RAFID J HUSSEIN (DO) – Gastroenterology Physician, NPI 1396763645
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
401 GASTROENTEROLOGY in TN
Provider Addresses for RAFID J HUSSEIN (DO)
300 STEAM PLANT RD STE 450
GALLATIN, TN 370663079
Phone: (615) 822-6716
Fax: (615) 328-3709
Type: Mailing
PO BOX 801143
KANSAS CITY, MO 641801143
Phone: (573) 331-5583
Fax: (573) 331-5079
Type: Mailing
24 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO 637034914
Phone: (573) 331-3350
Fax: (573) 331-3351
Type: Location
Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States
KANSAS CITY, MO 641843225
Phone: (708) 633-1234
Fax: (708) 342-7100
Type: Mailing
North Mount Auburn Road, Cape Girardeau, Cape Girardeau County, Missouri, 63701, United States
CAPE GIRARDEAU, MO 637034914
Phone: (573) 331-3350
Fax: (573) 331-3351
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $1,089.
Total Amount is formed as General ($1,089) + Research ($0) + Ownership ($0) = $1,089.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($258).
Total Amount
$1,089
General + Research + Ownership
Payments
29
Total payment records
General Amount
$1,089
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-04-29
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 |
|---|---|---|---|---|
| I20240429002755 | I | Gastroenterology | TN | 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 |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 260 | 257 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 171 | 163 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 136 | 136 | $0 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 89 | 77 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 78 | 65 | $0 |
Insurance plans in this area (ZIP 37066)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | MO | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 39 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Physician Assistant | TN | |
| General Surgery | TN | |
| Psychiatry, Neurology | TN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TN | |
| - | TN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TN | |
| Physical Medicine And Rehabilitation, Hospitalist | TN | |
| Nurse Practitioner | TN | |
| Family Practice, Emergency Medicine, Obstetrics/Gynecology | TN |
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