Active NPI 1003892217 Individual Practitioner Male Practitioner

Dr. Sam N Ghoubrial , MD

Internal Medicine • Wadsworth, OH

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Sam Ghoubrial, MD is a registered healthcare professional specializing in Internal Medicine in Wadsworth, OH. Official NPI practice address is registered at 195 WADSWORTH RD.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

195 Wadsworth Rd
Suite 402

Wadsworth, OH 44281

Telephone 3303317207

Fax 3303317587

Associated Practice Facility / Clinic

🏢 Summit Pathology Associates Inc Facility NPI 1508827627

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Wadsworth, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Wadsworth, OH (5516 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.0% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	504	175	$175.00	$102.28
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	304	142	$130.38	$71.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$199.42	$122.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	28	$250.00	$171.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$163.05	$122.52
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	34	34	$250.00	$147.29
99306 Initial nursing facility visit, typically 45 minutes per day	24	24	$320.00	$175.00
99213 Established patient office or other outpatient visit, typically 15 minutes	22	13	$140.00	$79.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	12	$200.00	$121.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	574	155	$175.00	$86.90
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	340	139	$130.00	$66.21
99306 Initial nursing facility visit, typically 45 minutes per day	146	145	$320.00	$160.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	85	47	$250.00	$174.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	45	$199.45	$115.73
99213 Established patient office or other outpatient visit, typically 15 minutes	60	40	$140.00	$79.37
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	56	48	$250.00	$127.92
36415 Insertion of needle into vein for collection of blood sample	29	23	$13.00	$2.96
99315 Nursing facility discharge day management, 30 minutes or less	13	13	$140.00	$69.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	76	15	$190.00	$101.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	36	$200.00	$125.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	26	$250.00	$176.40
36415 Insertion of needle into vein for collection of blood sample	39	25	$13.00	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	38	26	$140.00	$87.24

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	74	39	$200.00	$105.97
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	53	40	$130.00	$67.95
99213 Established patient office or other outpatient visit, typically 15 minutes	51	29	$140.00	$72.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	25	$250.00	$142.57
36415 Insertion of needle into vein for collection of blood sample	46	32	$13.00	$2.98
99318 Nursing facility annual assessment, typically 30 minutes	21	21	$200.00	$94.25

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	56	38	$200.00	$104.53
99213 Established patient office or other outpatient visit, typically 15 minutes	52	31	$140.00	$71.18
36415 Insertion of needle into vein for collection of blood sample	41	22	$13.00	$2.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	15	$250.00	$140.46
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	18	13	$130.00	$66.80

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	180	94	$130.00	$65.46
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	58	57	$250.00	$123.55
36415 Insertion of needle into vein for collection of blood sample	42	29	$13.00	$2.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	26	$250.00	$135.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	24	$200.00	$100.63
99213 Established patient office or other outpatient visit, typically 15 minutes	27	20	$140.00	$68.05
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	19	15	$175.00	$86.59

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	372	130	$130.00	$64.98
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	241	100	$130.00	$64.80
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	95	62	$175.00	$85.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	57	$200.00	$100.06
36415 Insertion of needle into vein for collection of blood sample	76	44	$13.00	$2.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	76	20	$190.00	$98.77
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	64	38	$175.00	$85.76
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	62	59	$250.00	$122.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	35	$250.00	$134.93
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	52	52	$250.00	$122.83
99291 Critical care, first 30-74 minutes	51	12	$400.00	$212.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	17	$130.00	$68.30
99213 Established patient office or other outpatient visit, typically 15 minutes	33	22	$140.00	$67.87
99306 Initial nursing facility visit, typically 45 minutes per day	29	29	$320.00	$157.23
99306 Initial nursing facility visit, typically 45 minutes per day	23	23	$320.00	$157.23

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35-067926

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

0140056 (OH)

Practice Associates & Co-Workers

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

3 Associated Practitioners

Charlene Moyer , NP

Nurse Practitioner

NPI 1427034644

Nurse Practitioner

Ryan Wallace

Nurse Practitioner - Family

NPI 1679021497

Jessica Atkinson , CNP

Nurse Practitioner

NPI 1710473988

Certified Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2019

Internal Medicine (License #35-067926 in OH)

✅

NPI Profile Active September 26, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 26, 2012

Registered at 195 WADSWORTH RD, SUITE 402, WADSWORTH, OH 44281 (Tel: 3303317207)

📍

Updated Business Mailing Address September 26, 2012

Registered at 195 WADSWORTH RD, SUITE 402, WADSWORTH, OH 44281 (Tel: 3303317207)

👤

Provider Name / Credentials Updated September 26, 2012

Recorded as SAM GHOUBRIAL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2012

Internal Medicine (License #35-067926 in OH)

🟢

Initial NPI Registration & Enumeration December 20, 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: 1003892217

Entity Type:

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

Enumeration Date: December 20, 2005

Last Update: February 15, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

195 Wadsworth Rd, Suite 402

Wadsworth, OH 44281

Phone: 3303317207

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.