MICHAEL E IBRAHIM MD PHD
NPI 1528443041
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Charlottesville, VA

Active since July 27, 2015PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
1215 LEE ST, CHARLOTTESVILLE, VA 22908(434) 243-1000 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2026, Jul 18, 2022, Sep 10, 2021 (3 updates tracked since 2021).

About Michael E Ibrahim Md Phd NPPES

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

MICHAEL E IBRAHIM MD PHD (NPI 1528443041) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Charlottesville, Virginia, licensed in Virginia (0101289278) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Penn Presbyterian Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528443041
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameMICHAEL E IBRAHIMCredential: MD PHD
Location Address1215 LEE STCharlottesville, VA 22908-0816
Mailing AddressPo Box 749112Atlanta, GA 30374-9112 · (434) 295-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 27, 2015
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1528443041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in VA · 0101289278✔ Licensed in NJ · 25MA11319100✔ Licensed in PA · MD473576
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
1215 LEE ST, Charlottesville, VA 22908

Secondary Practice Locations 2

Location 11865 Route 70 E Ste 260Cherry Hill, NJ 08003-2066 · Phone (215) 662-9595 · Fax (215) 243-3243
Location 23400 Spruce StreetPhiladelphia, PA 19104-4206 · Phone (215) 662-2050 · Fax (215) 615-0829

Accepted 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

Michael E Ibrahim Md Phd 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 ID1951692300
PECOS Enrollment IDI20210514000386, I20220713000001, I20260521000002
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

3

Medicare enrollment records show Michael Ibrahim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
Surgery
1001 CHESTERBROOK BLVD, 3RD FLOOR
Berwyn, PA 19312
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
Pulmonary Disease
409 ROUTE 70 E
Cherry Hill, NJ 08034
  • Reassigned Medicare billing, New Jersey enrollment
  • 382 clinicians in this Medicare group

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 13

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
113 services113 patients
Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
47 services47 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 services32 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
31 services31 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
24 services24 patients
Replacement of aortic valve on heart-lung machine 33405
The aortic valve replacement on a heart-lung machine is a procedure where your faulty aortic valve is replaced with a new one. During this operation, a machine takes over the job of your heart and lungs, ensuring the blood supply to your body is maintained.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Emergency Medicine
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Hospitalist
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Pediatrics)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Dermatology
1215 LEE ST, BOX 800744
CHARLOTTESVILLE, VA 22908
Pediatrics (Pediatric Gastroenterology)
1215 LEE ST
CHARLOTTESVILLE, VA 22908

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 Michael Ibrahim's NPI number?

The NPI number for Michael Ibrahim is 1528443041. It was assigned to this individual provider in the NPPES registry on July 27, 2015.

Where is Michael Ibrahim located?

Michael Ibrahim practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 243-1000.

What is Michael Ibrahim's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Michael Ibrahim enrolled in Medicare?

Yes. Michael Ibrahim 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 Michael Ibrahim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Ibrahim reassigns Medicare benefits to 3 organizations: University Of Virginia Physicians Group (Charlottesville, VA), University Of Penn-Medical Group (Berwyn, PA) and Clinical Health Care Associates Of New Jersey, PC (Cherry Hill, NJ). 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 Michael Ibrahim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Ibrahim accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Oscar Health list Michael Ibrahim 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 Michael Ibrahim affiliated with any hospitals?

According to CMS data, Michael Ibrahim is affiliated with Penn Presbyterian Medical Center and University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Ibrahim was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.