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DR. NAJEEB OMAR GHAUSSY MD
NPI 1447244322
Internal Medicine - Rheumatology in Clyde, NC

Active since September 07, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
600 HOSPITAL DR, SUITE 9, CLYDE, NC 28721(828) 452-0331(828) 456-8726 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Najeeb Omar Ghaussy Md NPPES

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

DR. NAJEEB OMAR GHAUSSY MD (NPI 1447244322) is an individual rheumatology provider in Clyde, North Carolina, licensed in North Carolina (200400501) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Harris Regional Hospital, and is a graduate of Medical College Of Wisconsin (1998).

NPPES Registry Identity

NPI1447244322
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. NAJEEB OMAR GHAUSSYCredential: MD
Location Address600 HOSPITAL DR, SUITE 9Clyde, NC 28721-8024
Mailing Address600 Hospital Dr Ste 9Clyde, NC 28721-8046 · (828) 452-0331 · Fax (828) 456-6100
Phone(828) 452-0331
Fax(828) 456-8726
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1998
Enumeration DateSeptember 7, 2005
Last NPPES UpdateOctober 10, 2023
NPPES CertifiedOctober 10, 2023
✔ NPI 1447244322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NC · 200400501
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
600 HOSPITAL DR, Clyde, NC 28721
Open in Google Maps ↗

Other Identifiers 3

Other1369KNC · Blue Cross
Other561340324United Healthcare
Medicaid891369KNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Dr. Najeeb Omar Ghaussy 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 ID4082694070
PECOS Enrollment IDI20040730001079
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.
1,230 services536 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
335 services335 patients
Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment 77085
A DXA bone density measurement is a non-invasive scan that helps assess the strength of your bones, specifically in the hip, pelvis, and spine areas. It can detect early signs of osteoporosis and evaluate fracture risk. This test uses low-dose X-rays for accurate results.
292 services292 patients
Dxa bone density measurement of forearm, finger, hand, or foot 77081
A DXA bone density measurement of the forearm, finger, hand, or foot is a non-invasive procedure that uses X-rays to measure the amount of calcium and other minerals in your bones. This test helps to assess the strength of your bones and your risk of fractures.
110 services110 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
84 services61 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
56 services56 patients

Hospital Affiliations CMS Care Compare 5

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

Harris Regional Hospital

Acute Care Hospitals · Sylva, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340016
Location68 Hospital RdSylva, NC 28779 · Jackson County
Emergency services Birthing friendly

Adventhealth Hendersonville

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340023
Location100 Hospital DriveHendersonville, NC 28792 · Henderson County
Emergency services Birthing friendly

Haywood Regional Medical Center

Acute Care Hospitals · Clyde, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340184
Location262 Leroy George DriveClyde, NC 28721 · Haywood County
Emergency services Birthing friendly

Angel Medical Center

Critical Access Hospitals · Franklin, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341326
Location124 Center Court PO Box 1209Franklin, NC 28734 · Macon County
Emergency services

Erlanger Murphy Medical Center

Critical Access Hospitals · Murphy, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341328
Location3990 East Us Highway 64 AltMurphy, NC 28906 · Cherokee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28721 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
40%745 patients2/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
54%728 patients3/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
60%1,005 patients3/55-star benchmark: 85%
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
30%126 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.
100%3,597 patients5/55-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.
97%8,029 patients4/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
74%682 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
62%276 patients3/55-star benchmark: 88%
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.
98%200 patients4/55-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.
98%1,596 patients5/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
53%682 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
91%1,558 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
22%1,163 patients2/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
28%1,162 patients2/55-star benchmark: 96%
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: 100% · 1,507 patients
Patients tobacco: 11% · 65 patients
87%1,053 patients4/55-star benchmark: 98%
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…
100%1,596 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
95%239 patients4/55-star benchmark: 97%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
16%1,596 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
32%1,596 patients
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.

BARTON R. PASCHAL M.D.
Internal Medicine (Medical Oncology)
600 HOSPITAL DR, SUITE 10B
CLYDE, NC 28721
Haywood County (828) 456-5214
JOHN ANTHONY LAFATA DO
Internal Medicine
600 HOSPITAL DR, SUITE 9
CLYDE, NC 28721
Haywood County (828) 452-0331
CAROLINA CANCER SPECIALISTS, PA
Specialist
600 HOSPITAL DR, SUITE 2
CLYDE, NC 28721
Haywood County (828) 454-0181
DR. STEVEN SNOWDEN CRIDER MD
Internal Medicine
600 HOSPITAL DR, SUITE 9
CLYDE, NC 28721
Haywood County (828) 452-0331
CHRISTOFER CATTERSON MD PA
Specialist
600 HOSPITAL DR, SUITE #3
CLYDE, NC 28721
Haywood County (828) 452-4001
PAUL FREDRIC LEVY MD
Internal Medicine (Gastroenterology)
600 HOSPITAL DR, SUITE 9
CLYDE, NC 28721
Haywood County (828) 452-0331
DR. FILIBERTO COLON II MD
Internal Medicine (Gastroenterology)
600 HOSPITAL DR, SUITE 9
CLYDE, NC 28721
Haywood County (828) 452-0331
BLUE RIDGE ULTRASOUND, INC.
Clinic/Center (Radiology)
600 HOSPITAL DR, SUITE 4
CLYDE, NC 28721
Haywood County (828) 452-0881

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 Najeeb Ghaussy's NPI number?

The NPI number for Najeeb Ghaussy is 1447244322. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Najeeb Ghaussy located?

Najeeb Ghaussy practices at 600 Hospital Dr Suite 9, Clyde, NC 28721. The listed phone number is (828) 452-0331.

What is Najeeb Ghaussy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Najeeb Ghaussy enrolled in Medicare?

Yes. Najeeb Ghaussy 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 Najeeb Ghaussy accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Najeeb Ghaussy 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 Najeeb Ghaussy affiliated with any hospitals?

According to CMS data, Najeeb Ghaussy is affiliated with Harris Regional Hospital, Adventhealth Hendersonville, Haywood Regional Medical Center, Angel Medical Center and Erlanger Murphy Medical Center.

When was this NPI record last updated?

The NPPES record for Najeeb Ghaussy was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.