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Active NPI 1053633461 Individual Practitioner Male Practitioner

Dr. Ahmed Salem Mohamed , MD

Specialist • Mount Vernon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ahmed Mohamed, MD is a certified Specialist practicing in Mount Vernon, IL. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Mohamed delivers high-quality medical care to the local community at 412 S 34TH ST STE 101.

Dr. Mohamed is affiliated with Select Physical Therapy Holdings Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, partial removal of spine bone with release of spinal cord and/or nerves. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

412 S 34th St Ste 101

Mount Vernon, IL 628646021

Telephone 6182316121
Fax 6186154380
Associated Practice Facility / Clinic
🏢 Egyptian Spine Clinic Facility NPI 1932572872

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Mount Vernon, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs Matches City Avg
City Avg: 27.0 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Mount Vernon, IL (1322 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
84.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mohamed (27 Years) 27 Yrs
Mount Vernon Specialty Average (27.0 Years) 27.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
359 197 $125.00 $80.86
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
120 120 $274.00 $199.06
63048 Partial removal of spine bone with release of spinal cord and/or nerves
96 33 $2537.00 $190.61
22614 Fusion of additional segment of spine
90 20 $2055.00 $350.21
62323 Injection of substance into lower spine canal using imaging guidance
35 28 $1104.00 $88.39
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves
31 31 $7524.00 $813.45
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
30 24 $631.00 $94.44
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion
25 14 $1330.00 $243.21
22843 Placement of stabilizing device to back, 7-12 spine bone segments
20 18 $3020.00 $745.35
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
14 11 $703.00 $97.19
22867 Insertion of stabilizing or separating device into lower spine at single level with open decompression
13 13 $3000.00 $526.47
22612 Fusion of spine in lower back
13 13 $5755.00 $1021.08
22845 Placement of stabilizing device to front, 2-3 spine bone segments
13 13 $5800.00 $686.99

Medical Specialties & State Licenses

CMS Verified: 2022-12-11
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL 036136254

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.

Specialist

NUCC Taxonomy Code: 174400000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036136254 (IL)

Hospital & Practice Group Affiliations

Select Physical Therapy Holdings Inc

1104 W Main St, Benton, IL 628121565

Phone: 6184393399

Secondary Practice Locations

741 Insight Ave

O Fallon, IL 622692193

Phone: 6182316121

10012 Manchester Rd

Saint Louis, MO 631221826

Phone: 3149488414

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 24, 2019

Registered at 412 S 34TH ST STE 101, MOUNT VERNON, IL 628646021 (Tel: 6182316121)

📍
Updated Business Mailing Address February 24, 2019

Registered at 412 S 34TH ST STE 101, MOUNT VERNON, IL 628646021 (Tel: 6182316121)

NPI Profile Active August 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2016

Registered at 1007 M L KING DR, CENTRALIA, IL 628013001 (Tel: 6182316121)

📍
Updated Business Mailing Address August 10, 2016

Registered at 1007 M.L.KING DR., CENTERALIA, IL 628016217 (Tel: 6182316121)

👤
Provider Name / Credentials Updated August 10, 2016

Recorded as AHMED MOHAMED, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2016

Specialist

🟢
Initial NPI Registration & Enumeration February 26, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053633461
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2010
Last Update: December 11, 2022
Sole Proprietor: Yes

Mailing Address

412 S 34th St Ste 101

Mount Vernon, IL 628646021

Phone: 6182316121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.