DR. RAED MOHAMMAD ALNAJJAR (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1215107982
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
100 THORACIC SURGERY in KY
Provider Addresses for DR. RAED MOHAMMAD ALNAJJAR (M.D.)
PO BOX 2917
PIKEVILLE, KY 415022917
Phone: (606) 218-3500
Type: Mailing
911 BYPASS RD
PIKEVILLE, KY 415011689
Phone: (606) 218-4530
Type: Location
2799 W GRAND BLVD
DETROIT, MI 482022608
Phone: (313) 916-2600
Type: Mailing
911 Bypass Rd
Pikeville, KY 415011689
Phone: (606) 218-4530
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 309 Open Payments records for all available years, with a total value of $289,878.
Total Amount is formed as General ($289,878) + Research ($0) + Ownership ($0) = $289,878.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($178,526).
Total Amount
$289,878
General + Research + Ownership
Payments
309
Total payment records
General Amount
$289,878
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $178,526 |
| Ethicon Inc. | $34,423 |
| Medical Device Business Services, Inc. | $32,926 |
| Intuitive Surgical, Inc. | $23,499 |
| Medtronic, Inc. | $11,384 |
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: 2016-10-05
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 |
|---|---|---|---|---|
| I20161005000054 | I | Thoracic Surgery | MI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 160 | 108 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 96 | 96 | $0 |
| 33361 | Replacement of aortic valve through the skin and femoral artery | 47 | 47 | $0 |
| 31627 | Computer-assisted image-guided navigation of lung airways using an endoscope | 41 | 35 | $0 |
| 31654 | Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound | 40 | 34 | $0 |
Insurance plans in this area (ZIP 41502)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| THORACIC SURGERY | KY | 33533 | Heart artery bypass to repair one artery | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Gastroenterology, Internal Medicine | PA | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Clinical Social Worker | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Qualified Audiologist | MI | |
| O P H T H A L M O L O G Y | MI | |
| - | MI | |
| - | MI |
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