DR. KHALIL MASABNI (M.D.) – Surgery Physician, NPI 1497173017
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
490 VASCULAR SURGERY in FL
Provider Addresses for DR. KHALIL MASABNI (M.D.)
5250 AUTO CLUB DR STE 300
DEARBORN, MI 481262619
Phone: (520) 559-3888
Type: Mailing
960 RINEHART RD STE 2060
LAKE MARY, FL 327461563
Phone: (407) 225-5557
Fax: (888) 355-7757
Type: Location
5250 Auto Club Dr Ste 300
Dearborn, MI 481262619
Phone: (520) 559-3888
Type: Location
2799 W GRAND BLVD
HENRY FORD HOSPITAL, MEDICAL EDUCATION DEPARTMENT
DETROIT, MI 482022608
Phone: (313) 916-2600
Type: Mailing
2174 NW Plumbago Trl
Stuart, FL 349948846
Phone: (561) 957-7555
Type: Location
802 N Riverside Rd Ste 200
Saint Joseph, MO 645072553
Phone: (816) 271-6666
Fax: (816) 271-1300
Type: Location
575 1ST ST
MACON, GA 312012825
Phone: (478) 743-9762
Fax: (478) 743-9465
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $1,043.
Total Amount is formed as General ($1,043) + Research ($0) + Ownership ($0) = $1,043.
Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Penumbra, Inc. ($697).
Total Amount
$1,043
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,043
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $697 |
| Philips Electronics North America Corporation | $139 |
| W. L. Gore & Associates, Inc. | $131 |
| CVRx, Inc. | $44 |
| Abbott Laboratories | $17 |
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: 2025-04-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20240827003899 | I | Vascular Surgery | MO | TBD |
| I20241116000419 | I | Vascular Surgery | FL | TBD |
| I20250424003194 | I | Vascular 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 | 28 | 23 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 22 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 16 | $0 |
Insurance plans in this area (ZIP 48126)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Cardiovascular Disease (Cardiology) | MO | |
| Family Practice | MO | |
| Certified Clinical Nurse Specialist (Cns) | MO | |
| Internal Medicine | MO | |
| A N E S T H E S I O L O G Y | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO |
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