Active NPI 1265434898 Individual Practitioner Female Practitioner

Dr. Abida Zafar , MD

Internal Medicine - Nephrology • Port Huron, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Abida Zafar, MD is a certified Internal Medicine - Nephrology practicing in Port Huron, MI. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Zafar delivers high-quality medical care to the local community at 2603 ELECTRIC AVE.

Dr. Zafar is affiliated with St Clair Specialty Physicians Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, dialysis services, per day, less than full month service (20 years or older), dialysis services. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2603 Electric Ave
Suite 1

Port Huron, MI 480606588

Telephone 5862474300

Fax 5865326496

Associated Practice Facility / Clinic

🏢 Port Huron Vascular Clinic Pc Facility NPI 1134166895

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Port Huron, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs Matches City Avg

City Avg: 31.0 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

1 Specialists

Practicing in Port Huron, MI (383 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Zafar (31 Years) 31 Yrs

Port Huron Specialty Average (31.0 Years) 31.0 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	836	236	$110.00	$75.27
90970 Dialysis services, per day, less than full month service (20 years or older)	570	20	$18.00	$8.96
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	293	46	$600.00	$335.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	277	221	$146.00	$96.88
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	243	202	$25.00	$15.42
36415 Insertion of needle into vein for collection of blood sample	179	94	$12.64	$8.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	160	132	$213.00	$125.13
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	109	49	$159.00	$112.82
90966 Home dialysis services per month, patient 20 years of age or older	104	17	$475.00	$278.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	80	76	$311.00	$164.76
90935 Hemodialysis procedure with physician evaluation	71	33	$130.00	$67.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$200.00	$159.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	19	$190.00	$105.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	963	263	$110.00	$77.89
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	342	49	$550.00	$343.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	335	254	$138.15	$99.33
36415 Insertion of needle into vein for collection of blood sample	220	113	$8.00	$7.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	166	57	$159.00	$117.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	160	143	$311.00	$170.78
90966 Home dialysis services per month, patient 20 years of age or older	136	16	$475.00	$288.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	105	95	$213.00	$128.22
90935 Hemodialysis procedure with physician evaluation	64	34	$130.00	$70.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$200.00	$161.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	29	$190.00	$124.67
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	26	22	$475.00	$286.56
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$260.00	$214.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	915	253	$110.00	$69.22
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	423	62	$484.81	$352.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	301	241	$135.00	$97.60
36415 Insertion of needle into vein for collection of blood sample	266	121	$8.00	$2.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	150	128	$213.00	$131.79
90966 Home dialysis services per month, patient 20 years of age or older	115	21	$429.35	$294.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	92	88	$311.00	$192.82
90935 Hemodialysis procedure with physician evaluation	50	30	$130.00	$71.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$200.00	$160.78
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	45	32	$411.67	$291.48
99441 Telephone medical discussion with physician, 5-10 minutes	19	19	$65.00	$42.73
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$95.00	$72.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	13	$190.00	$129.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,190	309	$110.00	$70.86
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	513	72	$475.00	$355.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	329	260	$134.98	$125.08
36415 Insertion of needle into vein for collection of blood sample	275	133	$8.00	$2.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	176	134	$213.00	$134.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	148	137	$311.00	$196.76
90935 Hemodialysis procedure with physician evaluation	74	40	$130.00	$72.54
90966 Home dialysis services per month, patient 20 years of age or older	73	14	$418.01	$302.64
99441 Telephone medical discussion with physician, 5-10 minutes	65	64	$63.54	$54.60
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	57	41	$400.00	$295.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$200.00	$163.12
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$95.00	$87.34
99442 Telephone medical discussion with physician, 11-20 minutes	18	18	$97.78	$89.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	13	$159.00	$102.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$61.00	$37.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,216	358	$110.00	$72.44
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	538	68	$475.00	$285.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	254	215	$130.00	$105.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	229	172	$213.00	$138.07
36415 Insertion of needle into vein for collection of blood sample	165	98	$8.00	$2.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	115	109	$311.00	$203.21
99441 Telephone medical discussion with physician, 5-10 minutes	105	98	$58.33	$43.50
90935 Hemodialysis procedure with physician evaluation	68	36	$130.00	$74.12
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	49	35	$400.00	$239.84
99442 Telephone medical discussion with physician, 11-20 minutes	32	31	$90.00	$73.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$200.00	$161.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	23	$130.00	$79.16
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	17	17	$25.00	$14.34
99443 Telephone medical discussion with physician, 21-30 minutes	13	13	$130.00	$107.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,127	326	$110.00	$72.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	752	490	$130.00	$104.96
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	557	70	$475.00	$280.79
36415 Insertion of needle into vein for collection of blood sample	331	162	$8.00	$2.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	218	175	$213.00	$136.04
99213 Established patient office or other outpatient visit, typically 15 minutes	83	70	$90.00	$71.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	73	69	$311.00	$200.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$200.00	$161.00
90966 Home dialysis services per month, patient 20 years of age or older	56	13	$400.00	$232.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	29	$61.00	$39.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	25	$130.00	$78.16
90935 Hemodialysis procedure with physician evaluation	33	26	$130.00	$73.11
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	23	17	$400.00	$236.26
G0008 Administration of influenza virus vaccine	15	15	$30.00	$15.78
90756 Vaccine for influenza for injection into muscle	14	14	$30.00	$26.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,388	376	$110.00	$71.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	818	508	$130.00	$102.62
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	536	72	$475.00	$276.64
36415 Insertion of needle into vein for collection of blood sample	260	127	$8.00	$2.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	226	183	$213.00	$133.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	170	156	$311.00	$198.07
90966 Home dialysis services per month, patient 20 years of age or older	105	13	$400.00	$228.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$200.00	$159.27
99213 Established patient office or other outpatient visit, typically 15 minutes	61	55	$90.00	$70.28
90935 Hemodialysis procedure with physician evaluation	44	32	$130.00	$71.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	24	$61.00	$38.52
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	21	$159.00	$102.27
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	16	14	$400.00	$232.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,122	309	$110.00	$70.14
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	577	78	$467.60	$275.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	576	382	$130.00	$101.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	322	247	$213.00	$133.65
90970 Dialysis services, per day, less than full month service (20 years or older)	316	25	$13.00	$7.50
99213 Established patient office or other outpatient visit, typically 15 minutes	125	108	$86.47	$67.52
90966 Home dialysis services per month, patient 20 years of age or older	110	18	$390.45	$225.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$200.00	$157.17
36415 Insertion of needle into vein for collection of blood sample	70	54	$8.00	$2.94
90935 Hemodialysis procedure with physician evaluation	44	30	$126.50	$70.64
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	37	28	$389.41	$230.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$130.00	$76.65
G0008 Administration of influenza virus vaccine	17	17	$30.00	$23.79
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	17	17	$25.00	$23.57
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$86.79	$49.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$61.00	$35.73

Medical Specialties & State Licenses

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License MI AZ071021

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Hospital & Practice Group Affiliations

St Clair Specialty Physicians Pc

2603 Electric Ave, Port Huron, MI 480606588

Phone: 8109875252

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

Diana Scanlon , CNP

Nurse Practitioner

NPI 1043651458

Certified Nurse Practitioner

Dr. Saurabh Gandhi , DO

Internal Medicine - Nephrology

NPI 1093032021

Doctor of Osteopathic Medicine (D.O.)

Dr. Navkiranjot Brar , MD

Internal Medicine - Nephrology

NPI 1235351263

Doctor of Medicine (M.D.)

Donna Reesman , NP

Registered Nurse - Nephrology

NPI 1366589269

Nurse Practitioner

Dr. Samia Salih , MD

Internal Medicine - Nephrology

NPI 1508043258

Doctor of Medicine (M.D.)

Dr. David Lorelli , MD

Surgery - Vascular Surgery

NPI 1710989363

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 17, 2016

Registered at 2603 ELECTRIC AVE, SUITE 1, PORT HURON, MI 480606588 (Tel: 5862474300)

📍

Updated Business Mailing Address February 17, 2016

Registered at 45640 SCHOENHERR RD, SUITE B, SHELBY TOWNSHIP, MI 483156033 (Tel: 5862474300)

👤

Provider Name / Credentials Updated February 17, 2016

Recorded as ABIDA ZAFAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2016

Internal Medicine (License #AZ071021 in MI)

🟢

Initial NPI Registration & Enumeration August 12, 2005

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: 1265434898

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 12, 2005

Last Update: February 17, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

45640 Schoenherr Rd, Suite B

Shelby Township, MI 483156033

Phone: 5862474300

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.