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Active NPI 1447218292 Individual Practitioner Male Practitioner

Dr. Ghulam Idrees , MD

Internal Medicine • Marion, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ghulam Idrees, MD is a certified Internal Medicine practicing in Marion, OH. With approximately 44 years of clinical experience since completing medical education in 1982, Dr. Idrees delivers high-quality medical care to the local community at 1025 HARDING MEMORIAL PKWY.

Dr. Idrees maintains professional affiliations with Pai Participant 1 Llc, Harding Memorial Healthcare and accepts Medicare assignment.

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, residence visit for established patient 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

1025 Harding Memorial Pkwy

Marion, OH 433026315

Telephone 7403878993
Associated Practice Facility / Clinic
🏢 Harding Memorial Healthcare Facility NPI 1659629194

Medicare Profile & Education

Medical School

Other

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Marion, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
44 Yrs +12.8 yrs vs City Avg
City Avg: 31.2 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
27 Specialists

Practicing in Marion, OH (5516 Statewide)

Telehealth Adoption Rate
14.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
43.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Idrees (44 Years) 44 Yrs
Marion Specialty Average (31.2 Years) 31.2 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
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
448 313 $30.00 $8.20
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
404 107 $180.00 $108.10
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
263 55 $210.00 $127.75
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
200 80 $137.00 $74.43
99306 Initial nursing facility visit, typically 45 minutes per day
192 168 $332.00 $183.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
175 57 $212.00 $125.48
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi
142 131 $90.00 $32.15
83036 Hemoglobin A1C level
99 38 $60.00 $9.52
82570 Creatinine level to test for kidney function or muscle injury
83 50 $15.00 $5.08
82044 Urine microalbumin (protein) analysis
82 49 $15.00 $6.11
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
63 30 $130.00 $76.85
99213 Established patient office or other outpatient visit, typically 15 minutes
60 35 $146.00 $88.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
49 49 $225.00 $132.05
G0444 Annual depression screening, 5 to 15 minutes
46 46 $60.00 $18.90
99316 Nursing facility discharge management, more than 30 minutes
31 29 $209.00 $132.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
30 22 $286.00 $176.34
93000 Routine ekg using at least 12 leads including interpretation and report
29 28 $60.00 $14.19
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
25 21 $266.00 $154.73
90653 Vaccine for influenza for injection into muscle
25 25 $100.00 $81.82
G0008 Administration of influenza virus vaccine
24 24 $90.00 $30.39
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
21 18 $80.00 $53.33
99344 New patient home visit, typically 1 hour
11 11 $240.00 $142.49

Medical Specialties & State Licenses

CMS Verified: 2022-08-30
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35076689

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2205054 (OH)

Hospital & Practice Group Affiliations

Harding Memorial Healthcare

1025 Harding Memorial Pkwy, Marion, OH 433026315

Phone: 74038789931

Pai Participant 1 Llc

464 James Way, Marion, OH 433027860

Phone: 7403892311

Pai Participant 1 Llc

230 Cherry St, Chillicothe, OH 456012301

Phone: 7407736470

Practice Associates & Co-Workers

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

1 Associated Practitioners
Sarah Wynn , PA

Physician Assistant

NPI 1669771192

Physician Assistant

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address August 30, 2022

Registered at 1025 HARDING MEMORIAL PKWY, MARION, OH 433026315 (Tel: 7403878993)

NPI Profile Active August 04, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2008

Registered at 1025 HARDING MEMORIAL PKWY, MARION, OH 433026315 (Tel: 7403878993)

📍
Updated Business Mailing Address August 04, 2008

Registered at PO BOX 1814, MARION, OH 433011814 (Tel: 7403837003)

👤
Provider Name / Credentials Updated August 04, 2008

Recorded as GHULAM IDREES, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2008

Internal Medicine (License #35076689 in OH)

🟢
Initial NPI Registration & Enumeration May 02, 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: 1447218292
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2006
Last Update: August 30, 2022
Sole Proprietor: No

Mailing Address

1025 Harding Memorial Pkwy

Marion, OH 433026315

Phone: 7403878993

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.