MOHAMMAD F PATHAN MD
NPI 1497195267
Ophthalmology in Charleroi, PA

Active since June 26, 2013PECOS EnrolledAccepts Medicare Assignment
80.95/100
CMS Quality Rating
305 MCKIAN AVE, CHARLEROI, PA 15022(724) 483-8065(724) 565-5110 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 15, 2019, Jan 9, 2019, Nov 28, 2018 and 1 more (4 updates tracked since 2016).

About Mohammad F Pathan Md NPPES

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

MOHAMMAD F PATHAN MD (NPI 1497195267) is an individual ophthalmology provider in Charleroi, Pennsylvania, licensed in Pennsylvania (MD461967) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (2013).

NPPES Registry Identity

NPI1497195267
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMOHAMMAD F PATHANCredential: MD
Location Address305 MCKIAN AVECharleroi, PA 15022
Mailing AddressPo Box 212Charleroi, PA 15022 · (724) 483-8065 · Fax (724) 565-5110
Fax(724) 565-5110
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2013
Enumeration DateJune 26, 2013
Last NPPES UpdateJanuary 15, 20194 updates tracked since enumeration
NPI 1497195267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in PA · MD461967 Licensed in NM · RS2016-0706
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 06303 (GA)
305 MCKIAN AVE, Charleroi, PA 15022

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

Mohammad F Pathan 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 ID6709124621
PECOS Enrollment IDI20191211000133
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.

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.
763 services616 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.
442 services293 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.
437 services290 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.
357 services224 patients
Injection, ranibizumab, 0.1 mg J2778
Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.
335 services21 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.
334 services273 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15022 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.

80.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost19.85

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 Mohammad Pathan's NPI number?

The NPI number for Mohammad Pathan is 1497195267. It was assigned to this individual provider in the NPPES registry on June 26, 2013.

Where is Mohammad Pathan located?

Mohammad Pathan practices at 305 Mckian Ave, Charleroi, PA 15022. The listed phone number is (724) 483-8065.

What is Mohammad Pathan's specialty?

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

Is Mohammad Pathan enrolled in Medicare?

Yes. Mohammad Pathan 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 Mohammad Pathan 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 Mohammad Pathan 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 Mohammad Pathan was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.