DR. HANS HASSAN MOOSA (M.D.) – Vascular Surgery Physician, NPI 1194768432
Vascular Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
240 VASCULAR SURGERY in IL
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Provider Addresses for DR. HANS HASSAN MOOSA (M.D.)
4600 MEMORIAL DR STE 160
BELLEVILLE, IL 622265359
Phone: (618) 825-9272
Fax: (618) 222-1039
Type: Mailing
4600, Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States
STE. 240
BELLEVILLE, IL 622265368
Phone: (618) 222-1020
Fax: (618) 222-1039
Type: Mailing
4600 MEMORIAL DR STE 120
BELLEVILLE, IL 622265359
Phone: (618) 222-1020
Fax: (618) 222-1039
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $1,005.
Total Amount is formed as General ($1,005) + Research ($0) + Ownership ($0) = $1,005.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Organogenesis Inc. ($188).
Total Amount
$1,005
General + Research + Ownership
Payments
38
Total payment records
General Amount
$1,005
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $188 |
| Bolton Medical Inc | $132 |
| Boston Scientific Corporation | $109 |
| Medtronic, Inc. | $68 |
| Hydrofera LLC | $57 |
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: 2005-12-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| I20051229000366 | I | Vascular Surgery | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 328 | 190 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 239 | 235 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 206 | 199 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 205 | 195 | $0 |
| 93923 | Complete ultrasound study of arm and leg arteries | 119 | 106 | $0 |
Insurance plans in this area (ZIP 62226)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| G A S T R O E N T E R O L O G Y | GA | |
| Physician Assistant | IL | |
| - | MO | |
| Gastroenterology, Gastroenterology, Internal Medicine | OH |
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