HOSSEIN ASGHARI M.D.
NPI 1427468818
Ophthalmology in Saint Louis, MO

Active since May 06, 2014PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
1225 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 977-5200 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hossein Asghari M.d. NPPES

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

HOSSEIN ASGHARI M.D. (NPI 1427468818) is an individual ophthalmology provider in Saint Louis, Missouri, licensed in Missouri (2020037812) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1427468818
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameHOSSEIN ASGHARICredential: M.D.
Location Address1225 S GRAND BLVDSaint Louis, MO 63104-1016
Mailing Address1008 S Spring Ave Ste 3819Saint Louis, MO 63110-2520 · (314) 977-4010 · Fax (314) 977-3495
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 6, 2014
Last NPPES UpdateJanuary 19, 2021
NPPES CertifiedJanuary 19, 2021
NPI 1427468818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MO · 2020037812
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.

1225 S GRAND BLVD, Saint Louis, MO 63104

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

Hossein Asghari 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 ID4789808601
PECOS Enrollment IDI20201119000090
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.

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.
71 services52 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
70 services43 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
65 services65 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
57 services57 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.
21 services21 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.
20 services19 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

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.

Surgery (Vascular Surgery)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Optometrist
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Internal Medicine
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Psychiatry & Neurology (Neurology)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Hospitalist
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Psychiatry & Neurology (Vascular Neurology)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Internal Medicine (Rheumatology)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Otolaryngology
1225 S GRAND BLVD, GARDEN LEVEL, DOOR 3
ST LOUIS, MO 63104

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 Hossein Asghari's NPI number?

The NPI number for Hossein Asghari is 1427468818. It was assigned to this individual provider in the NPPES registry on May 6, 2014.

Where is Hossein Asghari located?

Hossein Asghari practices at 1225 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 977-5200.

What is Hossein Asghari's specialty?

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

Is Hossein Asghari enrolled in Medicare?

Yes. Hossein Asghari 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 Hossein Asghari accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Hossein Asghari 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 Hossein Asghari affiliated with any hospitals?

According to CMS data, Hossein Asghari is affiliated with Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Hossein Asghari was last updated on January 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.