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HALIM CHARBEL MD
NPI 1740431501
Internal Medicine - Gastroenterology in Germantown, MD

Active since October 09, 2008PECOS EnrolledAccepts Medicare Assignment
79.47/100
CMS Quality Rating
19851 OBSERVATION DR STE 245, GERMANTOWN, MD 20876(301) 288-1319(855) 230-1399 Get Directions Write a Review

NPPES record last updated: August 20, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 20, 2018, Jun 14, 2017 (2 updates tracked since 2017).

About Halim Charbel Md NPPES

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

HALIM CHARBEL MD (NPI 1740431501) is an individual gastroenterology provider in Germantown, Maryland, licensed in Maryland (D0068840) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and maintains a secondary practice location in Frederick.

NPPES Registry Identity

NPI1740431501
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameHALIM CHARBELCredential: MD
Location Address19851 OBSERVATION DR STE 245Germantown, MD 20876
Mailing Address19851 Observation Dr Ste 245Germantown, MD 20876-4151 · (301) 288-1319 · Fax (855) 230-1399
Phone(301) 288-1319
Fax(855) 230-1399
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 9, 2008
Last NPPES UpdateAugust 20, 20182 updates tracked since enumeration
✔ NPI 1740431501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MD · D0068840
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
19851 OBSERVATION DR STE 245, Germantown, MD 20876
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Secondary Practice Location 1

Location 156 Thomas Johnson Dr, Suite 110Frederick, MD 21702-4599 · Phone (301) 624-5566 · Fax (301) 624-5542

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Halim Charbel 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 ID446306914
PECOS Enrollment IDI20090924000483, I20170803002809
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

5

Medicare enrollment records show Halim Charbel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Digestive Care Specialists LLC
Same address
Gastroenterology
19851 OBSERVATION DR
Germantown, MD 20876
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 7 clinicians in this Medicare group
NPI 1225565401 (301) 288-1319
Tidalhealth Physician Network, Inc.
96 mi
Family Medicine
801 MIDDLEFORD RD
Seaford, DE 19973
  • Reassigned Medicare billing, Delaware enrollment
  • 179 clinicians in this Medicare group
NPI 1467534636 (302) 629-5217
Tidalhealth Peninsula Regional, Inc.
105 mi
Family Medicine
100 E CARROLL ST, PENINSULA REGIONAL MEDICAL GROUP
Salisbury, MD 21801
  • Reassigned Medicare billing, Maryland enrollment
  • 169 clinicians in this Medicare group
NPI 1184832040 (410) 543-7252
Tidalhealth Specialty Care, LLC
105 mi
Medical Specialty
100 E CARROLL ST
Salisbury, MD 21801
  • Reassigned Medicare billing, Maryland enrollment
  • 531 clinicians in this Medicare group
NPI 1619504735 (410) 546-6400
Atlantic General Hospital Corporation
124 mi
Family Medicine
10026 OLD OCEAN CITY BLVD STE 1
Berlin, MD 21811
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Tidalhealth Atlantic Inc
  • 125 clinicians in this Medicare group
NPI 1871582171 (410) 641-9450

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 9

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.
88 services62 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
49 services48 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.
41 services40 patients
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth 43237
This procedure involves a flexible tube with a camera and ultrasound device, inserted through the mouth to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like inflammation, tumors, or other abnormalities.
31 services30 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.
26 services26 patients
Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope 43238
An ultrasound guided needle aspiration or biopsy of the esophagus involves using a flexible tube with a camera (endoscope) to view your esophagus. An ultrasound device on the endoscope helps to guide a needle to take a small tissue sample for testing. This is a safe, minimally invasive procedure.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Atlantic General Hospital

Acute Care Hospitals · Berlin, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210061
Location9733 Healthway DriveBerlin, MD 21811 · Worcester County
Emergency services

Holy Cross Germantown Hospital

Acute Care Hospitals · Germantown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210065
Location19801 Observation DriveGermantown, MD 20876 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20876 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

79.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.23
Promoting Interoperability92
Improvement Activities40
Cost60

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.
98%1,141 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
78%313 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
1%285 patients1/55-star benchmark: 100%
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…
25%743 patients2/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
3%37 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
73%274 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
59%285 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
8%285 patients1/55-star benchmark: 79%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
88%33 patients
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 3

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

DR. CRYSTAL LUBIS DNP
Nurse Practitioner (Family)
19851 OBSERVATION DR STE 245
GERMANTOWN, MD 20876
Montgomery County (301) 288-1319
MARINA V SAVOY NP
Nurse Practitioner (Adult Health)
19851 OBSERVATION DR STE 245
GERMANTOWN, MD 20876
Montgomery County (301) 315-9515
REZA HASHEMIPOUR
Internal Medicine (Gastroenterology)
19851 OBSERVATION DR STE 245
GERMANTOWN, MD 20876
Montgomery County (301) 288-1319

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 Halim Charbel's NPI number?

The NPI number for Halim Charbel is 1740431501. It was assigned to this individual provider in the NPPES registry on October 9, 2008.

Where is Halim Charbel located?

Halim Charbel practices at 19851 Observation Dr Ste 245, Germantown, MD 20876. The listed phone number is (301) 288-1319.

What is Halim Charbel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Halim Charbel enrolled in Medicare?

Yes. Halim Charbel 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.

Which organizations bill Medicare for Halim Charbel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Halim Charbel reassigns Medicare benefits to 5 organizations: Digestive Care Specialists LLC (Germantown, MD), Tidalhealth Physician Network, Inc. (Seaford, DE), Tidalhealth Peninsula Regional, Inc. (Salisbury, MD), Tidalhealth Specialty Care, LLC (Salisbury, MD) and Atlantic General Hospital Corporation (Berlin, MD). 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 Halim Charbel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Halim Charbel accept?

Health plans from AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware and Providence Health Plan list Halim Charbel 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 Halim Charbel affiliated with any hospitals?

According to CMS data, Halim Charbel is affiliated with Tidalhealth Peninsula Regional, Inc, Atlantic General Hospital and Holy Cross Germantown Hospital.

When was this NPI record last updated?

The NPPES record for Halim Charbel was last updated on August 20, 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.