RAFIF GHADBAN M.D.
NPI 1881841443
Ophthalmology in Saint Louis, MO

Active since August 25, 2008PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
1225 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 977-4010(314) 977-3495 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 19, 2021, Nov 4, 2020 (2 updates tracked since 2020).

About Rafif Ghadban M.d. NPPES

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

RAFIF GHADBAN M.D. (NPI 1881841443) is an individual ophthalmology provider in Saint Louis, Missouri, licensed in Missouri (2013030530) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1881841443
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameRAFIF GHADBANCredential: M.D.
Location Address1225 S GRAND BLVDSaint Louis, MO 63104-1016
Mailing Address1008 S Spring Ave Ste 3819Saint Louis, MO 63110-2520 · (314) 977-4010 · Fax (314) 977-3495
Fax(314) 977-3495
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 25, 2008
Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
NPI 1881841443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MO · 2013030530 Licensed in MN · 55623
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2008018041 (MO)
1225 S GRAND BLVD, Saint Louis, MO 63104

Other Identifiers 2

MedicaidENROLLEDMN
MedicaidENROLLEDIA

Accepted 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

Rafif Ghadban 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 ID4183870934
PECOS Enrollment IDI20131022001258
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 2

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.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
57 services30 patients
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.
24 services15 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

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.

Psychiatry & Neurology (Vascular Neurology)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Nurse Practitioner (Adult Health)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Psychiatry & Neurology (Neurology)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Optometrist (Low Vision Rehabilitation)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Ophthalmology
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Ophthalmology
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Ophthalmology
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Ophthalmology
1225 S GRAND BLVD
SAINT LOUIS, MO 63104

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 Rafif Ghadban's NPI number?

The NPI number for Rafif Ghadban is 1881841443. It was assigned to this individual provider in the NPPES registry on August 25, 2008.

Where is Rafif Ghadban located?

Rafif Ghadban practices at 1225 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 977-4010.

What is Rafif Ghadban's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Rafif Ghadban enrolled in Medicare?

Yes. Rafif Ghadban 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 Rafif Ghadban accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Rafif Ghadban 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 Rafif Ghadban affiliated with any hospitals?

According to CMS data, Rafif Ghadban is affiliated with Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Rafif Ghadban was last updated on January 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.