HAITHAM ABUGHNIA (MD) – Internal Medicine Physician, NPI 1437346889
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,967 INTERNAL MEDICINE in PA
Loading map...
Provider Addresses for HAITHAM ABUGHNIA (MD)
401, North State Street, Clarks Summit, Lackawanna County, Pennsylvania, 18411, United States
CLARKS SUMMIT, PA 184111061
Phone: (570) 587-7817
Fax: (570) 587-7815
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $272.
Total Amount is formed as General ($272) + Research ($0) + Ownership ($0) = $272.
Last reported payment date: 2024-08-20 • Largest payer in this snapshot: ABIOMED ($100).
Total Amount
$272
General + Research + Ownership
Payments
4
Total payment records
General Amount
$272
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $100 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $87 |
| Boston Scientific Corporation | $85 |
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: 2007-10-26
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 |
|---|---|---|---|---|
| I20071026000337 | I | Cardiovascular Disease (Cardiology) | PA | 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 |
|---|---|---|---|---|
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 1,478 | 855 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,296 | 783 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 669 | 631 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 367 | 130 | $0 |
| 93793 | Anticoagulant management of patient taking warfarin | 305 | 13 | $0 |
Insurance plans in this area (ZIP 18411)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | PA | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 54 | 54 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | PA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 1157 | 859 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | Belgrade | |
| - | NY | |
| Internal Medicine | PA | |
| Internal Medicine | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Internal Medicine, Pediatric Medicine, Addiction Medicine | PA | |
| Family Practice | PA | |
| Internal Medicine | PA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.