DR. ASHAR AFZAL MD
NPI 1689628117
Pain Medicine - Interventional Pain Medicine in Waterloo, IA

Q: What is Ashar Afzal's NPI number?

The NPI number for Ashar Afzal is 1689628117. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Q: What is Ashar Afzal's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Q: When was this NPI record last updated?

The NPPES record for Ashar Afzal was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 20, 2006PECOS Enrolled

3254 KIMBALL AVE, WATERLOO, IA 50702(319) 235-7246(319) 235-3017 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Ashar Afzal Md NPPES

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

DR. ASHAR AFZAL MD (NPI 1689628117) is an individual interventional pain medicine provider in Waterloo, Iowa, licensed in Iowa (34325) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mercyone Waterloo Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1689628117

Entity TypeIndividualMale

Primary Taxonomy208VP0014X

Provider Legal NameDR. ASHAR AFZALCredential: MD

Location Address3254 KIMBALL AVEWaterloo, IA 50702-5739

Mailing AddressPo Box 2758Waterloo, IA 50704-2758 · (319) 235-5390 · Fax (319) 233-1630

Phone(319) 235-7246

Fax(319) 235-3017

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateMay 20, 2006

Last NPPES UpdateFebruary 4, 2022

NPPES CertifiedFebruary 4, 2022

✔ NPI 1689628117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in IA · 34325

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 34325 (IA)

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 34325 (IA)

3254 KIMBALL AVE, Waterloo, IA 50702

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Other Identifiers 3

Medicaid0267765IA

Other46252IA · Wellmark Ins Plan

Other421417307F8IA · John Deere Health Care

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ashar Afzal Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214823459

PECOS Enrollment IDI20040225000445

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

Medicare enrollment records show Ashar Afzal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cedar Valley Medical Specialists PC

0.6 mi

Radiology

4006 JOHNATHAN ST
Waterloo, IA 50701

Reassigned Medicare billing, Iowa enrollment
49 clinicians in this Medicare group

NPI 1841245586 (319) 236-2700

Allen Memorial Hospital Corporation

4.4 mi

Emergency Medicine

1825 LOGAN AVE
Waterloo, IA 50703

Reassigned Medicare billing, Iowa enrollment
273 clinicians in this Medicare group

NPI 1346292521 (319) 235-3941

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 17

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 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.

201 services146 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

143 services113 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.

142 services142 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

85 services66 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

80 services69 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

44 services44 patients

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.

41 services40 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

39 services29 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

35 services27 patients

Injection of substance into lower spine canal using imaging guidance 62323

34 services27 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

32 services28 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

21 services16 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

21 services16 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.

17 services14 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

17 services14 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

16 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Mercyone Waterloo Medical Center

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number160067

Location3421 West Ninth StreetWaterloo, IA 50702 · Black Hawk County

Emergency services Birthing friendly

Allen Hospital

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160110

Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County

Emergency services Birthing friendly

Grundy County Memorial Hospital

Critical Access Hospitals · Grundy Center, IA

OwnershipVoluntary non-profit - Other

CMS Certification Number161303

Location201 East J AvenueGrundy Center, IA 50638 · Grundy County

Emergency services

Buchanan County Health Center

Critical Access Hospitals · Independence, IA

OwnershipGovernment - Local

CMS Certification Number161335

Location1600 First St EastIndependence, IA 50644 · Buchanan County

Emergency services

Waverly Health Center

Critical Access Hospitals · Waverly, IA

OwnershipGovernment - Local

CMS Certification Number161339

Location312 9th Street SWWaverly, IA 50677 · Bremer County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50702 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

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.

FRANK EDWARD HAWKINS MD

Pain Medicine (Interventional Pain Medicine)

3254 KIMBALL AVE
WATERLOO, IA 50702

Black Hawk County (319) 235-7246

ALISON S MCFADDEN ARNP

Nurse Practitioner (Adult Health)

3254 KIMBALL AVE
WATERLOO, IA 50702

Black Hawk County (319) 235-7246

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 Ashar Afzal's NPI number?

The NPI number for Ashar Afzal is 1689628117. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Ashar Afzal located?

Ashar Afzal practices at 3254 Kimball Ave, Waterloo, IA 50702. The listed phone number is (319) 235-7246.

What is Ashar Afzal's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Ashar Afzal enrolled in Medicare?

Yes. Ashar Afzal is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ashar Afzal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashar Afzal reassigns Medicare benefits to 2 organizations: Cedar Valley Medical Specialists PC (Waterloo, IA) and Allen Memorial Hospital Corporation (Waterloo, IA). 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 Ashar Afzal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashar Afzal accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Ashar Afzal 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 Ashar Afzal affiliated with any hospitals?

According to CMS data, Ashar Afzal is affiliated with Mercyone Waterloo Medical Center, Allen Hospital, Grundy County Memorial Hospital, Buchanan County Health Center and Waverly Health Center.

When was this NPI record last updated?

The NPPES record for Ashar Afzal was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.