Muhammad Badshah, MD
NPI 1295195261 · Endocrinology, Diabetes & Metabolism Physician · Gettysburg, PA
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Muhammad Badshah, MD is a Endocrinology, Diabetes & Metabolism Physician provider in Gettysburg, PA (NPI 1295195261).
Provider details
- NPI number
- 1295195261
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME80419 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
24 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 13 | $112 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 11 | $157 |
Typical Medicare-allowed amounts for these services range $112–$157 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
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) |
|---|---|
| Semaglutidebrand: Ozempic | 12 |
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.
Practice location
Mailing address
Additional practice locations (4)
- 1106 E Prospect Rd Ste 100Fort Collins, CO 80525-5304Phone: (970) 224-3636
- 3000 Old Alabama Rd # 119-608Alpharetta, GA 30022-5860Phone: (678) 277-3051
- 1221 Sixth St Ste 208Traverse City, MI 49684-2360Phone: (231) 935-2045Fax: (231) 935-2046
- 502 E 2nd StDuluth, MN 55805-1913Phone: (218) 786-8364
Registry dates
- Enumerated
- 2016-03-03
- Last updated
- 2026-05-08
- Certified
- 2026-05-08
Frequently asked questions
- What is Muhammad Badshah's NPI number?
- Muhammad Badshah's National Provider Identifier (NPI) is 1295195261, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Muhammad Badshah's specialty?
- Muhammad Badshah is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Muhammad Badshah located?
- Muhammad Badshah's practice location on file with NPPES is 40 V Twin Dr Ste 205, Gettysburg, PA 17325-7878.
- What is Muhammad Badshah's phone number?
- The practice phone number listed in the NPPES registry for Muhammad Badshah is (717) 339-2790.
- Does Muhammad Badshah accept Medicare?
- Muhammad Badshah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Muhammad Badshah's NPI active?
- Yes — Muhammad Badshah's NPI (1295195261) is active in the NPPES registry as of the last update on 2026-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.