SHABBAR HUSSAIN M.D.
NPI 1356385371
Pain Medicine - Pain Medicine in Boonsboro, MD

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
20311 LAPPANS RD STE 100, BOONSBORO, MD 21713(301) 432-8470(301) 432-4010 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2021, Jan 20, 2016 (2 updates tracked since 2016).

About Shabbar Hussain M.d. NPPES

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

SHABBAR HUSSAIN M.D. (NPI 1356385371) is an individual pain medicine provider in Boonsboro, Maryland, licensed in Maryland (D0031919) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Western Maryland Regional Medical Center, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1356385371
Entity TypeIndividualMale
Primary Taxonomy208VP0000X
Provider Legal NameSHABBAR HUSSAINCredential: M.D.
Location Address20311 LAPPANS RD STE 100Boonsboro, MD 21713-2085
Mailing Address1120 Professional CtHagerstown, MD 21740-8040 · (301) 760-3226
Fax(301) 432-4010
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJune 16, 2006
Last NPPES UpdateOctober 21, 20252 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
NPI 1356385371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Licenses Licensed in MD · D0031919 Licensed in NM · MD2017-0572
Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD039475L (PA)
20311 LAPPANS RD STE 100, Boonsboro, MD 21713

Other Identifiers 13

Other718243PA · Blue Shield
Other0000718243PA · Amerihealth
Other0000718243PA · Federal Blue Shield
Other02064901PA · Keystone Health Plan
Other843612PA · Aetna Hmo
Other02064901PA · Blue Cross
Other200024821PA · Railroad Medicare
OtherF23031PA · Health America/assurance
Other4508105PA · Aetna Non Hmo
Medicaid001276846001PA
Other248605PA · Mamsi
Other0555160000PA · Personall Choice
Other54940001MD · Maryland Blue Cross/shiel

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

Shabbar Hussain 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 ID1254352230
PECOS Enrollment IDI20130311000362, I20210415002183, I20251212001698
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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
1,288 services219 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.
1,126 services197 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
960 services196 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
642 services189 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.
424 services129 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210027
Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21713 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

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.

Family Medicine
20311 LAPPANS RD STE 100
BOONSBORO, MD 21713
Physician Assistant
20311 LAPPANS RD STE 100
BOONSBORO, MD 21713
Family Medicine
20311 LAPPANS RD STE 100
BOONSBORO, MD 21713
Nurse Practitioner (Family)
20311 LAPPANS RD STE 100
BOONSBORO, MD 21713
Physician Assistant
20311 LAPPANS RD STE 100
BOONSBORO, MD 21713

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 Shabbar Hussain's NPI number?

The NPI number for Shabbar Hussain is 1356385371. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Shabbar Hussain located?

Shabbar Hussain practices at 20311 Lappans Rd Ste 100, Boonsboro, MD 21713. The listed phone number is (301) 432-8470.

What is Shabbar Hussain's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Shabbar Hussain enrolled in Medicare?

Yes. Shabbar Hussain 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 Shabbar Hussain affiliated with any hospitals?

According to CMS data, Shabbar Hussain is affiliated with Western Maryland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shabbar Hussain was last updated on October 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.