OSAMA SABBAGH MD
NPI 1548647928
Ophthalmology - Retina Specialist in Lexington, KY

Q: What is Osama Sabbagh's NPI number?

The NPI number for Osama Sabbagh is 1548647928. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Q: What is Osama Sabbagh's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Osama Sabbagh was last updated on July 8, 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.

Active since May 05, 2015PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

120 N EAGLE CREEK DR STE 500, LEXINGTON, KY 40509(859) 263-3900(859) 263-3757 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2021, Aug 26, 2019, Jul 29, 2019 and 3 more (6 updates tracked since 2016).

On this page

About Osama Sabbagh Md NPPES

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

OSAMA SABBAGH MD (NPI 1548647928) is an individual retina specialist in Lexington, Kentucky, licensed in Virginia (0101272590) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of West Virginia University School Of Medicine (2015).

NPPES Registry Identity

NPI1548647928

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameOSAMA SABBAGHCredential: MD

Location Address120 N EAGLE CREEK DR STE 500Lexington, KY 40509-1827

Mailing Address7501 Greenway Center Dr, Ste 300Greenbelt, MD 20770-3514 · (859) 263-3900 · Fax (859) 263-3757

Phone(859) 263-3900

Fax(859) 263-3757

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 2015

Enumeration DateMay 5, 2015

Last NPPES UpdateJuly 8, 20216 updates tracked since enumeration

NPPES CertifiedJuly 8, 2021

✔ NPI 1548647928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in VA · 0101272590

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License 52826 (KY), MTL003943 (DC)

120 N EAGLE CREEK DR STE 500, Lexington, KY 40509

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Other Identifiers 4

Medicaid1548647928WV

Medicaid0353512OH

Medicaid300026869IN

Medicaid7100609590KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Osama Sabbagh 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 ID5597098459

PECOS Enrollment IDI20210816004043, I20220401002350

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 Reassignment

Medicare enrollment records show Osama Sabbagh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Retina Group Of Washington, PLLC

415 mi

Ophthalmology

7501 GREENWAY CENTER DR STE 700
Greenbelt, MD 20770

Reassigned Medicare billing, District of Columbia, Maryland and Virginia enrollments
69 clinicians in this Medicare group

NPI 1225001654 (301) 441-4577

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 18

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

12,960 services51 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.

1,875 services727 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

1,676 services675 patients

Extended exam of the back part of the eye with optic nerve drawing 92202

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

1,260 services542 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

788 services197 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

590 services112 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

355 services267 patients

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

219 services69 patients

Injection, dexamethasone, intravitreal implant, 0.1 mg J7312

This procedure involves placing a tiny implant into your eye. This implant slowly releases a medication called dexamethasone, which helps to reduce inflammation and swelling in the eye, improving vision and comfort.

196 services16 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.

177 services177 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

91 services90 patients

Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month 99427

Principal Care Management (PCM) services focus on managing a single high-risk disease. It involves additional 30 minutes of clinical staff time per month, overseen by a healthcare professional. This includes monitoring your health, coordinating care, and developing a personalized treatment plan.

87 services55 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

78 services59 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

30 services28 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

30 services29 patients

Unclassified biologics J3590

Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.

25 services11 patients

Photocoagulation treatment to prevent detachment of retina 67145

Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.

18 services17 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490063

Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County

Emergency services Birthing friendly

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490101

Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Return to the Operating Room Within 90 Days of Surgery

89%62 patients3/55-star benchmark: 100%

Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery

94%32 patients4/55-star benchmark: 99%

Age-Related Macular Degeneration (AMD): Dilated Macular Examination

95%462 patients3/55-star benchmark: 100%

Diabetes: Eye Exam

100%468 patients5/55-star benchmark: 100%

Diabetic Macular Edema - Loss of Visual Acuity

100%72 patients

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

98%364 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%5,013 patients5/55-star benchmark: 100%

Glaucoma Intraocular Pressure Reduction

90%60 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 1,449 patients

Patients screened: 100% · 1,449 patients

92%91 patients4/55-star benchmark: 100%

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%112 patients

Tobacco Use and Help with Quitting Among Adolescents

100%36 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,005 patients

Patients totalRate: 0% · 1,005 patients

0%1,005 patients5/55-star benchmark: 100%

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 5

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

STEPHEN GBEJULE ODAIBO MD

Ophthalmology (Retina Specialist)