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TOUFIC RAYMMOND FEGHALI M.D.
NPI 1518328434
Hospitalist in Cincinnati, OH

Active since March 20, 2016PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
375 DIXMYTH AVE, CINCINNATI, OH 45220(513) 862-3452(513) 862-3421 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 22, 2021, Aug 8, 2019, Jul 24, 2019 and 1 more (4 updates tracked since 2016).

About Toufic Raymmond Feghali M.d. NPPES

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

TOUFIC RAYMMOND FEGHALI M.D. (NPI 1518328434) is an individual hospitalist provider in Cincinnati, Ohio, licensed in Ohio (35.136080) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1518328434
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameTOUFIC RAYMMOND FEGHALICredential: M.D.
Location Address375 DIXMYTH AVECincinnati, OH 45220-2475
Mailing Address4685 Forest AveCincinnati, OH 45212-3397 · (513) 853-4721 · Fax (513) 852-8525
Phone(513) 862-3452
Fax(513) 862-3421
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 20, 2016
Last NPPES UpdateMarch 22, 20214 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
✔ NPI 1518328434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OH · 35.136080
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.136080 (OH)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
375 DIXMYTH AVE, Cincinnati, OH 45220
Open in Google Maps ↗

Other Identifiers 1

Medicaid2565399OH

Accepted Insurance

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

Toufic Raymmond Feghali 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 ID1951691393
PECOS Enrollment IDI20190828002061
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 4

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.
223 services99 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
146 services65 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.
119 services118 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.
80 services79 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45220 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
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
1 supplier19 claims19 services$15.25 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 supplier19 claims19 services$68.56 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.

ERYNNE HAMILTON ARPN
Nurse Practitioner (Neonatal)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-2514
VICTORIA ELIZABETH SIMON MD
Student in an Organized Health Care Education/Training Program
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-3562
JACOB CANNAN
Pharmacist (Critical Care)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-1400
MR. CASEY MCCONNELL GILMORE PA-C
Physician Assistant
375 DIXMYTH AVE, DEPARTMENT OF EMERGENCY MEDICINE
CINCINNATI, OH 45220
Hamilton County (513) 862-2989
ABIGAIL FAITH SOUTHALL APRN, AGACNP
Nurse Practitioner (Acute Care)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-1400
JAMES M MERANUS MD
Radiology (Diagnostic Radiology)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 965-8041
DR. COLLIN MICHAEL HERMAN MD
Psychiatry & Neurology (Neurology)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 865-2246
CHASE GREEN DO
Student in an Organized Health Care Education/Training Program
375 DIXMYTH AVE
CINCINNATI, OH 45220
Hamilton County (513) 862-3562

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 Toufic Feghali's NPI number?

The NPI number for Toufic Feghali is 1518328434. It was assigned to this individual provider in the NPPES registry on March 20, 2016.

Where is Toufic Feghali located?

Toufic Feghali practices at 375 Dixmyth Ave, Cincinnati, OH 45220. The listed phone number is (513) 862-3452.

What is Toufic Feghali's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Toufic Feghali enrolled in Medicare?

Yes. Toufic Feghali 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 Toufic Feghali accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Toufic Feghali 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 Toufic Feghali affiliated with any hospitals?

According to CMS data, Toufic Feghali is affiliated with Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Toufic Feghali was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.