DR. ELIE S GHANEM MD
NPI 1932306685
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Columbia, MO

Active since June 27, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1100 VIRGINIA AVE, COLUMBIA, MO 65212(573) 882-2663(573) 882-1760 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Elie S Ghanem Md NPPES

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

DR. ELIE S GHANEM MD (NPI 1932306685) is an individual adult reconstructive orthopaedic surgery provider in Columbia, Missouri, licensed in Missouri (2023005797) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Bothwell Regional Health Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1932306685
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameDR. ELIE S GHANEMCredential: MD
Location Address1100 VIRGINIA AVEColumbia, MO 65212-0001
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943
Fax(573) 882-1760
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 27, 2007
Last NPPES UpdateFebruary 23, 2023
NPPES CertifiedFebruary 23, 2023
NPI 1932306685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License Licensed in MO · 2023005797
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 2023005797 (MO)
1100 VIRGINIA AVE, Columbia, MO 65212

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

Dr. Elie S Ghanem 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 ID6305094483
PECOS Enrollment IDI20230227002480
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 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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
113 services100 patients
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.
84 services75 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
82 services71 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
70 services69 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
40 services38 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.
36 services36 patients

Hospital Affiliations CMS Care Compare 5

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

Bothwell Regional Health Center

Acute Care Hospitals · Sedalia, MO
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260009
Location601 E 14th StSedalia, MO 65302 · Pettis County
Emergency services Birthing friendly

Boone Hospital Center

Acute Care Hospitals · Columbia, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260068
Location1600 E BroadwayColumbia, MO 65201 · Boone County
Emergency services Birthing friendly

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Lake Regional Health System

Acute Care Hospitals · Osage Beach, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260186
Location54 Hospital DriveOsage Beach, MO 65065 · Camden County
Emergency services Birthing friendly

Macon County Samaritan Memorial Hospital

Critical Access Hospitals · Macon, MO
OwnershipGovernment - Local
CMS Certification Number261313
Location1205 North Missouri StMacon, MO 63552 · Macon County
Emergency services

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.

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

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.

Podiatrist (Foot & Ankle Surgery)
1100 VIRGINIA AVE
COLUMBIA, MO 65212
Nurse Practitioner (Adult Health)
1100 VIRGINIA AVE
COLUMBIA, MO 65212
Orthopaedic Surgery
1100 VIRGINIA AVE
COLUMBIA, MO 65212
Orthopaedic Surgery
1100 VIRGINIA AVE
COLUMBIA, MO 65212
Surgery (Surgery of the Hand)
1100 VIRGINIA AVE
COLUMBIA, MO 65212
Orthopaedic Surgery (Foot and Ankle Surgery)
1100 VIRGINIA AVE
COLUMBIA, MO 65212
Chiropractor
1100 VIRGINIA AVE
COLUMBIA, MO 65212
Nurse Practitioner (Family)
1100 VIRGINIA AVE
COLUMBIA, MO 65212

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 Elie Ghanem's NPI number?

The NPI number for Elie Ghanem is 1932306685. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Elie Ghanem located?

Elie Ghanem practices at 1100 Virginia Ave, Columbia, MO 65212. The listed phone number is (573) 882-2663.

What is Elie Ghanem's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Elie Ghanem enrolled in Medicare?

Yes. Elie Ghanem 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 Elie Ghanem accept?

Health plans from Medica and UnitedHealthcare list Elie Ghanem 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 Elie Ghanem affiliated with any hospitals?

According to CMS data, Elie Ghanem is affiliated with Bothwell Regional Health Center, Boone Hospital Center, University Of Missouri Health Care, Lake Regional Health System and Macon County Samaritan Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Elie Ghanem was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.