MAHER M FANOUS MD
NPI 1912175480
Specialist in Gainesville, FL

Q: What is Maher Fanous's NPI number?

The NPI number for Maher Fanous is 1912175480. It was assigned to this individual provider in the NPPES registry on February 18, 2008.

Q: What is Maher Fanous's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Maher Fanous was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since February 18, 2008PECOS EnrolledAccepts Medicare Assignment

84.37/100

CMS Quality Rating

6831 NW 11TH PL, SUITE 1, GAINESVILLE, FL 32605(352) 331-7337 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Maher M Fanous Md NPPES

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

MAHER M FANOUS MD (NPI 1912175480) is an individual specialist in Gainesville, Florida, licensed in Florida (ME78921) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1912175480

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMAHER M FANOUSCredential: MD

Location Address6831 NW 11TH PL, SUITE 1Gainesville, FL 32605-4259

Mailing Address6831 Nw 11th Pl, Suite 1Gainesville, FL 32605-4259 · (352) 331-7337

Phone(352) 331-7337

Sole ProprietorYes

Medical School CMSOtherGraduated 1985

Enumeration DateFebruary 18, 2008

Last NPPES UpdateJune 12, 2008

✔ NPI 1912175480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME78921

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

6831 NW 11TH PL, Gainesville, FL 32605

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Other Identifiers 6

Other49379FL · Blue Cross Blue Shield

Medicare PIN180043897FL

Other263997FL · Avmed

Medicaid257002500FL

Medicare UPINF59543FL

Medicare PINE3041FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Maher M Fanous 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 ID4486645793

PECOS Enrollment IDI20040524000888

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

Medicare enrollment records show Maher Fanous reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Florida Eye Center PA

Same address

Ophthalmology

6831 NW 11TH PL, SUITE 1
Gainesville, FL 32605

Reassigned Medicare billing, Florida enrollment
5 clinicians in this Medicare group

NPI 1871587402 (352) 331-7337

Gainesville Eye Physicians PA

0.1 mi

Ophthalmology

6717 NW 11TH PL, SUITE A
Gainesville, FL 32605

Reassigned Medicare billing, Florida enrollment
6 clinicians in this Medicare group

NPI 1992846471 (352) 331-7811

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 13

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 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.

1,381 services911 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.

954 services497 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.

460 services396 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).

357 services318 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

277 services262 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.

149 services149 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.

109 services97 patients

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

89 services80 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

81 services67 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

60 services51 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

39 services39 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

19 services19 patients

Creation of eye fluid drainage tract for treatment of glaucoma with previous scarring 66172

This procedure aims to manage glaucoma by forming a new drainage path for eye fluid. It's specifically for cases where previous scarring exists. By creating this tract, excess fluid can escape, reducing pressure in the eye and helping to preserve vision.

14 services13 patients

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.

84.37/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

68.75

Improvement Activities

Reported Quality Measures

Diabetes: Eye Exam

99%546 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

97%6,447 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%2,333 patients1/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%2,932 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 1,965 patients

0%1,965 patients

Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation

93%833 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 2,386 patients

Patients totalRate: 0% · 2,386 patients

0%2,386 patients5/55-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.

Other Providers at the Same Location NPPES 4

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

DR. ARTHUR ANGELO MAUCERI M.D.

Internal Medicine (Infectious Disease)

6831 NW 11TH PL, SUITE 2
GAINESVILLE, FL 32605

Alachua County (352) 331-3650

ARTHUR A MAUCERI M.D. P.A.

Internal Medicine (Infectious Disease)

6831 NW 11TH PL, SUITE 2
GAINESVILLE, FL 32605

Alachua County (352) 331-3650

NORTH FLORIDA EYE CENTER PA

Ophthalmology

6831 NW 11TH PL, SUITE 1
GAINESVILLE, FL 32605

Alachua County (352) 331-7337

ANGEL L CUESTA DPM PA

Podiatrist

6831 NW 11TH PL, SUITE 3
GAINESVILLE, FL 32605

Alachua County (352) 331-3077

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 Maher Fanous's NPI number?

The NPI number for Maher Fanous is 1912175480. It was assigned to this individual provider in the NPPES registry on February 18, 2008.

Where is Maher Fanous located?

Maher Fanous practices at 6831 NW 11th Pl Suite 1, Gainesville, FL 32605. The listed phone number is (352) 331-7337.

What is Maher Fanous's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Maher Fanous enrolled in Medicare?

Yes. Maher Fanous 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 Maher Fanous's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maher Fanous reassigns Medicare benefits to 2 organizations: North Florida Eye Center PA (Gainesville, FL) and Gainesville Eye Physicians PA (Gainesville, FL). 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 Maher Fanous's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maher Fanous accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Maher Fanous 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 Maher Fanous was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.