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MANSOOR MAHMOOD
NPI 1518046994
Internal Medicine in Phelps, KY

Active since November 04, 2006PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
48 PHILLIPS BRANCH RD, BOX 1085, PHELPS, KY 41553(606) 456-3477(606) 456-8246 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mansoor Mahmood NPPES

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

MANSOOR MAHMOOD (NPI 1518046994) is an individual internal medicine provider in Phelps, Kentucky, licensed in Kentucky (31447) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Tug Valley Arh Regional Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1518046994
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMANSOOR MAHMOOD
Location Address48 PHILLIPS BRANCH RD, BOX 1085Phelps, KY 41553-9061
Mailing AddressPo Box 144Forest Hills, KY 41527-0144 · (606) 456-3477 · Fax (606) 456-8246
Phone(606) 456-3477
Fax(606) 456-8246
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateNovember 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1518046994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 31447
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.
48 PHILLIPS BRANCH RD, Phelps, KY 41553
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Other Names 1

Other Name (5)Mansoor Mahmood Md

Other Identifiers 1

Medicare ID-Type Unspecified1938201KY

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

Mansoor Mahmood 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 ID1850297466
PECOS Enrollment IDI20031212000105
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 Mansoor Mahmood reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Appalachian Regional Healthcare, Inc.
12 mi
Primary Care
26901 US HIGHWAY 119 N
Belfry, KY 41514
  • Reassigned Medicare billing, Kentucky enrollment
  • 419 clinicians in this Medicare group
NPI 1144405101 (606) 237-0327
Williamson Emergency Physicians LLC
15 mi
Emergency Medicine
260 HOSPITAL DR
South Williamson, KY 41503
  • Reassigned Medicare billing, Kentucky enrollment
  • 65 clinicians in this Medicare group
NPI 1740492644 (606) 237-1700
Arh Tug Valley Health Services, Inc.
34 mi
Multi-Specialty
136 ROCKCASTLE RD
Inez, KY 41224
  • Reassigned Medicare billing, Kentucky enrollment
  • 242 clinicians in this Medicare group
NPI 1841177136 (606) 788-6488
Middlesborough Emergency Physicians LLC
108 mi
Emergency Medicine
3600 CUMBERLAND AVE
Middlesboro, KY 40965
  • Reassigned Medicare billing, Kentucky enrollment
  • 57 clinicians in this Medicare group
NPI 1972715878 (606) 237-1700
Green Valley Emergency Physicians, LLC
360 mi
Emergency Medicine
1530 LONE OAK RD
Paducah, KY 42003
  • Reassigned Medicare billing, Kentucky enrollment
  • 220 clinicians in this Medicare group
NPI 1720755739 (271) 444-2444

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.
92 services29 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.
34 services28 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.
22 services12 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.
17 services15 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
16 services16 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.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Tug Valley Arh Regional Medical Center

Acute Care Hospitals · South Williamson, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180069
Location260 Hospital DriveSouth Williamson, KY 41503 · Pike County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41553 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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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
1 supplier92 claims92 services$18.32 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier27 claims27 services$8.28 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
1 supplier92 claims92 services$105.16 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
1 supplier12 claims1,200 services$7.09 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
4 suppliers15 claims1,500 services$0.10 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$215.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mansoor Mahmood's NPI number?

The NPI number for Mansoor Mahmood is 1518046994. It was assigned to this individual provider in the NPPES registry on November 4, 2006. The provider is also known as Mansoor Mahmood MD.

Where is Mansoor Mahmood located?

Mansoor Mahmood practices at 48 Phillips Branch Rd Box 1085, Phelps, KY 41553. The listed phone number is (606) 456-3477.

What is Mansoor Mahmood's specialty?

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

Is Mansoor Mahmood enrolled in Medicare?

Yes. Mansoor Mahmood 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 Mansoor Mahmood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mansoor Mahmood reassigns Medicare benefits to 5 organizations: Appalachian Regional Healthcare, Inc. (Belfry, KY), Williamson Emergency Physicians LLC (South Williamson, KY), Arh Tug Valley Health Services, Inc. (Inez, KY), Middlesborough Emergency Physicians LLC (Middlesboro, KY) and Green Valley Emergency Physicians, LLC (Paducah, KY). 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 Mansoor Mahmood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mansoor Mahmood accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Mansoor Mahmood 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 Mansoor Mahmood affiliated with any hospitals?

According to CMS data, Mansoor Mahmood is affiliated with Tug Valley Arh Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mansoor Mahmood was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.