DR. MAQBOOL AHMAD M.D.
NPI 1699768911
Ophthalmology - Retina Specialist in Marion, IL
Quality Rating: 81.12 out of 100 score
NPI Status: Active since August 23, 2005
Contact Information
1200 W DEYOUNG ST
MARION, IL
ZIP 62959
Phone: (608) 993-5686
Fax: (618) 997-6250
- Individual
- Male
- Ophthalmology
- Retina Specialist
- Medicare Quality Reporting
About MAQBOOL AHMAD
This page provides the complete NPI Profile along with additional information for Maqbool Ahmad, a provider established in Marion, Illinois with a medical specialization in Ophthalmology, focusing in retina specialist . The healthcare provider is registered in the NPI registry with number 1699768911 assigned on August 2005. The practitioner's primary taxonomy code is 207WX0107X with license number 036051996 (IL). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1699768911
- Provider Name
- DR. MAQBOOL AHMAD M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1200 W DEYOUNG ST MARION, IL 62959
- Location Phone
- (608) 993-5686
- Location Fax
- (618) 997-6250
- Mailing Address
- 1200 W DEYOUNG ST P.O. BOX 1178 MARION, IL 62959
- Mailing Phone
- (608) 993-5686
- Mailing Fax
- (618) 997-6250
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-23-2005
- Last Update Date
- 04-10-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology Retina Specialist
- Taxonomy Code
- 207WX0107X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036051996
- License State
- IL
- Taxonomy Description
- An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | 036-051996 (IL) |
| 2 | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | 35374 (MO) |
| 3 | 207WX0107X | Allopathic & Osteopathic Physicians | Ophthalmology | 35374 (MO) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 034431 | OTHER (01) | HEALTH ALLIANCE | |
| 133794 | OTHER (01) | MO | ANTHEM BLUE CROSS BLUE SHIELD OF MO |
| 0814870023 | OTHER (01) | IL | MEDICARE NSC NUMBER |
| C51321 | MEDICARE UPIN (02) | IL | |
| 036051996 | MEDICAID (05) | IL | |
| 236683 | OTHER (01) | HARMONY HEALTH PLAN | |
| 0814870002 | OTHER (01) | MO | MEDICARE NSC NUMBER |
| 0814870031 | OTHER (01) | IL | MEDICARE NSC NUMBER |
| 203169800 | MEDICAID (05) | MO | |
| 0814870030 | OTHER (01) | IL | MEDICARE NSC NUMBER |
| 100033 | OTHER (01) | HEALTHLINK | |
| P00418684, CI6575 | OTHER (01) | MO | MEDICARE RAILROAD |
| 791580195 | OTHER (01) | IL | MEDICARE RAILROAD |
| 0814870001 | OTHER (01) | IL | MEDICARE NSC NUMBER |
| 0814870007 | OTHER (01) | IL | MEDICARE NSC NUMBER |
| 0814870022 | OTHER (01) | IL | MEDICARE NSC NUMBER |
| 000004665 | MEDICARE PIN (08) | MO | |
| 0814870008 | OTHER (01) | IL | MEDICARE NSC NUMBER |
| 0814870010 | OTHER (01) | IL | MEDICARE NSC NUMBER |
| P12420 | MEDICARE PIN (08) | IL | |
| 0814870013 | OTHER (01) | MO | MEDICARE NSC NUMBER |
| 0814870027 | OTHER (01) | IL | MEDICARE NSC NUMBER |
| 0814870028 | OTHER (01) | IL | MEDICARE NSC NUMBER |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Creation of eye fluid drainage tracts in iris using a laser, per session
Destruction of growth of retina using a laser
Established patient complete exam of visual system
Established patient problem focused exam of visual system
Exam of retinal blood vessels using a special camera after injection of a dye
Exam of the internal drainage system of eye
Exam of visual field with extended testing
Extended exam of the back part of the eye with optic nerve drawing
Imaging of optic nerve
Imaging of retina
Injection of drug into eye
Injection, aflibercept, 1 mg
Injection, bevacizumab, 10 mg
Injection, ranibizumab, 0.1 mg
Laser repair to improve eye fluid flow
Measurement of corneal curvature and depth of eye
Microfluid analysis of tears
New patient complete exam of visual system
Photography of the retina
Removal of recurring cataract in lens capsule using a laser
Ultrasound scan of cornea to determine thickness
Unclassified biologics
This procedure uses a laser to create small drainage tracts in the iris, the colored part of your eye. This helps excess fluid escape, reducing pressure in the eye that can cause glaucoma. It's performed in sessions.
This service was performed 12 times for 12 patientsThis procedure involves using a precise laser to target and remove abnormal growths on the retina, the thin layer at the back of the eye. It's a safe and effective way to protect your vision and prevent further eye damage.
This service was performed 12 times for 11 patientsAn 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.
This service was performed 735 times for 644 patientsThis 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.
This service was performed 247 times for 117 patientsThis 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.
This service was performed 19 times for 19 patientsThis is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
This service was performed 28 times for 28 patientsAn extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
This service was performed 27 times for 27 patientsThis 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.
This service was performed 345 times for 318 patientsImaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
This service was performed 27 times for 24 patientsImaging 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.
This service was performed 754 times for 495 patientsAn 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.
This service was performed 276 times for 89 patientsAflibercept 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.
This service was performed 548 times for 72 patientsBevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
This service was performed 35 times for 19 patientsRanibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.
This service was performed 79 times for 15 patientsLaser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
This service was performed 52 times for 52 patientsThis procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
This service was performed 269 times for 228 patientsMicrofluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
This service was performed 89 times for 43 patientsA 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.
This service was performed 62 times for 62 patientsPhotography 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.
This service was performed 59 times for 54 patientsThis procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
This service was performed 169 times for 168 patientsAn ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
This service was performed 18 times for 17 patientsUnclassified 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.
This service was performed 29 times for 14 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 81.12, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 81.12 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 20.4
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 20.4
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Diabetes: Eye Exam | 100% | 398 |
| Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1699768911, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 79 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 18 providers are registered at the same or a nearby location.
MARION, IL 62959
MARION, IL 62959
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699768911, enumerated as an "individual" on August 23, 2005.
The provider is located at 1200 W DEYOUNG ST MARION, IL 62959 and the phone number is (608) 993-5686.
Ophthalmology with taxonomy code 207WX0107X and a focus in Retina Specialist.
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield, Anthem. Please consult your insurance carrier or call the provider to verify.