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MAHMOUD AHMED MD
NPI 1659473312
Psychiatry & Neurology - Psychiatry in Ladysmith, WI

Active since September 02, 2006PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
200 W 5TH ST S, LADYSMITH, WI 54848(715) 532-2500 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, May 24, 2023, Nov 17, 2022 and 3 more (6 updates tracked since 2019).

About Mahmoud Ahmed Md NPPES

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

MAHMOUD AHMED MD (NPI 1659473312) is an individual psychiatry provider in Ladysmith, Wisconsin, licensed in Wisconsin (28822) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1659473312
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMAHMOUD AHMEDCredential: MD
Location Address200 W 5TH ST SLadysmith, WI 54848-1703
Mailing Address1307 N Saint Joseph AveMarshfield, WI 54449-1340 · (800) 942-5420
Phone(715) 532-2500
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateSeptember 2, 2006
Last NPPES UpdateSeptember 11, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1659473312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in WI · 28822✔ Licensed in TX · S0252
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
200 W 5TH ST S, Ladysmith, WI 54848
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Other Identifiers 1

Medicaid31480900WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Medica, Sanford Health Plan 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

Mahmoud Ahmed 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 ID9032244397
PECOS Enrollment IDI20100312000165
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 5

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.
109 services55 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
77 services47 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.
44 services29 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.
30 services26 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.
26 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54848 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

Other Providers at the Same Location NPPES 2

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

FAMILY HEALTH CENTER OF MARSHFIELD, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
200 W 5TH ST S
LADYSMITH, WI 54848
Rusk County (715) 532-2373
MRS. SHEILA PATRICIA HEISER APNP
Nurse Practitioner (Family)
200 W 5TH ST S
LADYSMITH, WI 54848
Rusk County (844) 288-8324

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 Mahmoud Ahmed's NPI number?

The NPI number for Mahmoud Ahmed is 1659473312. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Mahmoud Ahmed located?

Mahmoud Ahmed practices at 200 W 5th St S, Ladysmith, WI 54848. The listed phone number is (715) 532-2500.

What is Mahmoud Ahmed's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mahmoud Ahmed enrolled in Medicare?

Yes. Mahmoud Ahmed 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 Mahmoud Ahmed accept?

Health plans from Blue Cross and Blue Shield of Texas, Medica, Sanford Health Plan and UnitedHealthcare list Mahmoud Ahmed 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.

When was this NPI record last updated?

The NPPES record for Mahmoud Ahmed was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.