BADER ABU GHALYOUN MD
NPI 1740492214
Internal Medicine - Interventional Cardiology in Stockton, CA

Active since May 04, 2007PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
1801 E MARCH LN, STOCKTON, CA 95210(209) 464-3615 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bader Abu Ghalyoun Md NPPES

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

BADER ABU GHALYOUN MD (NPI 1740492214) is an individual interventional cardiology provider in Stockton, California, licensed in California (C169074) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Charleston, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1740492214
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameBADER ABU GHALYOUNCredential: MD
Location Address1801 E MARCH LNStockton, CA 95210-6629
Mailing Address1801 E March Ln Ste D400Stockton, CA 95210-6675 · (209) 464-3615 · Fax (209) 464-1537
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 4, 2007
Last NPPES UpdateJune 25, 2020
NPPES CertifiedJune 25, 2020
NPI 1740492214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in CA · C169074
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 24179 (WV)
Also ListedHospitalistTaxonomy 208M00000X · License 24179 (WV)
1801 E MARCH LN, Stockton, CA 95210

Secondary Practice Location 1

Location 13200 MacCorkle Ave SE, Hospitalists ProgramCharleston, WV 25304-1227 · Phone (304) 388-5848 · Fax (304) 388-9654

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

Bader Abu Ghalyoun 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 ID9830284165
PECOS Enrollment IDI20200716003156
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 32

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,083 services879 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
560 services473 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
517 services319 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.
427 services358 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
381 services160 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
333 services324 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95210 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.24
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
55%69 patients3/55-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 20

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

Internal Medicine (Interventional Cardiology)
1801 E MARCH LN, A-170
STOCKTON, CA 95210
Internal Medicine (Pulmonary Disease)
1801 E MARCH LN, SUITE C300
STOCKTON, CA 95210
Specialist
1801 E MARCH LN, SUITE B265
STOCKTON, CA 95210
Pharmacy (Community/Retail Pharmacy)
1801 E MARCH LN, BLDG B STE 280
STOCKTON, CA 95210
Internal Medicine (Sleep Medicine)
1801 E MARCH LN, SUITE C310
STOCKTON, CA 95210
Nurse Practitioner
1801 E MARCH LN
STOCKTON, CA 95210
Pharmacist
1801 E MARCH LN, SUITE B280
STOCKTON, CA 95210
Internal Medicine (Interventional Cardiology)
1801 E MARCH LN
STOCKTON, CA 95210

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 Bader Abu Ghalyoun's NPI number?

The NPI number for Bader Abu Ghalyoun is 1740492214. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Bader Abu Ghalyoun located?

Bader Abu Ghalyoun practices at 1801 E March Ln, Stockton, CA 95210. The listed phone number is (209) 464-3615.

What is Bader Abu Ghalyoun's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Bader Abu Ghalyoun enrolled in Medicare?

Yes. Bader Abu Ghalyoun 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.

When was this NPI record last updated?

The NPPES record for Bader Abu Ghalyoun was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.