KAREEM MOUSSA MD
NPI 1396088605
Ophthalmology - Retina Specialist in Sacramento, CA

Active since April 04, 2013PECOS EnrolledAccepts Medicare Assignment
90.92/100
CMS Quality Rating
4860 Y ST STE 2400, SACRAMENTO, CA 95817(916) 734-6074 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 27, 2021, Nov 4, 2020, Jul 23, 2019 and 2 more (5 updates tracked since 2016).

About Kareem Moussa Md NPPES

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

KAREEM MOUSSA MD (NPI 1396088605) is an individual retina specialist in Sacramento, California, licensed in California (A132749) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2013).

NPPES Registry Identity

NPI1396088605
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameKAREEM MOUSSACredential: MD
Location Address4860 Y ST STE 2400Sacramento, CA 95817-2307
Mailing Address4860 Y St Ste 2400Sacramento, CA 95817-2307 · (916) 734-6074
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2013
Enumeration DateApril 4, 2013
Last NPPES UpdateAugust 27, 20215 updates tracked since enumeration
NPPES CertifiedAugust 27, 2021
✔ NPI 1396088605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in CA · A132749
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 270395 (MA)
4860 Y ST STE 2400, Sacramento, CA 95817

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

Kareem Moussa 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 ID143513960
PECOS Enrollment IDI20190806001563
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 20

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, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
3,835 services18 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.
1,018 services431 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
640 services77 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
448 services106 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.
421 services187 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.
393 services284 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

90.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality63.35
Promoting Interoperability100
Improvement Activities40

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.

Student in an Organized Health Care Education/Training Program
4860 Y ST STE 2400
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 2400
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 2400
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 2400
SACRAMENTO, CA 95817
Ophthalmology
4860 Y ST STE 2400
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 2400
SACRAMENTO, CA 95817
Ophthalmology (Neuro-ophthalmology)
4860 Y ST STE 2400
SACRAMENTO, CA 95817
Ophthalmology
4860 Y ST STE 2400
SACRAMENTO, CA 95817

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 Kareem Moussa's NPI number?

The NPI number for Kareem Moussa is 1396088605. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Where is Kareem Moussa located?

Kareem Moussa practices at 4860 Y St Ste 2400, Sacramento, CA 95817. The listed phone number is (916) 734-6074.

What is Kareem Moussa's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Kareem Moussa enrolled in Medicare?

Yes. Kareem Moussa 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 Kareem Moussa accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Kareem Moussa 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.

When was this NPI record last updated?

The NPPES record for Kareem Moussa was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.