Active NPI 1245544576 Individual Practitioner Male Practitioner

Dr. Omar Melhem Ghanem , MD

Surgery • Rochester, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Omar Ghanem, MD is a certified Surgery practicing in Rochester, MN. With approximately 17 years of clinical experience since completing medical education in 2009, Dr. Ghanem delivers high-quality medical care to the local community at 200 1ST ST SW.

Dr. Ghanem is affiliated with Mayo Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, stomach reduction procedure with partial removal of stomach using an endoscope, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 1st St Sw

Rochester, MN 559050001

Telephone 5072842511

Associated Practice Facility / Clinic

🏢 Mayo Collaborative Services, Inc Facility NPI 1093792350

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Rochester, MN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs +2.8 yrs vs City Avg

City Avg: 14.2 Yrs

State Avg: 23.0 Yrs

Regional Practice Density

216 Specialists

Practicing in Rochester, MN (770 Statewide)

Telehealth Adoption Rate

6.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

60.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ghanem (17 Years) 17 Yrs

Rochester Specialty Average (14.2 Years) 14.2 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$299.00	$130.00
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$234.00	$81.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	45	36	$186.79	$79.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$136.00	$56.28
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	14	14	$8245.92	$839.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	51	$136.00	$55.13
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$238.00	$66.95
43644 Bypass operation of stomach using an endoscope	11	11	$17375.00	$1641.38
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	11	11	$10197.41	$977.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	58	$57.26	$56.51
99202 New patient office or other outpatient visit, typically 20 minutes	47	47	$83.01	$70.73
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	28	$23.02	$23.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	39	29	$72.00	$50.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	21	$106.00	$77.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$117.77	$105.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$165.00	$125.91
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	17	$23.46	$23.82
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$75.63	$76.65
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$77.70	$75.36
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$178.00	$99.68
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1945.00	$332.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$169.98	$126.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	64	$107.69	$76.83
99213 Established patient office or other outpatient visit, typically 15 minutes	63	49	$73.40	$49.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	45	$244.64	$133.75
99221 Initial hospital inpatient care per day, typically 30 minutes	42	42	$180.00	$99.19
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	22	22	$1945.00	$335.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	15	$73.00	$38.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$120.40	$74.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	11	$190.00	$101.53
76937 Ultrasonic guidance for blood vessel access	18	18	$25.00	$14.32
47562 Removal of gallbladder using an endoscope	14	14	$1297.00	$650.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$168.19	$125.00
99221 Initial hospital inpatient care per day, typically 30 minutes	50	48	$178.84	$97.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	24	$73.00	$36.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	38	$243.00	$131.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	31	$109.78	$75.68
99213 Established patient office or other outpatient visit, typically 15 minutes	33	26	$73.33	$49.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$111.47	$73.98
47562 Removal of gallbladder using an endoscope	28	27	$1297.00	$604.39
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	19	$1945.00	$305.61
76937 Ultrasonic guidance for blood vessel access	16	16	$25.00	$14.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	67	29	$73.00	$36.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	32	$243.00	$123.83
47562 Removal of gallbladder using an endoscope	25	25	$1297.00	$625.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$171.29	$124.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$107.00	$73.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$111.00	$75.14

Medical Specialties & State Licenses

CMS Verified: 2020-12-17

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MN 60052

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License MO 2017004100

Hospital & Practice Group Affiliations

Mayo Clinic

200 1st St Sw, Rochester, MN 559050001

Phone: 5072842512

Secondary Practice Locations

200 1st St Sw

Rochester, MN 559050001

Phone: 5072842511

802 N Riverside Rd Ste G50

Saint Joseph, MO 645072510

Phone: 8166714888

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Emily Leasure , MD

Internal Medicine

NPI 1003005836

Doctor of Medicine (M.D.)

Nathanael Bailey

Pathology - Clinical Pathology/Laboratory Medicine

NPI 1003013814

Nicole Nipper , NP

Nurse Practitioner

NPI 1003016940

Nurse Practitioner

Brandi D'souza , NP

Nurse Practitioner

NPI 1003019696

Nurse Practitioner

Dr. Kim Schutterle , MD

Emergency Medicine

NPI 1003027087

Doctor of Medicine (M.D.)

Dr. Jodi Moore-Weiss , OD

Optometrist

NPI 1003036427

Doctor of Optometry

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Practice Location December 17, 2020

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

📍

Updated Business Mailing Address December 17, 2020

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2020

Surgery (License #2017004100 in MO)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Surgery (License #60052 in MN)

✅

NPI Profile Active July 20, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 20, 2017

Registered at 802 N RIVERSIDE RD STE G50, SAINT JOSEPH, MO 645072510 (Tel: 8166714888)

📍

Updated Business Mailing Address July 20, 2017

Registered at 802 N RIVERSIDE RD, STE G50, SAINT JOSEPH, MO 645072510 (Tel: 8166714888)

👤

Provider Name / Credentials Updated July 20, 2017

Recorded as OMAR GHANEM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2017

Surgery (License #2017004100 in MO)

✅

NPI Profile Active May 23, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 23, 2016

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

📍

Updated Business Mailing Address May 23, 2016

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

👤

Provider Name / Credentials Updated May 23, 2016

Recorded as OMAR GHANEM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2016

Surgery (License #60052 in MN)

🟢

Initial NPI Registration & Enumeration July 28, 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: 1245544576

Entity Type:

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

Enumeration Date: July 28, 2010

Last Update: December 17, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 1st St Sw

Rochester, MN 559050001

Phone: 5072842511

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.