Active NPI 1154379295 Individual Practitioner Male Practitioner

Dr. Mohamed M Ibrahim , MD

Surgery • Lockport, NY

Professional Overview & Biography Verified Profile Summary

Dr. Mohamed Ibrahim, MD is a registered healthcare professional specializing in Surgery in Lockport, NY. Practice services are available at 15 ELIZABETH DR under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, removal of muscle and/or tissue, 20.0 sq cm or less, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15 Elizabeth Dr

Lockport, NY 140945226

Telephone 7163413983

Fax 7164336388

Associated Practice Facility / Clinic

🏢 Dr Juan De Rosas Physician Pc Facility NPI 1023016250

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lockport, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 41.7 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

6 Specialists

Practicing in Lockport, NY (2269 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

34.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	134	29	$96.26	$63.80
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	59	16	$220.51	$144.29
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	12	$127.18	$84.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	132	35	$62.44	$40.97
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	119	24	$220.51	$145.28
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	53	26	$96.26	$64.27
11042 Removal of skin and tissue, 20.0 sq cm or less	33	16	$91.45	$51.33
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	19	$127.18	$85.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	263	54	$220.51	$142.08
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	258	81	$62.44	$40.85
11042 Removal of skin and tissue, 20.0 sq cm or less	213	45	$84.80	$54.99
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	197	25	$72.29	$48.72
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	75	56	$96.26	$63.85
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	25	$127.18	$81.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	245	47	$84.80	$80.71
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	146	54	$62.44	$40.99
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	146	36	$220.51	$206.84
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	124	15	$72.29	$66.41
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	96	59	$96.26	$63.75
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	20	20	$127.18	$84.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	132	37	$246.55	$51.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	25	$63.98	$23.34
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	26	11	$409.46	$140.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$195.26	$70.37
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$172.50	$47.57

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35087769

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 - Pediatric Surgery

NUCC Taxonomy Code: 2086S0120X

State License OH 35087769

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

02836482 (NY)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dawn Ostolski , NP

Nurse Practitioner - Adult Health

NPI 1255872669

Nurse Practitioner

Dr. Anthony Dibenedetto , MD

Surgery

NPI 1477505964

Doctor of Medicine (M.D.)

Dr. Michael Pusateri , PsyD

Psychologist - Clinical

NPI 1750014411

Doctor of Psychology (Psy.D.)

Dr. Juan De Rosas , MD

Urology

NPI 1942495866

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 July 10, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 10, 2012

Registered at 15 ELIZABETH DR, LOCKPORT, NY 140945226 (Tel: 7163413983)

📍

Updated Business Mailing Address July 10, 2012

Registered at 15 ELIZABETH DR, LOCKPORT, NY 140945226 (Tel: 7163413983)

👤

Provider Name / Credentials Updated July 10, 2012

Recorded as MOHAMED IBRAHIM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2012

Surgery (License #35087769 in OH)

🟢

Initial NPI Registration & Enumeration May 04, 2006

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: 1154379295

Entity Type:

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

Enumeration Date: May 04, 2006

Last Update: July 10, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

15 Elizabeth Dr

Lockport, NY 140945226

Phone: 7163413983

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.