Active NPI 1003334368 Individual Practitioner Male Practitioner

Dr. Humza Saleem Maqbool , MD

Internal Medicine • Seaside, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Humza Maqbool, MD is a certified Internal Medicine practicing in Seaside, OR. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Maqbool delivers high-quality medical care to the local community at 725 S WAHANNA RD.

Dr. Maqbool is affiliated with Hospital Medicine Services Of Va Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, 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

725 S Wahanna Rd

Seaside, OR 971387735

Telephone 5037177000

Associated Practice Facility / Clinic

🏢 Providence Health & Services Oregon Facility NPI 1578500492

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Seaside, OR

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +3.3 yrs vs City Avg

City Avg: 9.7 Yrs

State Avg: 24.1 Yrs

Regional Practice Density

3 Specialists

Practicing in Seaside, OR (2185 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Maqbool (13 Years) 13 Yrs

Seaside Specialty Average (9.7 Years) 9.7 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	365	139	$572.00	$112.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	188	77	$398.00	$75.30
99239 Hospital discharge day management, more than 30 minutes	114	112	$592.00	$109.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	106	102	$1107.00	$165.58
99238 Hospital discharge day management, 30 minutes or less	13	13	$406.00	$77.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	470	164	$134.27	$48.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	251	147	$247.14	$77.11
99239 Hospital discharge day management, more than 30 minutes	142	134	$365.13	$111.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	59	$466.81	$126.87
99238 Hospital discharge day management, 30 minutes or less	21	20	$250.00	$78.74
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	16	13	$239.00	$72.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	15	$681.25	$169.53
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	13	13	$308.00	$78.41
99221 Initial hospital inpatient care per day, typically 30 minutes	12	11	$319.42	$81.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	579	178	$131.92	$36.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	479	189	$246.91	$67.85
99239 Hospital discharge day management, more than 30 minutes	204	175	$365.68	$100.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	81	75	$468.00	$128.42
99316 Nursing facility discharge management, more than 30 minutes	15	15	$361.00	$98.83
99238 Hospital discharge day management, 30 minutes or less	14	14	$248.00	$68.48
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	14	14	$445.00	$122.42
86580 Skin test for tuberculosis	12	12	$35.00	$9.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	535	201	$245.89	$68.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	179	76	$134.04	$36.29
99239 Hospital discharge day management, more than 30 minutes	151	138	$359.00	$101.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	55	$456.51	$130.90
99238 Hospital discharge day management, 30 minutes or less	37	37	$242.00	$69.47
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	22	22	$434.00	$124.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	15	$353.41	$100.07
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	15	12	$304.00	$87.67
99316 Nursing facility discharge management, more than 30 minutes	11	11	$359.00	$101.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	173	60	$246.00	$71.65
99239 Hospital discharge day management, more than 30 minutes	32	30	$359.00	$105.96
99238 Hospital discharge day management, 30 minutes or less	22	22	$242.00	$72.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$457.00	$136.04

Medical Specialties & State Licenses

CMS Verified: 2021-02-15

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OR MD196981

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License PA MT212992

Hospital & Practice Group Affiliations

Hospital Medicine Services Of Va Llc

4600 Spotsylvania Pkwy, Fredericksburg, VA 224087762

Phone: 5404984000

Secondary Practice Locations

1086 Franklin St

Johnstown, PA 159054305

Phone: 8145349104

Practice Associates & Co-Workers

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

24 Associated Practitioners

Dr. Steven Blackthorne , MD

Emergency Medicine

NPI 1013985449

Doctor of Medicine (M.D.)

Dr. Mark Scurrah , MD

Internal Medicine

NPI 1063090942

Doctor of Medicine (M.D.)

Amanda Washington , PA

Physician Assistant - Medical

NPI 1093176471

Physician Assistant

Dr. Holly Barker , MD

Surgery

NPI 1134322258

Doctor of Medicine (M.D.)

Debra Hall , SPEECH-LANGUAGE PATH

Speech-Language Pathologist

NPI 1265568414

SPEECHLANGUAGEPATH

Dr. Jeffrey Blanche , MD

Radiology - Diagnostic Radiology

NPI 1265622625

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location February 15, 2021

Registered at 725 S WAHANNA RD, SEASIDE, OR 971387735 (Tel: 5037177000)

📍

Updated Business Mailing Address February 15, 2021

Registered at PO BOX 3397, PORTLAND, OR 972083397

✅

NPI Profile Active September 06, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 06, 2017

Registered at 1086 FRANKLIN ST, JOHNSTOWN, PA 159054305 (Tel: 8145349104)

📍

Updated Business Mailing Address September 06, 2017

Registered at 1086 FRANKLIN ST, JOHNSTOWN, PA 159054305 (Tel: 8145349104)

👤

Provider Name / Credentials Updated September 06, 2017

Recorded as HUMZA MAQBOOL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2017

Internal Medicine (License #MT212992 in PA)

🟢

Initial NPI Registration & Enumeration September 06, 2017

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: 1003334368

Entity Type:

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

Enumeration Date: September 06, 2017

Last Update: February 15, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3397

Portland, OR 972083397

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.