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FAHIM K IBRAHIM MD
NPI 1376611251
Ophthalmology in Fort Gratiot, MI

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
4190 24TH AVE, SUITE 204, FORT GRATIOT, MI 48059(810) 989-7702(810) 989-7703 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fahim K Ibrahim Md NPPES

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

FAHIM K IBRAHIM MD (NPI 1376611251) is an individual ophthalmology provider in Fort Gratiot, Michigan, licensed in Michigan (FI067033) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Lake Huron Medical Center, and is a graduate of Other (1974).

NPPES Registry Identity

NPI1376611251
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameFAHIM K IBRAHIMCredential: MD
Location Address4190 24TH AVE, SUITE 204Fort Gratiot, MI 48059-3882
Mailing Address4190 24th Ave, Suite 204Fort Gratiot, MI 48059-3882 · (810) 989-7702 · Fax (810) 989-7703
Phone(810) 989-7702
Fax(810) 989-7703
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateDecember 1, 2006
Last NPPES UpdateOctober 20, 2011
✔ NPI 1376611251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MI · FI067033
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4190 24TH AVE, Fort Gratiot, MI 48059
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Other Identifiers 3

Medicare UPINE18704
Medicare ID-Type Unspecified0P24320
Medicaid3350530MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Fahim K Ibrahim 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 ID8527087899
PECOS Enrollment IDI20051121000010
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 11

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.

Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
147 services124 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
139 services114 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
125 services95 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
94 services86 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
82 services82 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
81 services75 patients

Hospital Affiliations CMS Care Compare

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

Lake Huron Medical Center

Acute Care Hospitals · Port Huron, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230031
Location2601 Electric AvenuePort Huron, MI 48060 · St. Clair County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48059 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
65%354 patients3/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
53%354 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
99%152 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
38%29 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
77%2,120 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
2%223 patients1/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
36%774 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
63%137 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 595 patients
Patients tobacco: 86% · 595 patients
3%75 patients1/55-star benchmark: 98%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
95%413 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
2%223 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 553 patients
0%553 patients5/55-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.

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.

BEVERLIE HOUSER AGPCNP-BC
Nurse Practitioner (Gerontology)
4190 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7788
PRIME GARDEN CITY MEDICAL GROUP
Internal Medicine
4190 24TH AVE, SUITE 206
FORT GRATIOT, MI 48059
St. Clair County (810) 216-4000
FARRUKH ZAMAN NAQVI M.D.
Family Medicine
4190 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7788
NEUROSLEEP CENTER PLLC
Psychiatry & Neurology (Sleep Medicine)
4190 24TH AVE, SUITE 210
FORT GRATIOT, MI 48059
St. Clair County (810) 216-1901
PRIME HEALTHCARE SERVICES-PORT HURON, LLC
Clinic/Center (Ambulatory Surgical)
4190 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7700
DANIEL C SOUPHIS D.O.
Family Medicine
4190 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7788
FAHIM K IBRAHIM M.D., P.C.
Specialist
4190 24TH AVE, SUITE 204
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7702
CHRISTOPHER J BORGIEL M.D.
Family Medicine
4190 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7788

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 Fahim Ibrahim's NPI number?

The NPI number for Fahim Ibrahim is 1376611251. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Fahim Ibrahim located?

Fahim Ibrahim practices at 4190 24th Ave Suite 204, Fort Gratiot, MI 48059. The listed phone number is (810) 989-7702.

What is Fahim Ibrahim's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Fahim Ibrahim enrolled in Medicare?

Yes. Fahim Ibrahim 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 Fahim Ibrahim accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Fahim Ibrahim 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 Fahim Ibrahim affiliated with any hospitals?

According to CMS data, Fahim Ibrahim is affiliated with Lake Huron Medical Center.

When was this NPI record last updated?

The NPPES record for Fahim Ibrahim was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.