Samia Ghaffar, MD
NPI 1093004988 · Orthopaedic Surgery of the Spine Physician · Fresno, CA
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samia Ghaffar, MD is a Orthopaedic Surgery of the Spine Physician provider in Fresno, CA (NPI 1093004988).
Provider details
- NPI number
- 1093004988
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- A122660 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
755 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 279 | $128 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 131 | $169 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 90 | $63 |
| Mri Scan of Lower Spinal Canal Before and After Contrast72158 | 56 | $104 |
| Insertion of Cage Or Mesh Device to Spine Bone and Disc Space During Spine Fusion22853 | 36 | $236 |
| Mri Scan of Upper Spinal Canal Before and After Contrast |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 26 | 18 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$939 across 12 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 1510 E Herndon Ave Ste 230Fresno, CA 93720-3392Phone: (559) 450-2663Fax: (559) 450-2724
- 805 W Acequia Ave Ste 2dVisalia, CA 93291-6164Phone: (559) 622-8687Fax: (559) 622-8693
Registry dates
- Enumerated
- 2011-03-31
- Last updated
- 2026-02-05
- Certified
- 2026-02-05
Frequently asked questions
- What is Samia Ghaffar's NPI number?
- Samia Ghaffar's National Provider Identifier (NPI) is 1093004988, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samia Ghaffar's specialty?
- Samia Ghaffar is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery of the Spine Physician (Allopathic & Osteopathic Physicians).
- Where is Samia Ghaffar located?
- Samia Ghaffar's practice location on file with NPPES is 45 E River Park Pl W Ste 104, Fresno, CA 93720-1565.
- What is Samia Ghaffar's phone number?
- The practice phone number listed in the NPPES registry for Samia Ghaffar is (559) 320-0530.
- Does Samia Ghaffar accept Medicare?
- Samia Ghaffar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samia Ghaffar's NPI active?
- Yes — Samia Ghaffar's NPI (1093004988) is active in the NPPES registry as of the last update on 2026-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.