DR. AHMED SALEM MOHAMED (MD) – Specialist, NPI 1053633461
Specialist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,265 ORTHOPEDIC SURGERY in IL
Provider Addresses for DR. AHMED SALEM MOHAMED (MD)
412 S 34TH ST STE 101
MOUNT VERNON, IL 628646021
Phone: (618) 231-6121
Fax: (618) 615-4380
Type: Mailing
741 Insight Ave
O Fallon, IL 622692193
Phone: (618) 231-6121
Fax: (618) 615-4380
Type: Location
10012 Manchester Rd
Saint Louis, MO 631221826
Phone: (314) 948-8414
Fax: (618) 615-4380
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $1,715.
Total Amount is formed as General ($1,715) + Research ($0) + Ownership ($0) = $1,715.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Elite Orthopedics, Llc ($600).
Total Amount
$1,715
General + Research + Ownership
Payments
26
Total payment records
General Amount
$1,715
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Elite Orthopedics, Llc | $600 |
| DePuy Synthes Sales Inc. | $394 |
| Arthrex, Inc. | $205 |
| ZIMVIE INC. | $116 |
| Abbott Laboratories | $109 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-07-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (713 days ago).
Enrollment records
2
Earliest due date
2024-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150122001045 | I | Orthopedic Surgery | IL | TBD |
| O20190702002905 | O | Physician - Orthopedic/Orthopedic Surgery | IL | 2024-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 325 | 189 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 120 | 120 | $0 |
| 22614 | Fusion of additional segment of spine | 66 | 12 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 56 | 51 | $0 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 49 | 22 | $0 |
Insurance plans in this area (ZIP 62864)
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