Active NPI 1467450346 Individual Practitioner Female Practitioner

Dr. Sumayya Ahmed , MD

Internal Medicine • Dover, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sumayya Ahmed, MD is a certified Internal Medicine practicing in Dover, OH. With approximately 32 years of clinical experience since completing medical education in 1994, Dr. Ahmed delivers high-quality medical care to the local community at 335 OXFORD ST.

Dr. Ahmed is affiliated with Internal Medicine Clinic, Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

335 Oxford St
Suite C

Dover, OH 44622

Telephone 3303647551

Fax 3303647553

Associated Practice Facility / Clinic

🏢 Ent Allergy & Sinus Center, Inc. Facility NPI 1821299090

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dover, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +2.1 yrs vs City Avg

City Avg: 29.9 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

11 Specialists

Practicing in Dover, OH (5516 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

10.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ahmed (32 Years) 32 Yrs

Dover Specialty Average (29.9 Years) 29.9 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	131	60	$130.00	$121.07
99213 Established patient office or other outpatient visit, typically 15 minutes	51	33	$86.00	$84.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	49	49	$160.00	$122.13
G0008 Administration of influenza virus vaccine	22	22	$28.00	$27.44
90653 Vaccine for influenza for injection into muscle	22	22	$84.00	$81.82

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	173	73	$130.00	$122.43
99213 Established patient office or other outpatient visit, typically 15 minutes	57	38	$86.00	$84.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$160.00	$125.39
G0008 Administration of influenza virus vaccine	26	26	$28.00	$27.44
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	26	26	$75.00	$73.50

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	137	67	$130.00	$124.00
99213 Established patient office or other outpatient visit, typically 15 minutes	64	43	$86.00	$84.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	52	52	$160.00	$125.54
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	29	29	$75.00	$70.25
G0008 Administration of influenza virus vaccine	29	29	$28.00	$27.44

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	127	63	$130.00	$127.67
99213 Established patient office or other outpatient visit, typically 15 minutes	69	42	$86.00	$86.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	50	$160.00	$130.54
G0008 Administration of influenza virus vaccine	22	22	$28.00	$16.19
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	21	21	$60.00	$60.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	137	65	$86.00	$72.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	57	$130.00	$104.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	46	46	$160.00	$113.80
99441 Telephone medical discussion with physician, 5-10 minutes	25	19	$86.00	$44.41
G0008 Administration of influenza virus vaccine	22	22	$28.00	$16.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	12	$52.00	$35.03
90653 Vaccine for influenza for injection into muscle	17	17	$60.00	$56.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	179	78	$86.00	$71.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	67	$130.00	$104.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	64	64	$160.00	$112.22
G0009 Administration of pneumococcal vaccine	22	22	$28.00	$15.75
G0008 Administration of influenza virus vaccine	21	20	$28.00	$15.75
90670 Pneumococcal vaccine for injection into muscle	17	17	$200.00	$184.47
90653 Vaccine for influenza for injection into muscle	12	12	$60.00	$58.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	243	108	$86.00	$69.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	61	$130.00	$101.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	63	63	$160.00	$111.75
G0008 Administration of influenza virus vaccine	33	33	$28.00	$19.30
G0009 Administration of pneumococcal vaccine	32	31	$28.00	$19.30
90670 Pneumococcal vaccine for injection into muscle	29	28	$200.00	$195.75
90756 Vaccine for influenza for injection into muscle	16	16	$25.00	$22.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$201.00	$159.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	275	115	$86.00	$66.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	47	$130.00	$101.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	57	57	$160.00	$108.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	16	$137.00	$69.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	23	$270.00	$193.81
99239 Hospital discharge day management, more than 30 minutes	17	14	$138.00	$102.32
81002 Urinalysis, manual test	17	12	$5.00	$3.17
83036 Hemoglobin A1C level	13	11	$20.00	$13.05

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35084904

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License OH 35084904

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2515013 (OH)

Commercial Insurance / Payer ID Group Npi

1376559799 (OH)

Commercial Insurance / Payer ID Group Medicaid

2157320 (OH)

Hospital & Practice Group Affiliations

Internal Medicine Clinic, Ltd

335 Oxford St, Dover, OH 446221970

Phone: 3303647551

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Maaz Ahmed , MD

Internal Medicine

NPI 1336165133

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

✅

NPI Profile Active April 03, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 03, 2012

Registered at 335 OXFORD ST, SUITE C, DOVER, OH 44622 (Tel: 3303647551)

📍

Updated Business Mailing Address April 03, 2012

Registered at 335 OXFORD ST, SUITE C, DOVER, OH 44622 (Tel: 3303647551)

👤

Provider Name / Credentials Updated April 03, 2012

Recorded as SUMAYYA AHMED, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2012

Internal Medicine (License #35084904 in OH)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2012

Hospitalist (License #35084904 in OH)

🟢

Initial NPI Registration & Enumeration July 13, 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: 1467450346

Entity Type:

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

Enumeration Date: July 13, 2005

Last Update: April 03, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

335 Oxford St, Suite C

Dover, OH 44622

Phone: 3303647551

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.