Active NPI 1013131275 Individual Practitioner Male Practitioner

Dr. Ali I Raja , MD, MSC

Neurological Surgery • Flagstaff, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ali Raja, MD, MSC is a certified Neurological Surgery practicing in Flagstaff, AZ. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Raja delivers high-quality medical care to the local community at 1200 N BEAVER ST.

Dr. Raja maintains professional affiliations with Dlp Conemaugh Physician Practices Llc, Ali Raja Md Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, smoking and tobacco use intermediate counseling, greater than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 N Beaver St

Flagstaff, AZ 860013118

Telephone 9287793366

Associated Practice Facility / Clinic

🏢 Darlene M Lee Md Pc Facility NPI 1568474013

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Flagstaff, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs -0.2 yrs vs City Avg

City Avg: 28.2 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

5 Specialists

Practicing in Flagstaff, AZ (209 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Raja (28 Years) 28 Yrs

Flagstaff Specialty Average (28.2 Years) 28.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	204	116	$336.59	$158.66
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	94	94	$411.85	$196.78
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	38	20	$28.98	$13.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	20	$246.05	$112.51
97760 Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes	16	16	$89.95	$39.80

HCPCS Code & Description	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	157	95	$239.02	$112.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	103	79	$334.62	$160.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$309.48	$146.77
97760 Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes	48	48	$89.92	$43.58
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	45	28	$28.62	$11.75
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	35	35	$409.18	$191.16

HCPCS Code & Description	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	190	130	$239.02	$116.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	112	112	$309.48	$151.66
97760 Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes	46	46	$89.92	$44.21
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	29	20	$28.62	$14.01

HCPCS Code & Description	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	263	175	$319.72	$119.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	156	156	$414.42	$153.06
97760 Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes	68	67	$343.69	$44.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	15	$298.56	$85.52
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	36	30	$76.15	$13.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	17	$651.66	$179.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$359.34	$167.31
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$6585.50	$903.87

HCPCS Code & Description	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	168	119	$351.52	$99.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	162	162	$453.11	$148.92
97760 Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes	54	54	$365.41	$44.21
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	40	30	$101.12	$13.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	40	14	$735.13	$95.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	11	$451.33	$66.46
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$273.82	$69.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$402.58	$92.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$1274.00	$192.53

HCPCS Code & Description	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	158	120	$193.00	$100.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	101	45	$190.00	$98.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	35	$133.00	$69.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$298.00	$153.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	49	$369.00	$187.16
99291 Critical care, first 30-74 minutes	50	25	$500.00	$209.56
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	47	47	$372.00	$190.20
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	29	24	$26.00	$13.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$250.00	$130.31
22614 Fusion of additional segment of spine	23	13	$1109.35	$339.12
99238 Hospital discharge day management, 30 minutes or less	23	23	$132.00	$67.00
63048 Partial removal of spine bone with release of spinal cord and/or nerves	19	11	$670.47	$171.40
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$130.00	$69.02
63045 Partial removal of upper spine bone with release of spinal cord and/or nerves	12	12	$4140.00	$641.95
22600 Fusion of spine in neck by posterior approach	12	12	$3387.08	$1098.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	148	58	$133.00	$68.90
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	127	127	$372.00	$188.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	96	$193.00	$97.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	73	63	$261.00	$132.24
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	66	59	$26.00	$13.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	63	35	$190.00	$98.75
99291 Critical care, first 30-74 minutes	58	29	$500.00	$211.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	38	$369.00	$191.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	39	$250.00	$129.22
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$126.74	$65.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$298.00	$152.63
99238 Hospital discharge day management, 30 minutes or less	12	12	$132.00	$68.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	250	86	$133.00	$68.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	100	$193.00	$98.44
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	93	39	$190.00	$98.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$298.00	$149.58
99213 Established patient office or other outpatient visit, typically 15 minutes	80	71	$130.00	$64.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	78	71	$250.00	$128.76
99291 Critical care, first 30-74 minutes	67	27	$500.00	$209.06
99238 Hospital discharge day management, 30 minutes or less	38	38	$132.00	$67.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$369.00	$190.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$372.00	$184.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$193.00	$98.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$261.00	$133.37

Medical Specialties & State Licenses

CMS Verified: 2025-09-18

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License AR E4731

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Neurological Surgery

NUCC Taxonomy Code: 207T00000X

State License AZ 63483

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

172805001 (AR)

Commercial Insurance / Payer ID Railroad Medicare

P00622542 (AR)

Commercial Insurance / Payer ID Railroad Medicare

P00622530 (AR)

Hospital & Practice Group Affiliations

Ali Raja Md Pa

5918 Lee Ave, Little Rock, AR 722053326

Phone: 5012271860

Dlp Conemaugh Physician Practices Llc

1111 Franklin St, Johnstown, PA 159054340

Phone: 8145345724

Secondary Practice Locations

5918 Lee Ave

Little Rock, AR 722053326

Phone: 5012271860

5201 Northshore Dr, Suite 100

North Little Rock, AR 721185312

Phone: 5012250880

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Jeremy Nielsen , MD

Anesthesiology

NPI 1003127341

Doctor of Medicine (M.D.)

Elizabeth Gilmore , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003268749

Certified Registered Nurse Anesthetist

Leah Paul , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013269307

Certified Registered Nurse Anesthetist

Robin Aufdenkampe , MS, RD

Dietitian, Registered - Nutrition, Pediatric

NPI 1043430408

Master of Science, Registered Dietitian

Dr. Kyle Richardson , MD

Anesthesiology

NPI 1043713878

Doctor of Medicine (M.D.)

Ashlee Furstnow

Clinical Nurse Specialist

NPI 1083536817

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location September 18, 2025

Registered at 1200 N BEAVER ST, FLAGSTAFF, AZ 860013118 (Tel: 9287793366)

📍

Updated Practice Location July 14, 2021

Registered at 5918 LEE AVE, LITTLE ROCK, AR 722053326 (Tel: 5012271860)

📍

Updated Business Mailing Address July 14, 2021

Registered at 5918 LEE AVE, LITTLE ROCK, AR 722053326 (Tel: 5012271860)

📍

Updated Practice Location July 13, 2020

Registered at 5201 NORTHSHORE DR, SUITE 100, NORTH LITTLE ROCK, AR 721185312 (Tel: 5012250880)

📍

Updated Business Mailing Address July 13, 2020

Registered at 5201 NORTHSHORE DR, SUITE 100, NORTH LITTLE ROCK, AR 721185312 (Tel: 5012250880)

✅

NPI Profile Active February 20, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 20, 2012

Registered at FIVE ST. VINCENT CIRCLE, SUITE 210, LITTLE ROCK, AR 722055412 (Tel: 5015526424)

📍

Updated Business Mailing Address February 20, 2012

Registered at FIVE ST. VINCENT CIRCLE, SUITE 210, LITTLE ROCK, AR 722055412 (Tel: 5015526424)

👤

Provider Name / Credentials Updated February 20, 2012

Recorded as ALI RAJA, MD, MSC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2012

Neurological Surgery (License #E4731 in AR)

🟢

Initial NPI Registration & Enumeration April 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013131275

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 12, 2007

Last Update: September 18, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5918 Lee Ave

Little Rock, AR 722053326

Phone: 5012271860

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.