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98001 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

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
4 suppliers23 claims23 services$17.26 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
4 suppliers23 claims23 services$92.02 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 2

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

DANMENG WEI
Psychiatry & Neurology (Neurology)
121 N DIVISION ST STE 340
AUBURN, WA 98001
King County (253) 697-4747
NAHJAE E UPSHAW NP
Nurse Practitioner (Acute Care)
121 N DIVISION ST STE 340
AUBURN, WA 98001
King County (253) 697-4747

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 Usama's NPI number?

The NPI number for Muhammad Usama is 1306370077. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Where is Muhammad Usama located?

Muhammad Usama practices at 121 N Division St Ste 340, Auburn, WA 98001. The listed phone number is (253) 833-7711.

What is Muhammad Usama's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Muhammad Usama enrolled in Medicare?

Yes. Muhammad Usama 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 Usama accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Muhammad Usama 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 Usama affiliated with any hospitals?

According to CMS data, Muhammad Usama is affiliated with Multicare Auburn Medical Center, Multicare Good Samaritan Hospital and Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Muhammad Usama was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.