Active NPI 1609863802 Individual Practitioner Male Practitioner

Dr. Ali Mortazavi , DO

Orthopaedic Surgery • Austell, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ali Mortazavi, DO is a certified Orthopaedic Surgery practicing in Austell, GA. With approximately 28 years of clinical experience since graduating from R Franklin University Of Med & Sci/Chicago Medical School in 1998, Dr. Mortazavi delivers high-quality medical care to the local community at 2041 MESA VALLEY WAY.

Dr. Mortazavi maintains professional affiliations with Resurgens, Llc, Physiotherapy Associates Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, x-ray of lower and sacral spine, 2-3 views, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2041 Mesa Valley Way
Suite 100

Austell, GA 301068157

Telephone 7709441100

Fax 7709446469

Associated Practice Facility / Clinic

🏢 East West Surgery Center Lp Facility NPI 1366444929

Medicare Profile & Education

Medical School

R Franklin University Of Med & Sci/chicago Medical School

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Austell, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs -2.8 yrs vs City Avg

City Avg: 30.8 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

17 Specialists

Practicing in Austell, GA (797 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mortazavi (28 Years) 28 Yrs

Austell Specialty Average (30.8 Years) 30.8 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
J1010 Injection, methylprednisolone acetate, 1 mg	1,320	32	$0.40	$0.12
72100 X-ray of lower and sacral spine, 2-3 views	122	99	$181.00	$38.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	98	$329.00	$127.73
99213 Established patient office or other outpatient visit, typically 15 minutes	100	72	$213.00	$89.48
72148 MRI scan of lower spinal canal	91	91	$2441.00	$126.91
72170 X-ray of pelvis, 1-2 views	73	73	$165.00	$27.90
72040 X-ray of upper spine, 2-3 views	49	37	$173.00	$38.44
20552 Injections of trigger points in 1 or 2 muscles	41	40	$281.00	$50.72
72141 MRI scan of upper spinal canal	40	40	$2337.00	$102.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$333.00	$110.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$453.00	$183.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$518.00	$169.93
72070 X-ray of middle spine, 2 views	13	13	$171.00	$33.32
J1030 Injection, methylprednisolone acetate, 40 mg	12	11	$25.00	$6.32
22612 Fusion of spine in lower back	12	12	$11222.00	$1591.40

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	128	107	$329.00	$121.28
72100 X-ray of lower and sacral spine, 2-3 views	122	95	$181.00	$38.63
72170 X-ray of pelvis, 1-2 views	79	78	$165.00	$26.92
99213 Established patient office or other outpatient visit, typically 15 minutes	75	70	$213.00	$86.87
72148 MRI scan of lower spinal canal	69	69	$2441.00	$127.49
72040 X-ray of upper spine, 2-3 views	44	38	$173.00	$35.16
72141 MRI scan of upper spinal canal	32	32	$2337.00	$99.63
J1030 Injection, methylprednisolone acetate, 40 mg	31	29	$25.00	$6.80
20552 Injections of trigger points in 1 or 2 muscles	27	27	$281.00	$52.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$518.00	$167.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$453.00	$152.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$333.00	$113.03
22612 Fusion of spine in lower back	11	11	$11222.00	$1616.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72100 X-ray of lower and sacral spine, 2-3 views	176	134	$181.00	$39.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	141	$329.00	$124.68
72170 X-ray of pelvis, 1-2 views	117	117	$165.00	$27.97
99213 Established patient office or other outpatient visit, typically 15 minutes	113	100	$213.00	$89.33
72148 MRI scan of lower spinal canal	62	62	$2441.00	$131.24
72141 MRI scan of upper spinal canal	51	51	$2337.00	$101.80
72040 X-ray of upper spine, 2-3 views	48	48	$173.00	$39.51
J1030 Injection, methylprednisolone acetate, 40 mg	40	34	$25.00	$6.21
20552 Injections of trigger points in 1 or 2 muscles	35	32	$281.00	$51.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$333.00	$112.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$518.00	$167.28
72070 X-ray of middle spine, 2 views	17	16	$171.00	$33.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$453.00	$172.02
22612 Fusion of spine in lower back	16	16	$11222.00	$1362.38
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	15	15	$9298.00	$481.49
22614 Fusion of additional segment of spine	15	11	$3355.00	$337.11

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	207	147	$329.00	$126.20
72100 X-ray of lower and sacral spine, 2-3 views	205	170	$181.00	$37.82
72170 X-ray of pelvis, 1-2 views	149	149	$165.00	$27.12
99213 Established patient office or other outpatient visit, typically 15 minutes	113	92	$213.00	$89.44
72040 X-ray of upper spine, 2-3 views	64	61	$173.00	$37.51
72148 MRI scan of lower spinal canal	59	59	$2441.00	$143.46
J1030 Injection, methylprednisolone acetate, 40 mg	40	36	$25.00	$5.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$518.00	$171.05
20552 Injections of trigger points in 1 or 2 muscles	38	34	$281.00	$52.81
72141 MRI scan of upper spinal canal	34	34	$2337.00	$108.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$333.00	$114.44
72070 X-ray of middle spine, 2 views	20	19	$171.00	$30.82
22612 Fusion of spine in lower back	11	11	$11222.00	$1461.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	326	217	$191.26	$72.35
72100 X-ray of lower and sacral spine, 2-3 views	204	165	$148.87	$35.34
72170 X-ray of pelvis, 1-2 views	142	139	$125.45	$26.96
72040 X-ray of upper spine, 2-3 views	82	77	$134.02	$34.96
72148 MRI scan of lower spinal canal	76	76	$2058.87	$139.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$289.29	$107.29
72141 MRI scan of upper spinal canal	38	38	$1751.74	$100.10
J1030 Injection, methylprednisolone acetate, 40 mg	31	26	$25.00	$5.30
20552 Injections of trigger points in 1 or 2 muscles	29	25	$239.10	$48.76
72070 X-ray of middle spine, 2 views	24	24	$137.96	$31.49
22612 Fusion of spine in lower back	14	14	$10027.80	$1554.53
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	14	$7936.23	$538.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	392	278	$164.12	$71.73
72100 X-ray of lower and sacral spine, 2-3 views	258	198	$112.00	$33.35
72170 X-ray of pelvis, 1-2 views	166	160	$87.00	$30.62
72148 MRI scan of lower spinal canal	98	97	$1324.00	$134.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$244.17	$108.50
72040 X-ray of upper spine, 2-3 views	74	70	$105.00	$34.28
72141 MRI scan of upper spinal canal	71	71	$1225.00	$101.76
63048 Partial removal of spine bone with release of spinal cord and/or nerves	39	26	$1799.00	$206.21
22614 Fusion of additional segment of spine	36	27	$3011.00	$379.00
22612 Fusion of spine in lower back	28	28	$7878.23	$1484.86
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	28	28	$5485.04	$515.58
J1030 Injection, methylprednisolone acetate, 40 mg	25	21	$25.00	$6.26
72070 X-ray of middle spine, 2 views	23	19	$110.00	$33.50
20552 Injections of trigger points in 1 or 2 muscles	21	19	$200.00	$54.88
72146 Mri scan of middle spinal canal	18	18	$1337.00	$154.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$98.48	$45.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	371	262	$164.12	$68.05
72100 X-ray of lower and sacral spine, 2-3 views	276	226	$112.00	$32.22
72170 X-ray of pelvis, 1-2 views	184	183	$87.00	$29.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	125	125	$244.17	$105.49
72040 X-ray of upper spine, 2-3 views	77	77	$105.00	$29.74
72148 MRI scan of lower spinal canal	68	67	$1324.00	$118.82
22614 Fusion of additional segment of spine	49	34	$3011.00	$393.74
72141 MRI scan of upper spinal canal	46	46	$1225.00	$117.48
22612 Fusion of spine in lower back	35	35	$7878.23	$1556.84
63048 Partial removal of spine bone with release of spinal cord and/or nerves	34	27	$1799.00	$215.45
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	33	32	$5485.04	$547.69
72070 X-ray of middle spine, 2 views	30	29	$110.00	$31.04
22325 Open treatment of broken and/or dislocated lower spine bones	18	18	$7083.90	$706.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	338	228	$164.12	$71.11
72100 X-ray of lower and sacral spine, 2-3 views	262	200	$112.00	$34.25
72170 X-ray of pelvis, 1-2 views	177	168	$87.00	$31.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$244.17	$103.69
72040 X-ray of upper spine, 2-3 views	83	78	$105.00	$30.60
72148 MRI scan of lower spinal canal	47	47	$1324.00	$132.43
22614 Fusion of additional segment of spine	32	26	$3011.00	$406.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$98.48	$40.71
63048 Partial removal of spine bone with release of spinal cord and/or nerves	25	21	$1799.00	$219.24
72070 X-ray of middle spine, 2 views	25	25	$110.00	$33.08
22612 Fusion of spine in lower back	24	24	$7878.23	$1627.54
J1030 Injection, methylprednisolone acetate, 40 mg	24	23	$25.00	$4.93
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	23	23	$5485.04	$567.63
72141 MRI scan of upper spinal canal	23	23	$1225.00	$145.94
20552 Injections of trigger points in 1 or 2 muscles	18	17	$200.00	$51.79

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License GA 054865

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

234083867B (GA)

Medicaid State Provider ID

234083867E (GA)

Medicaid State Provider ID

234083867C (GA)

Medicaid State Provider ID

234083867A (GA)

Hospital & Practice Group Affiliations

Physiotherapy Associates Inc

8509 Hospital Dr, Douglasville, GA 301342414

Phone: 7709475440

Resurgens, Llc

5671 Peachtree Dunwoody Rd Ne, Atlanta, GA 303425022

Phone: 4048479999

Practice Associates & Co-Workers

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

32 Associated Practitioners

Dr. Richard Boe , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1013327642

Doctor of Medicine (M.D.)

Jeffrey Hairston , PA-C

Physician Assistant - Surgical

NPI 1063625051

Physician Assistant (Certified)

Douglas Hernandez , PA

Physician Assistant

NPI 1114500642

Physician Assistant

Dr. Rafael Urrutia , MD

Orthopaedic Surgery

NPI 1124017397

Doctor of Medicine (M.D.)

Susan Kirby , NP-C

Nurse Practitioner

NPI 1154533875

Nurse Practitioner (Certified)

Nadia Wright

Physician Assistant

NPI 1194414250

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 24, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 24, 2016

Registered at 2041 MESA VALLEY WAY, SUITE 100, AUSTELL, GA 301068157 (Tel: 7709441100)

📍

Updated Business Mailing Address October 24, 2016

Registered at 2041 MESA VALLEY WAY, SUITE 100, AUSTELL, GA 301068157 (Tel: 7709441100)

👤

Provider Name / Credentials Updated October 24, 2016

Recorded as ALI MORTAZAVI, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2016

Orthopaedic Surgery (License #054865 in GA)

🟢

Initial NPI Registration & Enumeration October 03, 2005

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: 1609863802

Entity Type:

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

Enumeration Date: October 03, 2005

Last Update: October 24, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2041 Mesa Valley Way, Suite 100

Austell, GA 301068157

Phone: 7709441100

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.