DR. ALI KHALID JAWED M.D. NPI 1992962997
Surgery in York, PA
About DR. ALI KHALID JAWED M.D.
Ali Jawed is a provider established in York, Pennsylvania and his medical specialization is Surgery with more than 20 years of experience. The NPI number of this provider is 1992962997 and was assigned on May 2008. The practitioner's primary taxonomy code is 208600000X with license number MD466488 (PA). The provider is registered as an individual and his NPI record was last updated 4 years ago.
| NPI | 1992962997 |
| Provider Name | DR. ALI KHALID JAWED M.D. |
| Location Address | 300 PINE GROVE CMNS YORK, PA 17403 |
| Location Phone | (717) 851-6110 |
| Mailing Address | 3421 CONCORD RD YORK, PA 17402 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Is Sole Proprietor? | No |
| Enumeration Date | 05-19-2008 |
| Last Update Date | 02-22-2019 |
A surgeon like Ali Jawed treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.Ali Jawed is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Ali Jawed is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Wellspan York Hospital, Gettysburg Hospital and Wellspan Chambersburg Hospital.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 91.79, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.99 for a new patient copayment and $17.88 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 208600000X |
| Classification | Surgery |
| Type | Allopathic & Osteopathic Physicians |
| License No. | MD466488 |
| License State | PA |
| Taxonomy Description | 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. |
Business Address
300 PINE GROVE CMNS
YORK, PA
ZIP 17403
Phone: (717) 851-6110
Fax: (717) 741-1076
Mailing Address
3421 CONCORD RD
YORK, PA
ZIP 17402
Phone: (717) 851-1405
Fax: (717) 851-6969
Secondary Locations
489 State St
Bangor, ME 04401
(207) 973-7000489 State St
Bangor, ME 04401
(207) 973-7000
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 1254502107 |
| PECOS Enrollment ID | I20190313000658 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 17403 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $57.02 | $174.05 | $87.96 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.25 | $43.51 | $21.99 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99213 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.59 | $142.08 | $71.53 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.39 | $35.52 | $17.88 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 96.56 | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | 78.39 | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 91.79 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ali Jawed is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| WELLSPAN YORK HOSPITAL | 1001 SOUTH GEORGE STREET YORK, PA 17403 | (717) 851-4495 | Acute Care Hospitals | 390046 | |
| GETTYSBURG HOSPITAL | 147 GETTYS STREET GETTYSBURG, PA 17325 | (717) 334-2121 | Acute Care Hospitals | 390065 | |
| WELLSPAN CHAMBERSBURG HOSPITAL | 112 NORTH SEVENTH STREET CHAMBERSBURG, PA 17201 | (717) 267-3000 | Acute Care Hospitals | 390151 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 2086S0127X | Allopathic & Osteopathic Physicians | Surgery | Trauma Surgery | MD039175 | DC | No |
Taxonomy Description: trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. | |||||||
| 2 | 2086S0127X | Allopathic & Osteopathic Physicians | Surgery | Trauma Surgery | 018866 | ME | No |
Taxonomy Description: trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. | |||||||
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 9 | 2 | 9 | 6 | 2 | 9 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 18 | 2 | 18 | 6 | 4 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 8 + 2 + 1 + 8 + 6 + 4 + 9 + 1 + 8 + 24 = 83 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 90 - 83 = 7 | 7 | ||||||||
The NPI number 1992962997 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649722802 | WELLSPAN MEDICAL GROUP Organization | Surgery (Pediatric Surgery) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 812-2479 |
| 1265743959 | SHABNAM HAFIZ MD Individual | Surgery (Surgical Critical Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1942768981 | GEORGE D SCHEURICH CRNP Individual | Nurse Practitioner (Acute Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1629627401 | CARLY JO BOLTON PA Individual | Physician Assistant | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1740549427 | AMY JILL BRICKNER CRNP Individual | Nurse Practitioner (Pediatrics) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1386021624 | HEIDI MICHELLE RICKER CRNP Individual | Nurse Practitioner (Acute Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1285277913 | SARA ANNE LISCHERELLI Individual | Nurse Practitioner (Critical Care Medicine) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1003005174 | MR. DAVID M. GILMAN PA-C Individual | Physician Assistant | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1215609201 | ALISON ANN SEMON CRNP Individual | Nurse Practitioner (Acute Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1235725375 | ALLISON REED BINGHAM CRNP Individual | Nurse Practitioner (Acute Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1376209403 | HEATHER E BARRETT CRNP Individual | Nurse Practitioner (Adult Health) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1851946859 | GRACE ELIZABETH WILSON PA-C Individual | Physician Assistant | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1144894981 | REBECCA LYNN WILSON CRNP Individual | Nurse Practitioner (Family) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1235398355 | DR. GRAHAM G LAURENCE M.D. Individual | Surgery (Surgical Critical Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1063479970 | DANIEL E CARNEY MD Individual | Surgery (Surgical Critical Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1093917221 | JESSE GODDARD M.D. Individual | Surgery (Surgical Critical Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1316333487 | WELLSPAN MEDICAL GROUP Organization | Surgery (Trauma Surgery) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1346281607 | DR. MICHAEL P NAJARIAN MD Individual | Surgery (Surgical Critical Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1730149535 | DR. SHAWN MICHAEL TERRY M.D. Individual | Surgery (Surgical Critical Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1851320493 | DR. EBONDO MPINGA MD Individual | Surgery (Surgical Critical Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
Frequently Asked Questions
What is Dr. Ali Jawed M.D. NPI number?
The NPI number assigned to this healthcare provider is 1992962997, registered as an "individual" on May 19, 2008
Where is Dr. Ali Jawed M.D. located?
The provider is located at 300 Pine Grove Cmns York, Pa 17403 and the phone number is (717) 851-6110
Which is Dr. Ali Jawed M.D. specialty?
The provider's speciality is Surgery
How many years of experience does Dr. Ali Jawed M.D. have?
The provider has more than 20 years of experience.
Is Dr. Ali Jawed M.D. registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What are Dr. Ali Jawed M.D. Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
How much is a visit to Dr. Ali Jawed M.D.?
Medicare beneficiaries should expect a typical cost of $87.96 with an average copayment of $21.99 for new patient appointments. Established patients should expect a typical charge of $71.53 and an average copayment of 17.88. Please review your insurance plan or contact the provider directly to determine your specific costs.
Is Dr. Ali Jawed M.D. affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: WELLSPAN YORK HOSPITAL, GETTYSBURG HOSPITAL and WELLSPAN CHAMBERSBURG HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Dr. Ali Jawed M.D. was last updated on May 19, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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