Active NPI 1598737892 Individual Practitioner Male Practitioner

Dr. Ali Ghafouri , MD

Ophthalmology • Mesa, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ali Ghafouri, MD is a certified Ophthalmology practicing in Mesa, AZ. With approximately 33 years of clinical experience since graduating from Michigan State University College Of Human Medicine in 1993, Dr. Ghafouri delivers high-quality medical care to the local community at 1055 S STAPLEY DR.

Dr. Ghafouri accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, incobotulinumtoxin a, 1 unit, new patient outpatient office visit, photography of content of eyes. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1055 S Stapley Dr

Mesa, AZ 85204

Telephone 4808339100

Fax 4808336000

Associated Practice Facility / Clinic

🏢 Southwestern Eye Center Ltd Facility NPI 1881919967

Medicare Profile & Education

Medical School

Michigan State University College Of Human Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Mesa, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +6.1 yrs vs City Avg

City Avg: 26.9 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

29 Specialists

Practicing in Mesa, AZ (384 Statewide)

Telehealth Adoption Rate

3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ghafouri (33 Years) 33 Yrs

Mesa Specialty Average (26.9 Years) 26.9 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
J0588 Injection, incobotulinumtoxin a, 1 unit	2,351	11	$10.00	$5.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	242	242	$240.00	$160.34
92285 Photography of content of eyes	200	200	$45.00	$22.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$165.00	$107.45
68840 Probing of nasal-tear duct	48	45	$240.00	$143.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	39	$159.00	$123.61
99213 Established patient office or other outpatient visit, typically 15 minutes	41	36	$108.00	$87.60
15823 Removal of excessive skin and fat of upper eyelid	40	40	$1197.13	$754.75
64612 Injection of chemical for paralysis of nerve muscles on side of face	33	11	$286.59	$182.87
68326 Reconstruction of conjunctiva	28	27	$1051.16	$602.81
67840 Removal of eyelid growth	26	22	$412.00	$246.95
67917 Extensive repair of turning-outward eyelid defect	26	23	$987.63	$258.39
67904 Repair of tendon of upper eyelid	25	25	$1423.50	$690.73
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$320.00	$212.54
31231 Diagnostic examination of nasal passages using an endoscope	13	13	$300.00	$131.25
67903 Shortening or advancement of upper eyelid muscle to correct drooping or paralysis	12	12	$997.88	$493.79
67810 Biopsy of eyelid	11	11	$256.00	$167.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	252	252	$240.00	$160.24
92285 Photography of content of eyes	218	217	$45.00	$22.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$165.00	$108.48
68840 Probing of nasal-tear duct	53	48	$255.40	$158.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	44	$159.00	$123.77
15823 Removal of excessive skin and fat of upper eyelid	36	36	$1177.50	$764.25
99213 Established patient office or other outpatient visit, typically 15 minutes	35	32	$108.00	$87.46
68326 Reconstruction of conjunctiva	31	31	$995.48	$478.79
67904 Repair of tendon of upper eyelid	29	27	$1434.83	$707.95
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	26	25	$1155.00	$494.00
67950 Enlargement of eyelid margin	25	24	$872.10	$225.69
31231 Diagnostic examination of nasal passages using an endoscope	19	17	$300.00	$130.65
67917 Extensive repair of turning-outward eyelid defect	19	18	$995.84	$242.59
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	18	18	$1507.00	$752.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$320.00	$212.97
67840 Removal of eyelid growth	16	15	$412.00	$263.40
68815 Probing of nasal-tear duct with insertion of tube or stent	15	15	$637.20	$113.36
67810 Biopsy of eyelid	14	14	$256.00	$172.87
67924 Extensive repair of turning-inward eyelid defect	14	14	$978.25	$241.49
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	11	11	$620.00	$250.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0588 Injection, incobotulinumtoxin a, 1 unit	2,585	14	$10.00	$5.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	279	279	$240.00	$164.07
92285 Photography of content of eyes	264	264	$45.00	$22.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$165.00	$110.11
15823 Removal of excessive skin and fat of upper eyelid	64	64	$1128.44	$733.26
68840 Probing of nasal-tear duct	50	46	$241.92	$153.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	44	$160.69	$126.10
64612 Injection of chemical for paralysis of nerve muscles on side of face	35	15	$281.36	$193.07
99213 Established patient office or other outpatient visit, typically 15 minutes	34	31	$108.00	$89.35
67904 Repair of tendon of upper eyelid	34	34	$1529.78	$806.51
68326 Reconstruction of conjunctiva	29	29	$1042.43	$591.95
31231 Diagnostic examination of nasal passages using an endoscope	23	22	$300.00	$118.26
67810 Biopsy of eyelid	21	18	$256.00	$174.66
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	20	18	$1155.00	$518.25
67950 Enlargement of eyelid margin	18	18	$950.00	$249.09
67840 Removal of eyelid growth	17	16	$412.00	$270.88
67903 Shortening or advancement of upper eyelid muscle to correct drooping or paralysis	16	15	$970.16	$459.12
67917 Extensive repair of turning-outward eyelid defect	15	13	$1081.20	$287.33
67924 Extensive repair of turning-inward eyelid defect	15	15	$986.17	$228.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0588 Injection, incobotulinumtoxin a, 1 unit	2,833	15	$10.03	$5.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	319	319	$240.00	$163.94
92285 Photography of content of eyes	273	273	$45.00	$22.12
15823 Removal of excessive skin and fat of upper eyelid	100	100	$1283.47	$729.86
99213 Established patient office or other outpatient visit, typically 15 minutes	63	52	$108.00	$89.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$165.00	$110.42
68840 Probing of nasal-tear duct	57	49	$281.26	$157.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	50	$159.00	$127.59
64612 Injection of chemical for paralysis of nerve muscles on side of face	45	19	$303.33	$192.49
67904 Repair of tendon of upper eyelid	44	44	$1642.50	$806.34
68326 Reconstruction of conjunctiva	35	34	$1128.37	$627.85
67840 Removal of eyelid growth	32	28	$412.00	$270.79
31231 Diagnostic examination of nasal passages using an endoscope	31	28	$300.00	$131.09
67917 Extensive repair of turning-outward eyelid defect	30	28	$1186.32	$300.35
67810 Biopsy of eyelid	25	24	$256.00	$181.46
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	14	$40.00	$22.18
67950 Enlargement of eyelid margin	18	16	$973.75	$250.85
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	15	14	$1155.00	$584.54
67924 Extensive repair of turning-inward eyelid defect	15	15	$978.83	$244.75
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	13	13	$620.00	$259.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0588 Injection, incobotulinumtoxin a, 1 unit	2,871	22	$11.84	$5.00
92285 Photography of content of eyes	261	259	$41.60	$21.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	180	180	$240.02	$160.47
15823 Removal of excessive skin and fat of upper eyelid	58	58	$1501.72	$700.99
99213 Established patient office or other outpatient visit, typically 15 minutes	52	49	$109.10	$74.05
92004 New patient complete exam of visual system	51	51	$227.06	$147.76
67840 Removal of eyelid growth	48	41	$420.58	$260.91
68840 Probing of nasal-tear duct	46	44	$325.78	$154.00
64612 Injection of chemical for paralysis of nerve muscles on side of face	45	23	$373.26	$193.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	43	$159.00	$106.90
92012 Established patient problem focused exam of visual system	43	38	$132.33	$87.02
67904 Repair of tendon of upper eyelid	43	41	$1782.56	$727.85
92002 New patient problem focused exam of visual system	42	42	$126.14	$82.86
31231 Diagnostic examination of nasal passages using an endoscope	39	37	$302.77	$124.54
67950 Enlargement of eyelid margin	32	31	$1002.19	$289.61
68326 Reconstruction of conjunctiva	28	28	$1068.39	$568.78
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	23	23	$1155.00	$577.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$164.57	$102.34
67917 Extensive repair of turning-outward eyelid defect	18	16	$1151.28	$332.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$65.00	$44.82
67810 Biopsy of eyelid	15	15	$256.00	$165.74
67924 Extensive repair of turning-inward eyelid defect	13	13	$1088.08	$243.09
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	12	12	$1507.00	$771.63
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	12	11	$611.33	$267.39
67875 Temporary closure of eyelids by suture	11	11	$258.00	$51.75
67903 Shortening or advancement of upper eyelid muscle to correct drooping or paralysis	11	11	$1128.91	$512.84
68200 Injection into conjunctiva	11	11	$67.64	$28.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0588 Injection, incobotulinumtoxin a, 1 unit	3,954	22	$10.00	$4.42
J0585 Injection, onabotulinumtoxina, 1 unit	1,270	11	$10.00	$6.03
92285 Photography of content of eyes	385	374	$31.00	$20.98
92002 New patient problem focused exam of visual system	340	340	$124.00	$83.09
92012 Established patient problem focused exam of visual system	146	122	$129.84	$87.25
92004 New patient complete exam of visual system	130	130	$224.00	$148.44
68840 Probing of nasal-tear duct	105	93	$336.55	$112.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	96	$159.00	$104.94
31231 Diagnostic examination of nasal passages using an endoscope	83	71	$312.00	$197.85
67840 Removal of eyelid growth	81	71	$412.00	$262.30
67904 Repair of tendon of upper eyelid	75	72	$1940.47	$796.28
64612 Injection of chemical for paralysis of nerve muscles on side of face	61	24	$363.25	$190.76
67917 Extensive repair of turning-outward eyelid defect	57	54	$1296.14	$448.27
15823 Removal of excessive skin and fat of upper eyelid	56	56	$1672.89	$780.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$243.00	$156.85
67950 Enlargement of eyelid margin	39	37	$1140.00	$327.64
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	28	27	$1155.00	$564.65
99213 Established patient office or other outpatient visit, typically 15 minutes	26	26	$108.00	$72.26
68326 Reconstruction of conjunctiva	23	22	$1006.96	$558.67
67924 Extensive repair of turning-inward eyelid defect	19	18	$1042.26	$263.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$160.00	$106.68
67810 Biopsy of eyelid	18	18	$256.00	$168.88
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	18	18	$1507.00	$791.90
68815 Probing of nasal-tear duct with insertion of tube or stent	16	16	$668.25	$122.10
68801 Dilation of tear drainage opening	14	14	$150.86	$75.45
67903 Shortening or advancement of upper eyelid muscle to correct drooping or paralysis	14	14	$1013.71	$498.30
92014 Established patient complete exam of visual system	11	11	$187.00	$125.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0588 Injection, incobotulinumtoxin a, 1 unit	3,127	23	$10.25	$4.56
J0585 Injection, onabotulinumtoxina, 1 unit	1,524	17	$10.00	$5.63
92002 New patient problem focused exam of visual system	367	367	$119.42	$77.01
92285 Photography of content of eyes	355	345	$34.96	$18.94
92012 Established patient problem focused exam of visual system	159	130	$120.15	$81.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	105	$152.50	$98.71
92004 New patient complete exam of visual system	93	93	$207.44	$139.36
67904 Repair of tendon of upper eyelid	92	91	$1473.15	$748.88
68840 Probing of nasal-tear duct	90	88	$256.33	$107.05
64612 Injection of chemical for paralysis of nerve muscles on side of face	65	26	$326.78	$175.19
31231 Diagnostic examination of nasal passages using an endoscope	65	61	$309.42	$186.25
67840 Removal of eyelid growth	62	55	$407.65	$243.43
15823 Removal of excessive skin and fat of upper eyelid	59	59	$1475.42	$701.79
67917 Extensive repair of turning-outward eyelid defect	47	46	$1097.55	$358.81
67950 Enlargement of eyelid margin	41	38	$1204.02	$326.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$239.31	$149.28
99213 Established patient office or other outpatient visit, typically 15 minutes	34	33	$105.35	$65.89
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	31	27	$1482.10	$506.59
68815 Probing of nasal-tear duct with insertion of tube or stent	29	29	$740.48	$110.95
68326 Reconstruction of conjunctiva	25	25	$1050.60	$542.48
68801 Dilation of tear drainage opening	23	21	$180.78	$68.08
67924 Extensive repair of turning-inward eyelid defect	22	21	$1176.73	$305.99
67820 Removal of eyelashes using forceps	19	16	$75.79	$35.58
21280 Reattachment of nasal and eye socket ligament	19	19	$1148.68	$484.40
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	18	17	$2081.67	$693.80
67810 Biopsy of eyelid	16	16	$301.75	$154.26
92083 Exam of visual field with extended testing	14	14	$169.71	$59.77
30130 Removal of nasal air passage	13	13	$612.62	$173.68
68720 Creation of drainage tract from tear sac to the nasal cavity	12	12	$1409.17	$705.38
67903 Shortening or advancement of upper eyelid muscle to correct drooping or paralysis	12	12	$1096.75	$414.07
67975 Reconstruction of an eyelid by transfer of eyelid tissue from opposite eyelid	11	11	$1283.18	$580.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$156.36	$99.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$60.91	$40.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	3,985	27	$10.00	$5.37
92285 Photography of content of eyes	329	317	$50.00	$18.50
92004 New patient complete exam of visual system	265	265	$180.00	$142.13
92002 New patient problem focused exam of visual system	262	262	$100.00	$77.43
92012 Established patient problem focused exam of visual system	182	149	$100.00	$81.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	125	$119.86	$101.02
92083 Exam of visual field with extended testing	110	110	$225.00	$61.38
67904 Repair of tendon of upper eyelid	94	94	$1279.79	$791.09
68840 Probing of nasal-tear duct	86	79	$250.00	$97.79
31231 Diagnostic examination of nasal passages using an endoscope	82	73	$300.00	$198.92
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	69	58	$1985.51	$492.86
64612 Injection of chemical for paralysis of nerve muscles on side of face	60	27	$400.00	$179.12
67917 Extensive repair of turning-outward eyelid defect	51	49	$1380.00	$399.67
67840 Removal of eyelid growth	48	45	$345.21	$249.82
67950 Enlargement of eyelid margin	46	43	$1384.78	$304.00
15823 Removal of excessive skin and fat of upper eyelid	41	41	$1756.10	$728.98
67810 Biopsy of eyelid	36	34	$500.00	$156.93
68801 Dilation of tear drainage opening	35	34	$275.00	$77.00
67875 Temporary closure of eyelids by suture	27	23	$400.00	$47.63
68815 Probing of nasal-tear duct with insertion of tube or stent	27	26	$1000.00	$113.63
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	24	20	$2741.67	$795.54
67820 Removal of eyelashes using forceps	19	17	$140.00	$42.98
21280 Reattachment of nasal and eye socket ligament	16	16	$1800.00	$512.25
67924 Extensive repair of turning-inward eyelid defect	16	16	$1743.75	$332.63
68360 Relocation of conjunctival flap	15	15	$1000.00	$222.85
67700 Incision and drainage of eyelid abscess	15	13	$350.00	$235.42
68700 Plastic repair of tear duct	11	11	$1500.00	$445.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$150.00	$102.85

Medical Specialties & State Licenses

CMS Verified: 2026-01-06

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License AZ 27072

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Secondary Practice Locations

13400 E Shea Blvd

Scottsdale, AZ 852595452

Phone: 4803018000

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Jordan Bluth , OD

Optometrist

NPI 1043710759

Doctor of Optometry

Dr. Bailey Yee , OD

Optometrist

NPI 1073194221

Doctor of Optometry

Dr. Matthew Palmer , OD

Optometrist

NPI 1093970931

Doctor of Optometry

Dr. Denise Garcia , MD

Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery

NPI 1194885590

Doctor of Medicine (M.D.)

Wallace Henry

Specialist/Technologist, Other - Surgical Technologist

NPI 1316311715

Jeffrey Gorzitze , CRNA

Nurse Anesthetist, Certified Registered

NPI 1386649952

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location May 30, 2018

Registered at 1055 S STAPLEY DR, MESA, AZ 85204 (Tel: 4808339100)

✅

NPI Profile Active October 17, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 17, 2007

Registered at 1055 S STAPLEY DR, MESA, AZ 852045013 (Tel: 4808339100)

📍

Updated Business Mailing Address October 17, 2007

Registered at 2610 E UNIVERSITY DR, MESA, AZ 852138436 (Tel: 4808928400)

👤

Provider Name / Credentials Updated October 17, 2007

Recorded as ALI GHAFOURI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2007

Ophthalmology (License #27072 in AZ)

🟢

Initial NPI Registration & Enumeration February 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1598737892

Entity Type:

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

Enumeration Date: February 02, 2006

Last Update: January 06, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2610 E University Dr

Mesa, AZ 852138436

Phone: 4808928400

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.