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MR. MOHAMED AHMED YOUNIS M.D.
NPI 1437578317
Internal Medicine in Somerset, KY

Active since April 08, 2014PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
305 LANGDON ST, SOMERSET, KY 42503(606) 451-2994 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Nov 22, 2017 (2 updates tracked since 2017).

About Mr. Mohamed Ahmed Younis M.d. NPPES

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

MR. MOHAMED AHMED YOUNIS M.D. (NPI 1437578317) is an individual internal medicine provider in Somerset, Kentucky, licensed in Kentucky (50041) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and maintains a secondary practice location in Washington Dc.

NPPES Registry Identity

NPI1437578317
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. MOHAMED AHMED YOUNISCredential: M.D.
Location Address305 LANGDON STSomerset, KY 42503-2750
Mailing Address2041 Georgia Ave Nw, Howard University HospitalWashington, DC 20060 · (202) 865-1920 · Fax (202) 865-7199
Phone(606) 451-2994
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 8, 2014
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1437578317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 50041
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
305 LANGDON ST, Somerset, KY 42503
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Secondary Practice Location 1

Location 12041 Georgia Ave NW, Howard University HospitalWashington DC, WA 20060 · Phone (202) 865-6100 · Fax (202) 865-7199

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Mohamed Ahmed Younis 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 ID8527337674
PECOS Enrollment IDI20170705000348
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Mohamed Younis reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Apogee Medical Group, Kentucky, Psc
Same address
General Practice
305 LANGDON ST
Somerset, KY 42503
  • Reassigned Medicare billing, Kentucky enrollment
  • 93 clinicians in this Medicare group
NPI 1356503114 (606) 451-2994
24 On Physicians, PC
39 mi
Hospitalist
217 S 3RD ST
Danville, KY 40422
  • Reassigned Medicare billing, Kentucky enrollment
  • 89 clinicians in this Medicare group
NPI 1679522346 (800) 923-2247
Baptist Health Medical Group Inc
60 mi
Nurse Practitioner
100 PROVIDENCE WAY STE 200
Nicholasville, KY 40356
  • Reassigned Medicare billing, Kentucky enrollment
  • 999 clinicians in this Medicare group
NPI 1255805586 (859) 260-5370
Southeastern Physician Services PC
76 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Kentucky enrollment
  • 358 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000
Hospital Medicine Services Of Tennessee PC
140 mi
Hospitalist
600 WILSON CREEK RD
Lawrenceburg, IN 47025
  • Reassigned Medicare billing, Kentucky enrollment
  • 106 clinicians in this Medicare group
NPI 1528433802 (812) 537-1010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
634 services275 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
76 services72 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
72 services72 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
63 services63 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
46 services45 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
30 services21 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42503 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers48 claims48 services$18.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers53 claims53 services$104.59 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.

LAKE CUMBERLAND REGIONAL HOSPITAL LLC
Clinic/Center (Rural Health)
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (606) 679-7441
CAPITAL ANESTHESIA SOLUTIONS OF KENTUCKY LLC
Anesthesiology
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (330) 618-9944
GAGE KECK DO
Student in an Organized Health Care Education/Training Program
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (606) 679-7441
LAKE CUMBERLAND SURGICAL ASSISTANTS LLC
Surgery
305 LANGDON ST, LAKE CUMBERLAND REGIONAL HOSP
SOMERSET, KY 42503
Pulaski County (606) 679-7441
MICHAEL EDWARD HELM PA-C
Physician Assistant
305 LANGDON ST, STE H
SOMERSET, KY 42503
Pulaski County (606) 451-2994
ELIZABETH ANN SLAYTON
Student in an Organized Health Care Education/Training Program
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (502) 220-8534
ELIZABETH ERIN COMBS FNP-C
Neurological Surgery
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (606) 425-8893
BERNARD WILLIAMS
Emergency Medicine
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (606) 679-7441

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 Mohamed Younis's NPI number?

The NPI number for Mohamed Younis is 1437578317. It was assigned to this individual provider in the NPPES registry on April 8, 2014.

Where is Mohamed Younis located?

Mohamed Younis practices at 305 Langdon St, Somerset, KY 42503. The listed phone number is (606) 451-2994.

What is Mohamed Younis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mohamed Younis enrolled in Medicare?

Yes. Mohamed Younis 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.

Which organizations bill Medicare for Mohamed Younis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Younis reassigns Medicare benefits to 5 organizations: Apogee Medical Group, Kentucky, Psc (Somerset, KY), 24 On Physicians, PC (Danville, KY), Baptist Health Medical Group Inc (Nicholasville, KY), Southeastern Physician Services PC (Oak Ridge, TN) and Hospital Medicine Services Of Tennessee PC (Lawrenceburg, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mohamed Younis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohamed Younis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and CareSource list Mohamed Younis 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 Mohamed Younis affiliated with any hospitals?

According to CMS data, Mohamed Younis is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Mohamed Younis was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.