AHMAD NEMATBAKHSH DO
NPI 1659319648
Orthopaedic Surgery in St Petersburg, FL

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5880 49TH ST N, STE 104, ST PETERSBURG, FL 33709(727) 528-6100(727) 528-7895 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Mar 2, 2018 (2 updates tracked since 2018).

About Ahmad Nematbakhsh Do NPPES

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

AHMAD NEMATBAKHSH DO (NPI 1659319648) is an individual orthopaedic surgery provider in St Petersburg, Florida, licensed in Florida (OS9206) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Northside Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1659319648
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameAHMAD NEMATBAKHSHCredential: DO
Location Address5880 49TH ST N, STE 104St Petersburg, FL 33709-2150
Mailing Address5880 49th St N, Ste 104St Petersburg, FL 33709-2150 · (727) 528-6100 · Fax (727) 528-7895
Fax(727) 528-7895
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 3, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1659319648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in FL · OS9206
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
5880 49TH ST N, St Petersburg, FL 33709

Other Identifiers 1

Other43227VFL · Medicare Ptan

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

Ahmad Nematbakhsh Do 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 ID446230940
PECOS Enrollment IDI20040724000042
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.
231 services131 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.
226 services130 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
194 services69 patients
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321
Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
112 services25 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
88 services66 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.
86 services40 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Northside Hospital

Acute Care Hospitals · Saint Petersburg, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100238
Location6000 49th St NSaint Petersburg, FL 33709 · Pinellas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33709 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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
Scored as part of a group practice
Quality93.29
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
68%322 patients3/55-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 14

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

Internal Medicine (Geriatric Medicine)
5880 49TH ST N, SUITE 101 N
ST PETERSBURG, FL 33709
Internal Medicine
5880 49TH ST N, SUITE N105
ST PETERSBURG, FL 33709
Radiology (Diagnostic Radiology)
5880 49TH ST N, SUITE 104
ST PETERSBURG, FL 33709
Physician Assistant (Medical)
5880 49TH ST N, STE 104
ST PETERSBURG, FL 33709
Internal Medicine (Cardiovascular Disease)
5880 49TH ST N, SUITE 203N
ST PETERSBURG, FL 33709
Psychiatry & Neurology (Neurology)
5880 49TH ST N, SUITE 108
ST PETERSBURG, FL 33709
Specialist
5880 49TH ST N, SUITE N105
ST PETERSBURG, FL 33709
Specialist
5880 49TH ST N, SUITE N-207
ST PETERSBURG, FL 33709

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 Ahmad Nematbakhsh's NPI number?

The NPI number for Ahmad Nematbakhsh is 1659319648. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Ahmad Nematbakhsh located?

Ahmad Nematbakhsh practices at 5880 49th St N Ste 104, St Petersburg, FL 33709. The listed phone number is (727) 528-6100.

What is Ahmad Nematbakhsh's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Ahmad Nematbakhsh enrolled in Medicare?

Yes. Ahmad Nematbakhsh 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 Ahmad Nematbakhsh accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Ahmad Nematbakhsh 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 Ahmad Nematbakhsh affiliated with any hospitals?

According to CMS data, Ahmad Nematbakhsh is affiliated with Hca Florida Northside Hospital.

When was this NPI record last updated?

The NPPES record for Ahmad Nematbakhsh was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.