Doctor profile · Federal record
Dr. Hesham Elghannam, MD
Pulmonary Disease Physician (CMS: Critical Care (Intensivists)) · West Allis, WI
- NPI 1023212289
- Accepts Medicare
- 30 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2424 S 90Th St Ste 300
West Allis, WI 532272455
(414) 328-8150 - Additional location
-
8905 W Lincoln Ave Ste 401
West Allis, WI 532272469
(414) 328-8270
fax (509) 755-6580
Credentials & registration
- NPI registered
- June 2007 — 19 yrs on file
- Profile last updated
- June 26, 2023
- Year of graduation
- 1996 — 30 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Wisconsin #61317
- Medicaid (2)
- WI #100033017 · WA #8509416
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1023212289. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,416
Distinct HCPCS
10
Medicare allowed
$135,240
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 449 | 155 | $110 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 300 | 220 | $119 | |
J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 168 | 55 | $0 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 85 | 85 | $156 | |
99291 |
Critical care, first 30-74 minutes | 73 | 37 | $193 | |
94729 |
Test to examine how well the lungs exchange gases | 61 | 60 | $53 | |
94726 |
Test to determine lung volumes using sensors | 59 | 58 | $50 | |
94060 |
Test to measure expiratory airflow and volume changes before and after medication administration | 55 | 54 | $36 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 50 | 49 | $162 | |
G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 36 | 36 | $44 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 92. This provider delivers 15× the peer median.Open Payments
Industry payments received
All-time total
$77
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 1 | $49.42 | |
| GlaxoSmithKline, LLC. | 1 | $27.17 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,122
Patients
483
Total drug cost
$894,157
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 370 | 69 | $301,186 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 337 | 121 | $11,764 |
| Anoro Ellipta (Umeclidinium Brm/Vilanterol Tr) | Brand | 265 | 39 | $152,562 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 186 | 38 | $91,270 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 184 | 36 | $109,679 |
| Montelukast Sodium | Generic | 167 | 43 | $2,840 |
| Roflumilast | Generic | 119 | 17 | $17,014 |
| Prednisone | Generic | 110 | 51 | $789 |
| Spiriva Handihaler (Tiotropium Bromide) | Brand | 75 | 13 | $58,952 |
| Advair Diskus (Fluticasone Propion/Salmeterol) | Brand | 72 | 15 | $44,058 |
Hospital affiliations
Frequently asked questions
What is Dr. Hesham Elghannam's medical specialty?
Dr. Hesham Elghannam practices Pulmonary Disease Physician in West Allis, WI.
Where does Dr. Hesham Elghannam practice?
Dr. Hesham Elghannam practices at 2424 S 90Th St Ste 300, West Allis, WI 532272455. Office phone: 4143288150.
What is Dr. Hesham Elghannam's NPI?
Dr. Hesham Elghannam's National Provider Identifier (NPI) is 1023212289, issued by NPPES.
Does Dr. Hesham Elghannam accept Medicare assignment?
Yes. Dr. Hesham Elghannam accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Hesham Elghannam commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Established patient office or other outpatient visit (HCPCS 99214); Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg (HCPCS J7613). Source: CMS Medicare Physician & Other Practitioners file.