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MEDHAT ELSHERBINI MD
NPI 1881603132
Internal Medicine - Pulmonary Disease in Marion, IL

Active since August 05, 2006PECOS Enrolled
2401 W MAIN ST, VETERANS AFFAIR MEDICAL CENTER, MARION, IL 62959(618) 997-5311(801) 352-9502 Get Directions Write a Review

NPPES record last updated: March 23, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Medhat Elsherbini Md NPPES

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

MEDHAT ELSHERBINI MD (NPI 1881603132) is an individual pulmonary disease provider in Marion, Illinois, licensed in Illinois (036-116181) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881603132
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMEDHAT ELSHERBINICredential: MD
Location Address2401 W MAIN ST, VETERANS AFFAIR MEDICAL CENTERMarion, IL 62959-1188
Mailing Address2401 W Main St, Veterans Affair Medical CenterMarion, IL 62959-1188 · (618) 997-5311 · Fax (801) 352-9502
Phone(618) 997-5311
Fax(801) 352-9502
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateMarch 23, 2016
✔ NPI 1881603132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in IL · 036-116181
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036-116181 (IL)
2401 W MAIN ST, Marion, IL 62959
Open in Google Maps ↗

Other Identifiers 4

Other036116181IL · Bcbs Of Il
Medicare UPINI6037IL
Medicare PINK30352IL
OtherP00356270IL · Rr Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medhat Elsherbini Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62959 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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…
83%291 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
15%279 patients1/55-star benchmark: 85%
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.
92%924 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
53%108 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%233 patients4/55-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.
54%497 patients3/55-star benchmark: 97%
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…
24%498 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
27%260 patients2/55-star benchmark: 88%
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…
100%497 patients5/55-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…
3%497 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
15%497 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers15 claims15 services$92.03 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$30.91 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 20

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

DR. AMY MICHELE CARRICO DMD
Dentist
2401 W MAIN ST
MARION, IL 62959
Williamson County (618) 993-4109
MS. MELISSA ANN SMOOT PAC, MPAS
Physician Assistant (Medical)
2401 W MAIN ST
MARION, IL 62959
Williamson County (618) 997-5311
WEIYI TANG MD
Internal Medicine
2401 W MAIN ST
MARION, IL 62959
Williamson County (618) 997-5311
ROBERT JOSEPH TIFFIN JR. MD
Family Medicine
2401 W MAIN ST, VETERANS ADMIN HOSP
MARION, IL 62959
Williamson County (618) 998-5617
MISS RAQUELLE ALICIA MURRAY M.S. CCC-A
Audiologist
2401 W MAIN ST, AUDIOLOGY 117 A
MARION, IL 62959
Williamson County (618) 998-5616
MS. RUTH E CONVERSE RD
Dietitian, Registered
2401 W MAIN ST
MARION, IL 62959
Williamson County (618) 997-5311
MS. JONNA LYNN SMITH RPH
Pharmacist
2401 W MAIN ST
MARION, IL 62959
Williamson County (618) 997-5311
BRIAN THOMAS TAYLOR P.T.
Physical Therapist
2401 W MAIN ST
MARION, IL 62959
Williamson County (618) 997-5311

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 Medhat Elsherbini's NPI number?

The NPI number for Medhat Elsherbini is 1881603132. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Medhat Elsherbini located?

Medhat Elsherbini practices at 2401 W Main St Veterans Affair Medical Center, Marion, IL 62959. The listed phone number is (618) 997-5311.

What is Medhat Elsherbini's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Medhat Elsherbini enrolled in Medicare?

Yes. Medhat Elsherbini is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Medhat Elsherbini was last updated on March 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.