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MOUTAMN SADOUN M.D.
NPI 1528321809
Surgery in Saint Clair Shores, MI

Active since June 21, 2012PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
29000 LITTLE MACK AVE STE B, SAINT CLAIR SHORES, MI 48081(586) 774-8811(586) 774-6773 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Jun 7, 2017 (2 updates tracked since 2017).

About Moutamn Sadoun M.d. NPPES

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

MOUTAMN SADOUN M.D. (NPI 1528321809) is an individual surgery provider in Saint Clair Shores, Michigan, licensed in Michigan (4301111192) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1528321809
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMOUTAMN SADOUNCredential: M.D.
Location Address29000 LITTLE MACK AVE STE BSaint Clair Shores, MI 48081-3018
Mailing Address29000 Little Mack Ave Ste BSaint Clair Shores, MI 48081-3018 · (586) 774-8811 · Fax (586) 774-6773
Phone(586) 774-8811
Fax(586) 774-6773
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJune 21, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1528321809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in MI · 4301111192✔ Licensed in AZ · R73297
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
29000 LITTLE MACK AVE STE B, Saint Clair Shores, MI 48081
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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

Moutamn Sadoun 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 ID648549592
PECOS Enrollment IDI20170707002379
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 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 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.
156 services67 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.
77 services77 patients
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.
36 services21 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.
33 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48081 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.01
Promoting Interoperability98
Improvement Activities40
Cost42.38

Reported Quality Measures

Breast Cancer Screening
44%133 patients2/55-star benchmark: 93%
Cervical Cancer Screening
37%225 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
46%306 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
78%160 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
20%69 patients4/55-star benchmark: 91%
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 4

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

KAREN L. SUMME MD
Surgery
29000 LITTLE MACK AVE STE B
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 774-8811
DR. KIMBERLY ROSE COUGHLIN MD
Surgery
29000 LITTLE MACK AVE STE B
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 774-8811
SHOSHANA DEANN HALLOWELL M.D.
Surgery
29000 LITTLE MACK AVE STE B
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 774-8811
CHRISTOPHER E LAI M.D.
Surgery
29000 LITTLE MACK AVE STE B
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 774-8811

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 Moutamn Sadoun's NPI number?

The NPI number for Moutamn Sadoun is 1528321809. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Moutamn Sadoun located?

Moutamn Sadoun practices at 29000 Little Mack Ave Ste B, Saint Clair Shores, MI 48081. The listed phone number is (586) 774-8811.

What is Moutamn Sadoun's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Moutamn Sadoun enrolled in Medicare?

Yes. Moutamn Sadoun 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 Moutamn Sadoun accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Moutamn Sadoun 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 Moutamn Sadoun affiliated with any hospitals?

According to CMS data, Moutamn Sadoun is affiliated with Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Moutamn Sadoun was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.