Hossein Elgafy, M.D.
NPI 1629087168 · Orthopaedic Surgery Physician · Toledo, OH
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hossein Elgafy, M.D. is a Orthopaedic Surgery Physician provider in Toledo, OH (NPI 1629087168).
Provider details
- NPI number
- 1629087168
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 35088395 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
419 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 167 | $65 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 67 | $86 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 46 | $93 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 27 | $126 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 23 | $35 |
| Insertion of Cage Or Mesh Device to Spine Bone and Disc Space During Spine Fusion |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 273 | 87 |
| Cyclobenzaprine Hcl | 113 | 51 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 78 | 24 |
| Oxycodone Hcl | 69 | 18 |
| Tizanidine Hcl | 62 | 15 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 21 | 14 |
| Tramadol Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$574 across 6 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
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2026-01-22
- Certified
- 2026-01-22
Frequently asked questions
- What is Hossein Elgafy's NPI number?
- Hossein Elgafy's National Provider Identifier (NPI) is 1629087168, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hossein Elgafy's specialty?
- Hossein Elgafy is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Hossein Elgafy located?
- Hossein Elgafy's practice location on file with NPPES is 1125 Hospital Dr Fl 1, Toledo, OH 43614-8001.
- What is Hossein Elgafy's phone number?
- The practice phone number listed in the NPPES registry for Hossein Elgafy is (419) 383-3761.
- Does Hossein Elgafy accept Medicare?
- Hossein Elgafy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hossein Elgafy's NPI active?
- Yes — Hossein Elgafy's NPI (1629087168) is active in the NPPES registry as of the last update on 2026-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.