MUHAMMAD HABIB ZUBAIR MD
NPI 1912344185
Surgery in Saint Marys, PA

Q: What is Muhammad Zubair's NPI number?

The NPI number for Muhammad Zubair is 1912344185. It was assigned to this individual provider in the NPPES registry on May 29, 2013.

Q: What is Muhammad Zubair's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Muhammad Zubair was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 May 29, 2013PECOS EnrolledAccepts Medicare Assignment

96.56/100

CMS Quality Rating

761 JOHNSONBURG RD STE 130, SAINT MARYS, PA 15857(814) 788-8189(814) 781-6828 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Muhammad Habib Zubair Md NPPES

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

MUHAMMAD HABIB ZUBAIR MD (NPI 1912344185) is an individual surgery provider in Saint Marys, Pennsylvania, licensed in Pennsylvania (MD465972) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Missouri Delta Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1912344185

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameMUHAMMAD HABIB ZUBAIRCredential: MD

Location Address761 JOHNSONBURG RD STE 130Saint Marys, PA 15857-3480

Mailing Address761 Johnsonburg Rd Ste 130Saint Marys, PA 15857-3480 · (814) 788-8189 · Fax (814) 781-6828

Phone(814) 788-8189

Fax(814) 781-6828

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateMay 29, 2013

Last NPPES UpdateJuly 25, 2019

✔ NPI 1912344185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in PA · MD465972

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

761 JOHNSONBURG RD STE 130, Saint Marys, PA 15857

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Muhammad Habib Zubair 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 ID7618205303

PECOS Enrollment IDI20250616003876

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 Muhammad Zubair reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dubois Regional Medical Center

24 mi

Surgery

145 HOSPITAL AVE STE 313
Du Bois, PA 15801

Reassigned Medicare billing, Pennsylvania enrollment
19 clinicians in this Medicare group

NPI 1508046814 (814) 375-4000

Five Rivers Medical Center Inc.

757 mi

Emergency Medicine

2801 MEDICAL CENTER DR
Pocahontas, AR 72455

Reassigned Medicare billing, Arkansas enrollment
66 clinicians in this Medicare group

NPI 1245071620 (870) 892-6000

St Bernards Hospital Inc

760 mi

General Acute Care Hospital

225 E WASHINGTON AVE
Jonesboro, AR 72401

Reassigned Medicare billing, Arkansas enrollment
Also billed through NPI 1396053096 (Arkansas)
116 clinicians in this Medicare group

NPI 1336150374 (870) 972-4100

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 office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

166 services122 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

128 services40 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

71 services71 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

64 services30 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

41 services40 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

31 services30 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

30 services30 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

28 services20 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

19 services19 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

18 services14 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

13 services12 patients

Diagnostic exam of anus using an endoscope 46600

This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.

13 services12 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Missouri Delta Medical Center

Acute Care Hospitals · Sikeston, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260113

Location1008 North Main StSikeston, MO 63801 · Scott County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15857 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

96.56/100

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

Scored as part of a group practice

Promoting Interoperability

95.96

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222

DME-Medical/Surgical Supplies · category DA023N

2 suppliers14 claims615 services$1.91 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 2

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

DR. DAVID GERARD MCKEOWN MBBCH MCH

Surgery

761 JOHNSONBURG RD STE 130
SAINT MARYS, PA 15857

Elk County (814) 781-1188

DUBOIS REGIONAL MEDICAL CENTER

Clinic/Center

761 JOHNSONBURG RD STE 130
SAINT MARYS, PA 15857

Elk County (814) 788-8220

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 Muhammad Zubair's NPI number?

The NPI number for Muhammad Zubair is 1912344185. It was assigned to this individual provider in the NPPES registry on May 29, 2013.

Where is Muhammad Zubair located?

Muhammad Zubair practices at 761 Johnsonburg Rd Ste 130, Saint Marys, PA 15857. The listed phone number is (814) 788-8189.

What is Muhammad Zubair's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Muhammad Zubair enrolled in Medicare?

Yes. Muhammad Zubair 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 Muhammad Zubair's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Muhammad Zubair reassigns Medicare benefits to 3 organizations: Dubois Regional Medical Center (Du Bois, PA), Five Rivers Medical Center Inc. (Pocahontas, AR) and St Bernards Hospital Inc (Jonesboro, AR). 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 Muhammad Zubair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Muhammad Zubair accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Arkansas Blue Cross and Blue Shield and Health Advantage and 1 other insurer list Muhammad Zubair 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 Muhammad Zubair affiliated with any hospitals?

According to CMS data, Muhammad Zubair is affiliated with Missouri Delta Medical Center.

When was this NPI record last updated?

The NPPES record for Muhammad Zubair was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.