Dr. Abubaker Ali, MD - Surgery in Palm Coast, FL

Professional Overview & Biography Verified Profile Summary

Dr. Abubaker Ali, MD is a certified Surgery practicing in Palm Coast, FL. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Ali delivers high-quality medical care to the local community at 61 MEMORIAL MEDICAL PKWY STE 1-800A.

Dr. Ali is affiliated with Florida Hospital Healthcare Partners, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level 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

61 Memorial Medical Pkwy Ste 1-800a

Palm Coast, FL 321645983

Telephone 3863021366

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Palm Coast, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -2.8 yrs vs City Avg

City Avg: 21.8 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

6 Specialists

Practicing in Palm Coast, FL (2030 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ali (19 Years) 19 Yrs

Palm Coast Specialty Average (21.8 Years) 21.8 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	29	$211.07	$78.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	26	$526.00	$170.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$381.39	$131.76
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$251.11	$89.54
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	11	$361.00	$116.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$496.33	$165.10

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	70	27	$202.00	$82.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$380.00	$135.50

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	118	42	$190.47	$73.39
99221 Initial hospital inpatient care per day, typically 30 minutes	41	39	$265.17	$105.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$356.95	$139.67

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	126	49	$184.54	$73.99
99221 Initial hospital inpatient care per day, typically 30 minutes	36	35	$257.08	$105.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$349.00	$140.53

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	132	51	$186.00	$76.07
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	80	25	$266.00	$109.99
99221 Initial hospital inpatient care per day, typically 30 minutes	60	54	$259.00	$108.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	19	$336.29	$145.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$419.14	$211.51

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	189	69	$186.00	$75.69
99221 Initial hospital inpatient care per day, typically 30 minutes	49	48	$259.00	$106.85
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	28	$266.00	$108.11
99213 Established patient office or other outpatient visit, typically 15 minutes	36	29	$153.00	$53.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	24	$230.00	$81.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$230.00	$80.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$340.10	$143.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$476.71	$210.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	120	49	$101.00	$39.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	35	$180.81	$73.80
99221 Initial hospital inpatient care per day, typically 30 minutes	51	47	$264.00	$103.90
99213 Established patient office or other outpatient visit, typically 15 minutes	30	20	$185.00	$51.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$201.00	$78.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$344.44	$139.30
49650 Repair of groin hernia using an endoscope	11	11	$1307.45	$453.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$279.00	$108.91

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	229	97	$182.66	$73.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes	155	75	$98.99	$40.20
99221 Initial hospital inpatient care per day, typically 30 minutes	21	20	$264.00	$104.56
99213 Established patient office or other outpatient visit, typically 15 minutes	21	16	$185.00	$52.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$355.00	$140.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$201.00	$79.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$439.57	$207.13

Medical Specialties & State Licenses

CMS Verified: 2024-08-09

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME167068

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 MI 4301094760

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.

Hospital & Practice Group Affiliations

Florida Hospital Healthcare Partners, Inc

60 Memorial Medical Pkwy, Palm Coast, FL 321645980

Phone: 3865862000

Secondary Practice Locations

13051 Osborne St, Apt 608

Dearborn, MI 481264037

Phone: 3138787575

Practice Associates & Co-Workers

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

2 Associated Practitioners

Tina Ellison , PA-C

Physician Assistant

NPI 1033196571

Physician Assistant (Certified)

Stephanie Schagrin , APRN

Nurse Practitioner - Family

NPI 1962165217

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 09, 2024

Registered at 61 MEMORIAL MEDICAL PKWY STE 1-800A, PALM COAST, FL 321645983 (Tel: 3863021366)

📍

Updated Business Mailing Address August 09, 2024

Registered at PO BOX 946383, ATLANTA, GA 303946383

✅

NPI Profile Active June 29, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location June 29, 2009

Registered at 13051 OSBORNE ST, APT 608, DEARBORN, MI 481264037 (Tel: 3138787575)

📍

Updated Business Mailing Address June 29, 2009

Registered at 13051 OSBORNE ST, APT 608, DEARBORN, MI 481264037 (Tel: 3138787575)

👤

Provider Name / Credentials Updated June 29, 2009

Recorded as ABUBAKER ALI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2009

Surgery (License #4301094760 in MI)

🟢

Initial NPI Registration & Enumeration June 29, 2009

First registered as active Individual Practitioner in NPPES Database.

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Dr. Abubaker Ahmed Ali , MD