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DR. HINA GHAFOOR MD
NPI 1750563284
Internal Medicine in Baltimore, MD

Active since November 27, 2007PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
6080 FALLS RD, SUITE 204, BALTIMORE, MD 21209(410) 323-2757 Get Directions Write a Review

NPPES record last updated: November 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Hina Ghafoor Md NPPES

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

DR. HINA GHAFOOR MD (NPI 1750563284) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D0067651) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center Inc, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1750563284
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. HINA GHAFOORCredential: MD
Location Address6080 FALLS RD, SUITE 204Baltimore, MD 21209-2230
Mailing Address6080 Falls Rd, Suite 204Baltimore, MD 21209-2230 · (410) 323-2757
Phone(410) 323-2757
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 27, 2007
Last NPPES UpdateNovember 19, 2008
✔ NPI 1750563284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0067651
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6080 FALLS RD, Baltimore, MD 21209
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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

Dr. Hina Ghafoor 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 ID4789742156
PECOS Enrollment IDI20081029000436
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.

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.
777 services330 patients
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.
163 services115 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
142 services139 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
141 services141 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
94 services94 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
90 services90 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center Inc

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210008
Location301 Saint Paul PlaceBaltimore, MD 21202 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21209 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality87.26
Promoting Interoperability100
Improvement Activities40
Cost83.56

Reported Quality Measures

Appropriate Testing for Pharyngitis
55%42 patients3/55-star benchmark: 100%
Appropriate Treatment for Upper Respiratory Infection (URI)
49%47 patients2/55-star benchmark: 100%
Breast Cancer Screening
85%598 patients4/55-star benchmark: 93%
Cervical Cancer Screening
28%1,047 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
68%1,085 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
78%717 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
22%261 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%4,764 patients4/55-star benchmark: 100%
e-Prescribing
98%14,122 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
39%2,060 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
70%1,489 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 1,871 patients
Patients screened: 99% · 1,871 patients
22%107 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%2,153 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 7% · 486 patients
Patients totalRate: 15% · 486 patients
16%486 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers21 claims42 services$4.71 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier15 claims2,400 services$0.03 avg. paid by Medicare
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims330 services$0.16 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier14 claims14 services$26.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

DR. SAMUEL JOHN WESTRICK M.D.
Family Medicine
6080 FALLS RD, SUITE 204
BALTIMORE, MD 21209
Baltimore County (410) 323-2757
MRS. LISA KEAMY M.D.
Family Medicine
6080 FALLS RD, SUITE 204
BALTIMORE, MD 21209
Baltimore County (410) 323-2757
JOHN A. NESBITT III M.D.
Internal Medicine (Hematology)
6080 FALLS RD, SUITE 204
BALTIMORE, MD 21209
Baltimore County (410) 323-2757
VISION ICONIQUE
Optometrist
6080 FALLS RD, LL1
BALTIMORE, MD 21209
Baltimore County (443) 895-4528
UNION MEMORIAL HOSPITAL
Internal Medicine
6080 FALLS RD
BALTIMORE, MD 21209
Baltimore County (410) 323-2757
CLARITY EYECARE LLC
Optometrist
6080 FALLS RD
BALTIMORE, MD 21209
Baltimore County (856) 383-6361

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 Hina Ghafoor's NPI number?

The NPI number for Hina Ghafoor is 1750563284. It was assigned to this individual provider in the NPPES registry on November 27, 2007.

Where is Hina Ghafoor located?

Hina Ghafoor practices at 6080 Falls Rd Suite 204, Baltimore, MD 21209. The listed phone number is (410) 323-2757.

What is Hina Ghafoor's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hina Ghafoor enrolled in Medicare?

Yes. Hina Ghafoor 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.

Is Hina Ghafoor affiliated with any hospitals?

According to CMS data, Hina Ghafoor is affiliated with Mercy Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Hina Ghafoor was last updated on November 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.