Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Khaled Ibrahim , MD

General Practice โ€ข Palm Coast, FL

Active NPI 1497108393 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

264a Palm Coast Pkwy Ne
Palm Coast, FL 321378217

Call 3864465505 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

264a Palm Coast Pkwy Ne

Palm Coast, FL 321378217

Telephone 3864465505
Organization at the Same NPPES Address or Phone
Mainland Physicians Group Llc Facility NPI 1003419763

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Port Orange, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1993

Medicare patients

34 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $8,113 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $5,869 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

3,622 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$27,030 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2024

All general payments: $177.94 across 8 records.

By nature of payment

  • Food and Beverage: $177.94 across 8 records.

Reporting-company totals

  • GlaxoSmithKline, LLC.: $143.54 across 6 records.
  • Medtronic, Inc.: $18.21 across 1 record.
  • Janssen Pharmaceuticals, Inc: $16.19 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

33 years (graduated 1993)

CMS Doctors and Clinicians data list 1993 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Ibrahim has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Ibrahim as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Palm Coast and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 70% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: 138. Middle half: 63 to 510.

Too few clinicians listed under General Practice in Palm Coast have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 60% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: $12,422. Middle half: $5,563 to $41,228.

Too few clinicians listed under General Practice in Palm Coast have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 60% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: $9,105. Middle half: $3,803 to $30,969.

Too few clinicians listed under General Practice in Palm Coast have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: 2,849. Middle half: 518 to 6,924.

Too few clinicians listed under General Practice in Palm Coast have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 70% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: $166,180. Middle half: $16,824 to $452,832.

Too few clinicians listed under General Practice in Palm Coast have Medicare Part D data for 2024 to compare.

8 active clinicians are listed under General Practice with a practice address in Palm Coast, FL (2,293 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $177.94.

Manufacturer Payment Nature Product Type Amount ($)
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
TRELEGY ELLIPTA General $25.33
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
TRELEGY ELLIPTA General $24.37
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
TRELEGY ELLIPTA General $24.22
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
TRELEGY ELLIPTA General $24.15
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
TRELEGY ELLIPTA General $24.15
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
SHINGRIX General $21.32
Medtronic, Inc.
Food and Beverage
In-kind items and services
INTELLIS ADAPTIVESTIM General $18.21
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
XARELTO General $16.19

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2023โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
51 25 $204.00 $124.59
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
20 15 $147.00 $87.97

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Rosuvastatin Calcium Rosuvastatin Calcium 177 14,984 $1,503.24 100
Atorvastatin Calcium Atorvastatin Calcium 143 12,504 $767.75 81
Amlodipine Besylate Amlodipine Besylate 105 8,910 $203.22 59
Lisinopril Lisinopril 86 7,440 $361.19 43
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 85 804 $772.67 83
Losartan Potassium Losartan Potassium 82 7,140 $408.52 47
Levothyroxine Sodium Levothyroxine Sodium 75 6,510 $667.09 44
Doxycycline Hyclate Doxycycline Hyclate 52 502 $249.75 47
Metformin Hcl Er Metformin Hcl 49 4,200 $294.61 30
Ezetimibe Ezetimibe 41 3,600 $492.05 24
Azithromycin Azithromycin 38 190 $252.89 37
Metoprolol Succinate Metoprolol Succinate 37 2,980 $275.94 20
Methylprednisolone Methylprednisolone 34 206 $164.26 33
Tamsulosin Hcl Tamsulosin Hcl 34 2,939 $153.21 22
Albuterol Sulfate Hfa Albuterol Sulfate 32 1,176 $1,205.86 16
Ciprofloxacin Hcl Ciprofloxacin Hcl 30 276 $147.81 28
Losartan-Hydrochlorothiazide Losartan/Hydrochlorothiazide 30 2,460 $210.77 15
Hydrochlorothiazide Hydrochlorothiazide 26 2,100 $41.75 17
Gabapentin Gabapentin 23 2,010 $301.46 14
Metformin Hcl Metformin Hcl 23 1,830 $101.99 14
Omeprazole Omeprazole 23 1,890 $133.39 20
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 23 207 $48.84 22
Alendronate Sodium Alendronate Sodium 22 1,854 $140.37 13
Fenofibrate Fenofibrate 21 1,830 $389.31 12
Pantoprazole Sodium Pantoprazole Sodium 21 1,830 $218.77 14

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-07
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES FL ACN1088

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES PR 19420

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL PRACTICE

Medicare Enrollment ID

I20200630000065

Enrollment State Jurisdiction

FL

PECOS Control ID

7113349663

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

3691 Clyde Morris Blvd

Port Orange, FL 321292317

Phone: 3863688876

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Robin Carr

Physician Assistant

NPI 1780341669
NPI 1376151472

Doctor of Medicine (M.D.)

Dr. Lydia Kefalidou , MD

Internal Medicine

NPI 1508833427

Doctor of Medicine (M.D.)

Dr. Glenn Meyers , MD

Internal Medicine

NPI 1639319080

Doctor of Medicine (M.D.)

NPI 1912469230

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2026

General Practice (license number reported to NPPES: FL ACN1088)

๐Ÿ“
Updated Practice Location May 10, 2023

Registered at 264A PALM COAST PKWY NE, PALM COAST, FL 321378217 (Tel: 3864465505)

๐Ÿ“
Updated Business Mailing Address May 10, 2023

Registered at 100 ARRICOLA AVE, ST AUGUSTINE, FL 320804515 (Tel: 9048254368)

โœ…
NPI Profile Active July 15, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 15, 2016

Registered at 404 AVE GENERAL VALERO, FAJARDO, PR 007383998 (Tel: 7876550505)

๐Ÿ“
Business Mailing Address (Initial Record) July 15, 2016

Registered at 404 AVE GENERAL VALERO, FAJARDO, PR 007383998 (Tel: 7876550505)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 15, 2016

Recorded as KHALED IBRAHIM, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2016

General Practice (license number reported to NPPES: PR 19420)

๐ŸŸข
Initial NPI Registration & Enumeration July 15, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497108393
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2016
Last Update: July 07, 2026
Sole Proprietor: Yes

Other General Practices in Palm Coast

Healthcare providers in Palm Coast

Mailing Address

100 Arricola Ave

St Augustine, FL 320804515

Phone: 9048254368

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.