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RAJAI T KHOURY MD
NPI 1699825158
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Wheeling, WV

Active since January 10, 2007PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
20 MEDICAL PARK, SUITE 203, WHEELING, WV 26003(304) 233-2455(304) 233-6073 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rajai T Khoury Md NPPES

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

RAJAI T KHOURY MD (NPI 1699825158) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Wheeling, West Virginia, licensed in West Virginia (12203) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1699825158
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameRAJAI T KHOURYCredential: MD
Location Address20 MEDICAL PARK, SUITE 203Wheeling, WV 26003-6390
Mailing AddressPo Box 6780Wheeling, WV 26003-0918 · (304) 233-2455 · Fax (304) 233-6073
Phone(304) 233-2455
Fax(304) 233-6073
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateJanuary 10, 2007
Last NPPES UpdateApril 21, 2022
NPPES CertifiedApril 21, 2022
✔ NPI 1699825158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in WV · 12203✔ Licensed in OH · 35042462
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 12203 (WV), 35042462 (OH)
20 MEDICAL PARK, Wheeling, WV 26003
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Other Identifiers 2

Medicaid0492766OH
Medicaid0129393000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Rajai T Khoury 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 ID9830002815
PECOS Enrollment IDI20041013001360
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 11

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.

Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
72 services72 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
56 services53 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
47 services36 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
38 services38 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
37 services37 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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
$164.59 typical visit price
range $53.20 – $164.59
Typical copayment $41.14 (range $13.30 – $41.14)
Most-billed visit code 99205
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%467 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%114 patients5/55-star benchmark: 95%
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…
100%274 patients5/55-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 16

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

LAURA MAY MILLER DO
Family Medicine
20 MEDICAL PARK, SUITE 301
WHEELING, WV 26003
Ohio County (304) 243-7074
BYRON L VANPELT MD
Internal Medicine
20 MEDICAL PARK, STE 303
WHEELING, WV 26003
Ohio County (304) 242-4646
KHOURY SURGICAL GROUP, INC.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
20 MEDICAL PARK, SUITE 203
WHEELING, WV 26003
Ohio County (304) 233-2455
DENNIS RICHARD NIESS MD
Family Medicine
20 MEDICAL PARK, SUITE 306
WHEELING, WV 26003
Ohio County (304) 243-7030
CLINT SHEPARD PA-C
Physician Assistant
20 MEDICAL PARK, SUITE 306
WHEELING, WV 26003
Ohio County (304) 243-7030
AMY ELIZABETH PATRICK NP
Nurse Practitioner (Adult Health)
20 MEDICAL PARK, SUITE 102
WHEELING, WV 26003
Ohio County (304) 243-8362
WILLIAM S PRZYBYSZ III MD
Family Medicine
20 MEDICAL PARK, SUITE 301
WHEELING, WV 26003
Ohio County (304) 277-2992
MANISH MONGA MD
Internal Medicine (Hematology & Oncology)
20 MEDICAL PARK, SUITE 202
WHEELING, WV 26003
Ohio County (304) 243-6442

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 Rajai Khoury's NPI number?

The NPI number for Rajai Khoury is 1699825158. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Rajai Khoury located?

Rajai Khoury practices at 20 Medical Park Suite 203, Wheeling, WV 26003. The listed phone number is (304) 233-2455.

What is Rajai Khoury's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Rajai Khoury enrolled in Medicare?

Yes. Rajai Khoury 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 Rajai Khoury accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Rajai Khoury 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 Rajai Khoury was last updated on April 21, 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.