SOHAIL A WAIEN MD
NPI 1992758445
Hospitalist in Springfield, MA

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
759 CHESTNUT ST, SPRINGFIELD, MA 01199(413) 794-8640 Get Directions Write a Review

NPPES record last updated: November 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2016, May 19, 2016 (2 updates tracked since 2016).

About Sohail A Waien Md NPPES

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

SOHAIL A WAIEN MD (NPI 1992758445) is an individual hospitalist provider in Springfield, Massachusetts, licensed in Massachusetts (220161) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1992758445
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSOHAIL A WAIENCredential: MD
Location Address759 CHESTNUT STSpringfield, MA 01199-1619
Mailing Address280 Chestnut Street, 2nd FloorSpringfield, MA 01199-1001 · (413) 794-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMay 18, 2006
Last NPPES UpdateNovember 14, 20162 updates tracked since enumeration
NPI 1992758445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MA · 220161
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
759 CHESTNUT ST, Springfield, MA 01199

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

Sohail A Waien 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 ID3274514617
PECOS Enrollment IDI20040601000313
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 20

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.

Membrane graft or membrane wrap, per square centimeter Q4205
A membrane graft or wrap is a surgical procedure where a special material is used to replace or support damaged tissue. This material, measured per square centimeter, acts like a scaffold, helping your body to regenerate healthy tissue in the affected area.
994 services16 patients
Removal of muscle and/or tissue, each additional 20.0 sq cm or less 11046
This procedure involves the removal of muscle and/or tissue, typically to treat disease or injury. An additional 20.0 square cm or less of tissue may be removed if necessary. The process is performed by a skilled medical professional to ensure your safety and recovery.
570 services26 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
379 services65 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
297 services90 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.
176 services80 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
162 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01199 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 3

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
2 suppliers11 claims300 services$2.85 avg. paid by Medicare
Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
3 suppliers15 claims920 services$0.10 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
3 suppliers15 claims1,553 services$0.38 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.

Student in an Organized Health Care Education/Training Program
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Nurse Anesthetist, Certified Registered
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Student in an Organized Health Care Education/Training Program
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Student in an Organized Health Care Education/Training Program
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Clinical Nurse Specialist (Psychiatric/Mental Health)
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Psychiatry & Neurology (Neurology)
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Pharmacy (Community/Retail Pharmacy)
759 CHESTNUT ST, DALY 3 PHARMACY
SPRINGFIELD, MA 01199
Pediatrics
759 CHESTNUT ST
SPRINGFIELD, MA 01199

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 Sohail Waien's NPI number?

The NPI number for Sohail Waien is 1992758445. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Sohail Waien located?

Sohail Waien practices at 759 Chestnut St, Springfield, MA 01199. The listed phone number is (413) 794-8640.

What is Sohail Waien's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sohail Waien enrolled in Medicare?

Yes. Sohail Waien 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.

When was this NPI record last updated?

The NPPES record for Sohail Waien was last updated on November 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.