KARIM MAHMOUD KHAMIS MAHMOUD MD
NPI 1346716412
Orthopaedic Surgery in Philadelphia, PA

Active since October 16, 2018PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
800 SPRUCE ST, PHILADELPHIA, PA 19107(215) 829-5933 Get Directions Write a Review

NPPES record last updated: October 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karim Mahmoud Khamis Mahmoud Md NPPES

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

KARIM MAHMOUD KHAMIS MAHMOUD MD (NPI 1346716412) is an individual orthopaedic surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (LT000372) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1346716412
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKARIM MAHMOUD KHAMIS MAHMOUDCredential: MD
Location Address800 SPRUCE STPhiladelphia, PA 19107-6130
Mailing Address230 W Washington Sq Fl 5Philadelphia, PA 19106-3500 · (267) 909-4542
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 16, 2018
NPI 1346716412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in PA · LT000372
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License LT000372 (PA)
800 SPRUCE ST, Philadelphia, PA 19107

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

Karim Mahmoud Khamis Mahmoud 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 ID1557695384
PECOS Enrollment IDI20200902003433
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 15

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
376 services67 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
345 services204 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.
317 services203 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
168 services117 patients
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.
73 services69 patients
Aspiration and/or injection of fluid from medium joint 20605
This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.
57 services41 patients

Hospital Affiliations CMS Care Compare 3

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

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Burke Medical Center

Acute Care Hospitals · Waynesboro, GA
OwnershipProprietary
CMS Certification Number110113
Location351 South Liberty StreetWaynesboro, GA 30830 · Burke County

Doctors Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110177
Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality54.9
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
47%319 patients3/55-star benchmark: 87%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%25 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%2,691 patients4/55-star benchmark: 100%
e-Prescribing
99%491 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
62%485 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
12%1,543 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 56% · 1,245 patients
Patients screened: 63% · 1,245 patients
15%98 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
73%826 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
74%34 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 524 patients
Patients totalRate: 2% · 524 patients
2%524 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

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

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier22 claims22 services$228.99 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 20

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

Obstetrics & Gynecology
800 SPRUCE ST
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
800 SPRUCE ST
PHILADELPHIA, PA 19107
Psychiatry & Neurology (Neurology)
800 SPRUCE ST
PHILADELPHIA, PA 19107
Nurse Anesthetist, Certified Registered
800 SPRUCE ST
PHILADELPHIA, PA 19107
Anesthesiology
800 SPRUCE ST
PHILADELPHIA, PA 19107
Nurse Practitioner (Neonatal)
800 SPRUCE ST, 2 CATHCART
PHILADELPHIA, PA 19107
Hospitalist
800 SPRUCE ST
PHILADELPHIA, PA 19107
Internal Medicine
800 SPRUCE ST
PHILADELPHIA, PA 19107

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 Karim Mahmoud's NPI number?

The NPI number for Karim Mahmoud is 1346716412. It was assigned to this individual provider in the NPPES registry on October 16, 2018.

Where is Karim Mahmoud located?

Karim Mahmoud practices at 800 Spruce St, Philadelphia, PA 19107. The listed phone number is (215) 829-5933.

What is Karim Mahmoud's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Karim Mahmoud enrolled in Medicare?

Yes. Karim Mahmoud 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 Karim Mahmoud affiliated with any hospitals?

According to CMS data, Karim Mahmoud is affiliated with Au Medical Center, Burke Medical Center and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Karim Mahmoud was last updated on October 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.