Active NPI 1356583033 Individual Practitioner Male Practitioner

Dr. Abtin Hajiloo Khosravi , MD

Surgery • Orange, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Abtin Khosravi, MD is a certified Surgery practicing in Orange, CA. With approximately 17 years of clinical experience since graduating from Johns Hopkins University School Of Medicine in 2009, Dr. Khosravi delivers high-quality medical care to the local community at 1010 W LA VETA AVE STE 775.

Dr. Khosravi is affiliated with Orange Surgical Associates and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, new patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1010 W La Veta Ave Ste 775

Orange, CA 928684306

Telephone 7145414996

Fax 7148359550

Associated Practice Facility / Clinic

🏢 Sami B Hamamji Md Inc Facility NPI 1902007594

Medicare Profile & Education

Medical School

Johns Hopkins University School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Orange, CA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -2.4 yrs vs City Avg

City Avg: 19.4 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

63 Specialists

Practicing in Orange, CA (3346 Statewide)

Telehealth Adoption Rate

30.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

42.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Khosravi (17 Years) 17 Yrs

Orange Specialty Average (19.4 Years) 19.4 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	14	$85.00	$50.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$364.00	$179.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$441.00	$171.44
49650 Repair of groin hernia using an endoscope	19	19	$529.42	$464.16
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$164.00	$95.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	12	$323.00	$194.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$297.00	$134.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$241.00	$138.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$457.00	$234.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	31	$441.00	$182.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$364.00	$174.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$457.00	$236.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	15	$241.00	$138.73
49650 Repair of groin hernia using an endoscope	19	19	$529.42	$489.24
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$164.00	$98.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$242.00	$120.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$441.00	$209.26
49650 Repair of groin hernia using an endoscope	22	22	$794.13	$560.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$364.00	$182.17
99213 Established patient office or other outpatient visit, typically 15 minutes	18	13	$164.00	$100.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	12	$85.00	$40.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$241.00	$139.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$297.00	$143.67
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$457.00	$240.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$441.00	$214.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$242.00	$124.38
99213 Established patient office or other outpatient visit, typically 15 minutes	17	13	$164.00	$101.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$297.00	$145.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$364.00	$184.79
47562 Removal of gallbladder using an endoscope	12	12	$1448.00	$717.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	18	$85.00	$42.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$297.00	$147.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$242.00	$119.33
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$220.00	$110.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$364.00	$180.82
47562 Removal of gallbladder using an endoscope	11	11	$1448.00	$718.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$242.00	$111.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	13	$85.00	$41.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$297.00	$145.40
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$164.00	$81.71
47562 Removal of gallbladder using an endoscope	14	14	$1448.00	$654.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$441.00	$215.19
49650 Repair of groin hernia using an endoscope	12	12	$671.59	$402.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$364.00	$178.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	68	28	$85.00	$41.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$440.79	$216.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$242.00	$118.01
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$220.00	$107.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	23	$69.74	$41.17
49650 Repair of groin hernia using an endoscope	17	17	$175.21	$80.81

Medical Specialties & State Licenses

CMS Verified: 2026-06-10

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A142491

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License OR MD228028

Surgery

NUCC Taxonomy Code: 208600000X

State License MD 2481

Hospital & Practice Group Affiliations

Orange Surgical Associates

1010 W La Veta Ave, Orange, CA 928684305

Phone: 7148358300

Secondary Practice Locations

620 Nw 11th St Ste M206

Hermiston, OR 978386941

Phone: 5416673804

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Eric Pham , MD

Surgery

NPI 1124055041

Doctor of Medicine (M.D.)

Dr. Jeffrey Johnsrud , MD

Specialist

NPI 1366516197

Doctor of Medicine (M.D.)

Dr. Sami Hamamji , MD

Surgery

NPI 1457425282

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2026

Surgery (License #A142491 in CA)

📍

Updated Practice Location July 07, 2020

Registered at 1010 W LA VETA AVE STE 775, ORANGE, CA 928684306 (Tel: 7145414996)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2020

Surgery (License #2481 in MD)

✅

NPI Profile Active August 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 10, 2017

Registered at 17542 17TH ST STE 410, TUSTIN, CA 927801978 (Tel: 7145414996)

📍

Updated Business Mailing Address August 10, 2017

Registered at PO BOX 5871, ORANGE, CA 928635871 (Tel: (714) 571-5000)

👤

Provider Name / Credentials Updated August 10, 2017

Recorded as ABTIN KHOSRAVI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2017

Surgery (License #A142491 in CA)

✅

NPI Profile Active June 20, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 20, 2016

Registered at 90 PROSPECT AVE, ROOM 1D, HACKENSACK, NJ 076011909 (Tel: 2013433433)

📍

Updated Business Mailing Address June 20, 2016

Registered at 90 PROSPECT AVE, ROOM 1D, HACKENSACK, NJ 076011909 (Tel: 2013433433)

👤

Provider Name / Credentials Updated June 20, 2016

Recorded as ABTIN KHOSRAVI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2016

Surgery (License #2481 in MD)

🟢

Initial NPI Registration & Enumeration March 27, 2009

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: 1356583033

Entity Type:

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

Enumeration Date: March 27, 2009

Last Update: June 10, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 5871

Orange, CA 928635871

Phone: 7145715000

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.