DR. ZIAD KHOURY M.D.
NPI 1457357295
Internal Medicine - Cardiovascular Disease in Altoona, PA

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment
89.11/100
CMS Quality Rating
1915 VALLEY VIEW BLVD, ALTOONA, PA 16602(814) 201-2309(814) 201-2389 Get Directions Write a Review

NPPES record last updated: May 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ziad Khoury M.d. NPPES

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

DR. ZIAD KHOURY M.D. (NPI 1457357295) is an individual cardiovascular disease provider in Altoona, Pennsylvania, licensed in Pennsylvania (MD053122L) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Huntingdon, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1457357295
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ZIAD KHOURYCredential: M.D.
Location Address1915 VALLEY VIEW BLVDAltoona, PA 16602-6527
Mailing Address1915 Valley View BlvdAltoona, PA 16602-6527 · (814) 201-2309 · Fax (814) 201-2389
Fax(814) 201-2389
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJune 27, 2005
Last NPPES UpdateMay 21, 2013
NPI 1457357295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in PA · MD053122L
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License MD053122L (PA)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License MD053122L (PA)
1915 VALLEY VIEW BLVD, Altoona, PA 16602

Other Identifiers 3

Medicare PIN170790PA
Medicare UPINF86033PA
Medicaid0015090710009PA

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. Ziad Khoury 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 ID2769420173
PECOS Enrollment IDI20050418000485
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 45

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.
1,828 services682 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
540 services402 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
434 services411 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
312 services78 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
300 services211 patients
Complete ultrasound study of arm and leg arteries 93923
This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
268 services189 patients

Hospital Affiliations CMS Care Compare 5

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

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390056
Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County
Emergency services

Conemaugh Nason Medical Center

Acute Care Hospitals · Roaring Spring, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390062
Location105 Nason DriveRoaring Spring, PA 16673 · Blair County
Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390117
Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16602 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

89.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.37
Promoting Interoperability95
Improvement Activities40

Reported Quality Measures

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%1,997 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.
50%1,107 patients2/55-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.
96%25 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.
82%247 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
2%1,065 patients1/55-star benchmark: 95%
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…
58%1,512 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
52%54 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
80%359 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…
78%247 patients4/55-star benchmark: 100%
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…
0%247 patients1/55-star benchmark: 79%
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.

Referred Medical Equipment & Supplies CMS DME claims 13

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers18 claims18 services$40.08 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers27 claims27 services$102.90 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers44 claims82 services$38.48 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers20 claims58 services$23.59 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers18 claims18 services$70.09 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
11 suppliers32 claims32 services$21.04 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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1915 VALLEY VIEW BLVD
ALTOONA, PA 16602
Clinic/Center (Rural Health)
1915 VALLEY VIEW BLVD
ALTOONA, PA 16602
Physician Assistant (Medical)
1915 VALLEY VIEW BLVD
ALTOONA, PA 16602
Social Worker
1915 VALLEY VIEW BLVD
ALTOONA, PA 16602
Counselor (Professional)
1915 VALLEY VIEW BLVD
ALTOONA, PA 16602

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 Ziad Khoury's NPI number?

The NPI number for Ziad Khoury is 1457357295. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Ziad Khoury located?

Ziad Khoury practices at 1915 Valley View Blvd, Altoona, PA 16602. The listed phone number is (814) 201-2309.

What is Ziad Khoury's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ziad Khoury enrolled in Medicare?

Yes. Ziad Khoury 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.

Is Ziad Khoury affiliated with any hospitals?

According to CMS data, Ziad Khoury is affiliated with Penn Highlands Huntingdon, Conemaugh Nason Medical Center, Upmc Altoona, Penn Highlands Dubois and Upmc Bedford Memorial.

When was this NPI record last updated?

The NPPES record for Ziad Khoury was last updated on May 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.