DR. ADEL EBRAHEEM MS, OD
NPI 1851961726
Optometrist in Baltimore, MD

Active since July 01, 2021PECOS EnrolledAccepts Medicare Assignment
51.3/100
CMS Quality Rating
419 W REDWOOD ST STE 470, BALTIMORE, MD 21201(667) 214-1197 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 11, 2026, Dec 2, 2021, Aug 4, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Adel Ebraheem Ms, Od NPPES

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

DR. ADEL EBRAHEEM MS, OD (NPI 1851961726) is an individual optometrist in Baltimore, Maryland, licensed in Maryland (TA2816) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2021).

NPPES Registry Identity

NPI1851961726
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ADEL EBRAHEEMCredential: MS, OD
Location Address419 W REDWOOD ST STE 470Baltimore, MD 21201-7009
Mailing Address6000 Same Voyage Way Unit 407Clarksville, MD 21029-1375 · (630) 303-6301
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2021
Enumeration DateJuly 1, 2021
Last NPPES UpdateMarch 11, 20264 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1851961726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in MD · TA2816✔ Licensed in PA · OEG003818
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
419 W REDWOOD ST STE 470, Baltimore, MD 21201

Other Names 1

Professional Name (2)Dr. Adel Ebraheem Ms, Od

Accepted 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

Dr. Adel Ebraheem Ms, Od 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 ID6709281983
PECOS Enrollment IDI20210826000968, I20230211000321, I20240521003782
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

8

Medicare enrollment records show Adel Ebraheem reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
419 W REDWOOD ST, SUITE 420
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 54 clinicians in this Medicare group
Optometrist
3715 BOSTON ST
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Also billed through NPI 1467843516 (District of Columbia)
  • 253 clinicians in this Medicare group
Optometrist
3715 BOSTON ST
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
  • 33 clinicians in this Medicare group
Optometrist
8820 WALTHER BLVD
Parkville, MD 21234
  • Reassigned Medicare billing, Maryland enrollment
Optometrist
18310 MONTGOMERY VILLAGE AVE STE 140
Gaithersburg, MD 20879
  • Reassigned Medicare billing, District of Columbia enrollment
  • 4 clinicians in this Medicare group
Optometrist
631 N FREDERICK AVE
Gaithersburg, MD 20879
  • Reassigned Medicare billing, District of Columbia enrollment
  • 58 clinicians in this Medicare group
Optometrist
14625 MOUNT AIRY RD, STE 109
Shrewsbury, PA 17361
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 262 clinicians in this Medicare group
Optometrist
8410 ROOSEVELT BLVD
Philadelphia, PA 19152
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 6 clinicians in this Medicare group

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 7

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
57 services46 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
50 services49 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
20 services19 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
20 services19 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
15 services15 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 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
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

51.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability0
Improvement Activities40
Cost21.02

Other Providers at the Same Location NPPES 7

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

Ophthalmology (Glaucoma Specialist)
419 W REDWOOD ST STE 470
BALTIMORE, MD 21201
Optometrist
419 W REDWOOD ST STE 470
BALTIMORE, MD 21201
Ophthalmology (Retina Specialist)
419 W REDWOOD ST STE 470
BALTIMORE, MD 21201
Ophthalmology
419 W REDWOOD ST STE 470
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
419 W REDWOOD ST STE 470
BALTIMORE, MD 21201
Ophthalmology
419 W REDWOOD ST STE 470
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
419 W REDWOOD ST STE 470
BALTIMORE, MD 21201

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 Adel Ebraheem's NPI number?

The NPI number for Adel Ebraheem is 1851961726. It was assigned to this individual provider in the NPPES registry on July 1, 2021. The provider is also known as Dr. Adel Ebraheem Ms, Od.

Where is Adel Ebraheem located?

Adel Ebraheem practices at 419 W Redwood St Ste 470, Baltimore, MD 21201. The listed phone number is (667) 214-1197.

What is Adel Ebraheem's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Adel Ebraheem enrolled in Medicare?

Yes. Adel Ebraheem 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 Adel Ebraheem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adel Ebraheem reassigns Medicare benefits to 8 organizations: University Of Maryland Eye Associates, P.A. (Baltimore, MD), Myeyedr Optometry Of Maryland, LLC (Baltimore, MD), Canton Crossing Optometry, LLC (Baltimore, MD), Well Eyecare Physician LLC (Parkville, MD), Aeg Maryland Professional LLC (Gaithersburg, MD) and 3 more organizations, listed in the Medicare section above. 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 Adel Ebraheem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adel Ebraheem accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Adel Ebraheem 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 Adel Ebraheem was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.