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WAQAS ALI M.D.
NPI 1851911432
Internal Medicine in Morgantown, WV

Active since April 23, 2020PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506(855) 988-2273 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2023, Apr 23, 2020 (2 updates tracked since 2020).

About Waqas Ali M.d. NPPES

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

WAQAS ALI M.D. (NPI 1851911432) is an individual internal medicine provider in Morgantown, West Virginia, licensed in West Virginia (32298) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Uniontown Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1851911432
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameWAQAS ALICredential: M.D.
Location Address1 MEDICAL CENTER DRMorgantown, WV 26506-1200
Mailing Address1 Medical Center DrMorgantown, WV 26506-1200 · (855) 988-2273
Phone(855) 988-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 23, 2020
Last NPPES UpdateAugust 31, 20232 updates tracked since enumeration
NPPES CertifiedAugust 31, 2023
✔ NPI 1851911432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WV · 32298
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.
1 MEDICAL CENTER DR, Morgantown, WV 26506
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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

Waqas Ali M.d. 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 ID2062832827
PECOS Enrollment IDI20231107002899, I20241001003085
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
162 services71 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
100 services60 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.
52 services52 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
47 services47 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26506 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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

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.

MIKE LEE MD, MS, BS
Radiology (Neuroradiology)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4051
ERIC ALLEN
Nurse Practitioner (Pediatrics, Critical Care)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (855) 988-2273
ISLAM YOUNES
Internal Medicine
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (855) 988-2273
TERESA SOLIMANDO FNP-C
Nurse Practitioner
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-1111
RODRIGO GABRIEL BEJARANO CASTRO MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-6127
MOLLIE SIMONTON
Speech-Language Pathologist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4000
CHEYENNE BARR FNP-BC
Nurse Practitioner (Family)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4000
MARLEAH SCHLICK
Pharmacist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4148

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 Waqas Ali's NPI number?

The NPI number for Waqas Ali is 1851911432. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Where is Waqas Ali located?

Waqas Ali practices at 1 Medical Center Dr, Morgantown, WV 26506. The listed phone number is (855) 988-2273.

What is Waqas Ali's specialty?

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

Is Waqas Ali enrolled in Medicare?

Yes. Waqas Ali 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 Waqas Ali accept?

Health plans from CareSource and Molina Healthcare list Waqas Ali 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 Waqas Ali affiliated with any hospitals?

According to CMS data, Waqas Ali is affiliated with Uniontown Hospital and West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Waqas Ali was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.