BAHA AL-DEEN ABU-ESHEH MD
NPI 1619909934
Psychiatry & Neurology - Neurology in Ardmore, OK

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
73.96/100
CMS Quality Rating
908 N ROCKFORD RD STE A, ARDMORE, OK 73401(580) 223-0447(580) 223-2989 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Baha Al-deen Abu-esheh Md NPPES

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

BAHA AL-DEEN ABU-ESHEH MD (NPI 1619909934) is an individual neurology provider in Ardmore, Oklahoma, licensed in Oklahoma (22441) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Ada, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1619909934
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameBAHA AL-DEEN ABU-ESHEHCredential: MD
Location Address908 N ROCKFORD RD STE AArdmore, OK 73401-2541
Mailing AddressPo Box 268996Oklahoma City, OK 73126-8996 · (580) 223-0447 · Fax (580) 223-2989
Fax(580) 223-2989
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 7, 2006
Last NPPES UpdateJune 30, 2020
NPPES CertifiedJune 30, 2020
NPI 1619909934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in OK · 22441
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
908 N ROCKFORD RD STE A, Ardmore, OK 73401

Other Identifiers 1

Other22441OK · Oklahoma License

Accepted 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

Baha Al-deen Abu-esheh 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 ID2668479791
PECOS Enrollment IDI20061101000567
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 23

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.

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.
798 services466 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
760 services136 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.
639 services639 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.
516 services348 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
337 services330 patients
Measurement of brain wave activity with video (veeg), 12-26 hours with intermittent monitoring 95715
This procedure involves recording your brain's electrical activity for 12-26 hours using electrodes attached to your scalp. It's paired with video monitoring to observe behavior during potential seizures or other neurological events. It's safe and non-invasive.
296 services102 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Hospital Ada

Acute Care Hospitals · Ada, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370020
Location430 North Monte VistaAda, OK 74820 · Pontotoc County
Emergency services Birthing friendly

Duncan Regional Hospital, Inc

Acute Care Hospitals · Duncan, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370023
Location2621 Whisenant DrDuncan, OK 73533 · Stephens County
Emergency services Birthing friendly

Mercy Hospital Ardmore, Inc

Acute Care Hospitals · Ardmore, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370047
Location1011 14th Ave NWArdmore, OK 73401 · Carter County
Emergency services Birthing friendly

Integris Southwest Medical Center

Acute Care Hospitals · Oklahoma City, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370106
Location4401 South Western AvenueOklahoma City, OK 73109 · Oklahoma County
Emergency services Birthing friendly

Chickasaw Nation Medical Center

Acute Care Hospitals · Ada, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370180
Location1921 Stonecipher BlvdAda, OK 74820 · Pontotoc County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73401 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

73.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.21
Improvement Activities40
Cost34.18

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers15 claims15 services$35.39 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
12 suppliers53 claims53 services$108.18 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers37 claims85 services$39.94 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers20 claims63 services$23.87 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers31 claims31 services$72.16 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
10 suppliers35 claims35 services$21.48 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 5

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

Nurse Practitioner (Family)
908 N ROCKFORD RD STE A
ARDMORE, OK 73401
Nurse Practitioner (Acute Care)
908 N ROCKFORD RD STE A
ARDMORE, OK 73401
Physician Assistant
908 N ROCKFORD RD STE A
ARDMORE, OK 73401
Nurse Practitioner (Family)
908 N ROCKFORD RD STE A
ARDMORE, OK 73401
Family Medicine
908 N ROCKFORD RD STE A
ARDMORE, OK 73401

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 Baha Abu-esheh's NPI number?

The NPI number for Baha Abu-esheh is 1619909934. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Baha Abu-esheh located?

Baha Abu-esheh practices at 908 N Rockford Rd Ste A, Ardmore, OK 73401. The listed phone number is (580) 223-0447.

What is Baha Abu-esheh's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Baha Abu-esheh enrolled in Medicare?

Yes. Baha Abu-esheh 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 Baha Abu-esheh accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Baha Abu-esheh 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 Baha Abu-esheh affiliated with any hospitals?

According to CMS data, Baha Abu-esheh is affiliated with Mercy Hospital Ada, Duncan Regional Hospital, Inc, Mercy Hospital Ardmore, Inc, Integris Southwest Medical Center and Chickasaw Nation Medical Center.

When was this NPI record last updated?

The NPPES record for Baha Abu-esheh was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.