CMS-1500 Box 24J / 33a • NPI
1316438971
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207WX0109X (CMS 18)
Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)
Box 32 Service Location & ZIP+4
601 ELMWOOD AVE, ROCHESTER, NY, 14642-2717
✓ 9-Digit EDI 837 ZIP+4 (14642-2717)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1316438971 (BAYAN ALI MAHMOUD AL OTHMAN, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1316438971)
Medicare Beneficiaries
151
Total Billed Services
500
Distinct CPT/HCPCS Codes
18
Medicare Allowed Total
$34,536.40
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
92060 | Exam to measure eye deviation and range of motion | 36 |
92083 | Exam of visual field with extended testing | 67 |
92133 | Imaging of optic nerve | 79 |
99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 28 |
99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 129 |
99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 12 |
G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 70 |
G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 43 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Acetazolamide Er Acetazolamide | 11 | <11 |
| Latanoprost Latanoprost | 28 | <11 |
| Prednisone Prednisone | 62 | 19 |
| Pyridostigmine Bromide Pyridostigmine Bromide | 50 | 21 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1316438971 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BAYAN ALI MAHMOUD AL OTHMAN, MD |
| Plain-English Specialty | Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor) NUCC Code: 207WX0109X (Ophthalmology, Neuro-ophthalmology) |
| Certifying / Licensing Body | American Board of Ophthalmology (ABO) |
| Practice Location Address | 601 ELMWOOD AVE, ROCHESTER, NY, 14642-2717 |
| Practice Telephone / Fax | Tel: (585) 273-3937 |
| Administrative Mailing Address | 601 ELMWOOD AVE BOX 888, ROCHESTER, NY, 14642-0001 |
| Enumeration & Last Sync | Enumerated: 2018-05-18 | CMS Record Updated: 2023-07-03 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207WX0109X)
What Does Taxonomy Code 207WX0109X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207WX0109X translates to:
"Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BAYAN ALI MAHMOUD AL OTHMAN, MD)
Typical CPT / Diagnostic Procedures:- Phacoemulsification Cataract Extraction with Intraocular Lens (IOL) Implantation (CPT 66984)
- Optical Coherence Tomography (OCT) of Retina & Optic Nerve (CPT 92134)
- Intravitreal Anti-VEGF Injections for Macular Degeneration & Diabetic Retinopathy
- Comprehensive Slit-Lamp Biomicroscopy & Tonometry Glaucoma Screening
- Prostaglandin Analog Eye Drops (Latanoprost, Bimatoprost) & Timolol (Glaucoma)
- Moxifloxacin & Ciprofloxacin Ophthalmic Solutions
- Prednisolone Acetate & Ketorolac Post-Cataract Ophthalmic Drops
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207WX0109X — Ophthalmology, Neuro-ophthalmologyPlain English: Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor) | State: NY | License: 308285 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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