Preliminary ASM Participants
48 clinicians in Iowa
Identified for mandatory Ambulatory Specialty Model participation starting January 2027—0.7% of all 6,637 participants nationally. 6% are in small practices.
Learn about ASMOur Take
On the list? Plan as if you're in—review your episode cost data and begin building collaborative care arrangements. Not on the list? If you practice in a mandatory geographic area, you may still appear on the final list (expected mid-2026).
Largest organizations in Iowa
Top 10 by participant count
| Organization | Participants |
|---|---|
| PHYSICIANS CLINIC INC | 14 |
| CARDIOVASCULAR MEDICINE PLLC | 8 |
| STATE UNIVERSITY OF IOWA | 7 |
| CEDAR VALLEY MEDICAL SPECIALISTS PC | 4 |
| STEINDLER ORTHOPEDIC CLINIC PLC | 4 |
| COVENANT MEDICAL CENTER INC | 2 |
| THE UNITY HOSPITAL OF ROCHESTER | 2 |
| CATHOLIC HEALTH INITIATIVES-IOWA CORP | 1 |
| MERCY HOSPITAL IOWA CITY IOWA | 1 |
| ARCHANA WAGLE M D A PROFESSIONAL CORPORATION | 1 |
Full participant list
48 clinicians · Preliminary list · February 2026
| Name | NPI | Cohort | Organization | Small Practice |
|---|---|---|---|---|
| Ashar Afzal | 1689628117 | Low Back Pain | CEDAR VALLEY MEDICAL SPECIALISTS PC | — |
| Khalil Anouti | 1124434360 | Heart Failure | CEDAR VALLEY MEDICAL SPECIALISTS PC | — |
| Joseph Ayoub | 1902888365 | Heart Failure | PHYSICIANS CLINIC INC | — |
| Anke Bellinger | 1447202692 | Low Back Pain | COVENANT MEDICAL CENTER INC | — |
| Randal Cassling | 1437110525 | Heart Failure | PHYSICIANS CLINIC INC | — |
| Mark Chouinard | 1487615316 | Heart Failure | PHYSICIANS CLINIC INC | — |
| Edmund Coyne | 1114906138 | Heart Failure | CARDIOVASCULAR MEDICINE PLLC | — |
| Fred Dery | 1457569188 | Low Back Pain | STEINDLER ORTHOPEDIC CLINIC PLC | — |
| Joud Dib | 1033273628 | Heart Failure | CEDAR VALLEY MEDICAL SPECIALISTS PC | — |
| Michael Dolphin | 1588635502 | Low Back Pain | ORTHOPAEDIC SPECIALISTS PC | — |
Prepare for ASM
Guides and analysis for Iowa clinicians
ASM Preparation Checklist
Actionable steps for cost, quality, and coordination
ASM for Cardiologists
Heart failure cohort scoring and measures
ASM for Spine & Pain Specialists
Low back pain cohort scoring and measures
Source: CMS CY2027 Preliminary ASM Participant List (February 2026). Preliminary list based on available claims data. Final determinations expected mid-2026. Inclusion does not guarantee final participation; absence does not confirm exclusion.