Active NPI 1730355850 Individual Practitioner Male Practitioner

Dr. Muhammad Arbab Ali , MD

Internal Medicine - Nephrology • Toccoa, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Muhammad Ali, MD is a certified Internal Medicine - Nephrology practicing in Toccoa, GA. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Ali delivers high-quality medical care to the local community at 58 BIG A RD.

Dr. Ali is affiliated with Northeast Georgia Physicians Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, blood test, basic group of blood chemicals (calcium, total), 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

58 Big A Rd

Toccoa, GA 305776017

Telephone 7068866819

Associated Practice Facility / Clinic

🏢 Clinic Pharmacy Inc Facility NPI 1639115025

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Toccoa, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +2.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 27.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Toccoa, GA (431 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ali (24 Years) 24 Yrs

Toccoa Specialty Average (22.0 Years) 22.0 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
36415 Insertion of needle into vein for collection of blood sample	1,158	445	$19.13	$8.63
80048 Blood test, basic group of blood chemicals (calcium, total)	1,118	444	$32.00	$8.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	765	389	$235.00	$119.52
81001 Manual urinalysis test with examination using microscope, automated	547	360	$10.00	$3.09
82570 Creatinine level to test for kidney function or muscle injury	421	325	$18.00	$5.06
84156 Total protein level, urine	418	325	$12.00	$3.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	360	271	$315.00	$167.67
82306 Vitamin d-3 level	358	296	$102.00	$28.94
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	243	33	$732.00	$331.80
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	234	199	$17.00	$15.60
82043 Urine microalbumin (protein) level	222	184	$20.00	$5.66
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	175	93	$23.15	$7.61
J7120 Ringers lactate infusion, up to 1000 cc	61	34	$5.00	$2.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$362.00	$157.17
96360 Infusion into a vein for hydration, 31-60 minutes	61	34	$143.00	$28.71
83550 Iron binding capacity	53	42	$29.00	$8.57
83540 Iron level	53	42	$26.00	$6.34
76770 Complete ultrasound scan behind abdominal cavity	52	51	$259.96	$63.41
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	49	23	$613.18	$274.75
96361 Hydration infusion into a vein	48	22	$39.00	$11.09
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$448.91	$206.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	13	$59.00	$13.15
80069 Kidney function blood test panel	18	14	$29.00	$8.51
90662 Influenza vaccine split virus, preservative free	12	12	$95.00	$81.00
G0008 Administration of influenza virus vaccine	12	12	$51.00	$30.39
74176 Ct scan of abdomen and pelvis without contrast	11	11	$545.00	$92.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,094	411	$19.00	$8.34
80048 Blood test, basic group of blood chemicals (calcium, total)	1,052	410	$28.00	$8.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	593	329	$217.58	$121.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	399	252	$290.20	$169.78
81001 Manual urinalysis test with examination using microscope, automated	360	256	$10.00	$3.09
82570 Creatinine level to test for kidney function or muscle injury	334	245	$16.00	$5.01
84156 Total protein level, urine	327	244	$11.67	$3.56
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	277	33	$813.00	$340.67
82043 Urine microalbumin (protein) level	199	173	$18.00	$5.62
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	172	97	$23.00	$7.61
82306 Vitamin d-3 level	156	146	$93.00	$29.01
83540 Iron level	95	61	$24.00	$6.34
83550 Iron binding capacity	95	61	$26.00	$8.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$335.35	$159.33
J7030 Infusion, normal saline solution , 1000 cc	62	22	$6.00	$2.56
76770 Complete ultrasound scan behind abdominal cavity	59	59	$288.00	$66.76
J0696 Injection, ceftriaxone sodium, per 250 mg	56	11	$31.00	$0.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	51	51	$414.86	$210.63
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	38	18	$656.00	$283.01
96360 Infusion into a vein for hydration, 31-60 minutes	31	25	$134.84	$29.76
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	19	$55.07	$13.30
J7120 Ringers lactate infusion, up to 1000 cc	21	15	$5.00	$2.41
83036 Hemoglobin A1C level	18	11	$29.00	$9.52
90662 Influenza vaccine split virus, preservative free	15	15	$95.00	$71.70
G0008 Administration of influenza virus vaccine	15	15	$44.00	$28.87
96361 Hydration infusion into a vein	15	11	$35.00	$11.78
80069 Kidney function blood test panel	13	13	$25.00	$8.51
81003 Automated urinalysis test	11	11	$8.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	989	345	$19.00	$2.95
80048 Blood test, basic group of blood chemicals (calcium, total)	916	337	$28.00	$8.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	808	301	$193.00	$121.44
81001 Manual urinalysis test with examination using microscope, automated	310	245	$10.00	$3.09
82570 Creatinine level to test for kidney function or muscle injury	289	241	$16.00	$5.05
84156 Total protein level, urine	286	241	$10.00	$3.59
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	251	35	$813.00	$347.72
82306 Vitamin d-3 level	225	199	$93.00	$28.96
82043 Urine microalbumin (protein) level	200	182	$18.00	$5.68
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	125	69	$23.00	$7.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	113	113	$306.00	$158.20
76770 Complete ultrasound scan behind abdominal cavity	72	72	$288.00	$67.99
83540 Iron level	71	58	$24.00	$6.31
83550 Iron binding capacity	71	58	$26.00	$8.53
80069 Kidney function blood test panel	66	63	$23.00	$8.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	48	35	$261.00	$173.14
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	39	23	$656.00	$288.19
99213 Established patient office or other outpatient visit, typically 15 minutes	31	26	$130.00	$86.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$217.00	$107.70
G0008 Administration of influenza virus vaccine	19	19	$44.00	$27.20
90662 Influenza vaccine split virus, preservative free	18	18	$95.00	$68.36
J7030 Infusion, normal saline solution , 1000 cc	13	11	$6.00	$2.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	568	227	$19.00	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	433	194	$188.00	$121.58
80048 Blood test, basic group of blood chemicals (calcium, total)	425	209	$28.00	$8.34
81001 Manual urinalysis test with examination using microscope, automated	252	187	$10.00	$3.10
82570 Creatinine level to test for kidney function or muscle injury	236	187	$16.00	$5.09
84156 Total protein level, urine	216	183	$10.00	$3.64
82043 Urine microalbumin (protein) level	184	160	$18.00	$5.73
80069 Kidney function blood test panel	140	124	$23.00	$8.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	130	130	$306.00	$157.00
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	122	33	$813.00	$347.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	91	69	$23.00	$7.77
76770 Complete ultrasound scan behind abdominal cavity	81	81	$288.00	$69.25
82306 Vitamin d-3 level	65	63	$93.00	$28.82
83550 Iron binding capacity	51	45	$26.00	$8.74
83540 Iron level	51	45	$24.00	$6.47
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	18	12	$656.00	$287.27
90662 Influenza vaccine split virus, preservative free	16	16	$95.00	$65.26
G0008 Administration of influenza virus vaccine	16	16	$44.00	$15.74
83036 Hemoglobin A1C level	13	11	$29.00	$9.71

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	137	63	$193.04	$72.88
90935 Hemodialysis procedure with physician evaluation	76	40	$213.00	$74.35
90945 Dialysis procedure including 1 evaluation	35	13	$238.00	$87.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	31	$362.00	$138.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	20	$273.25	$104.80
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$268.00	$101.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$284.00	$79.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	227	78	$332.00	$104.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	21	$231.00	$73.22
99239 Hospital discharge day management, more than 30 minutes	34	34	$341.00	$108.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	666	174	$322.52	$103.85
99239 Hospital discharge day management, more than 30 minutes	74	71	$330.86	$107.46
99356 Prolonged inpatient or observation hospital service, first hour	51	33	$285.63	$91.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$625.52	$202.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	13	$224.81	$72.11
99291 Critical care, first 30-74 minutes	19	17	$851.53	$223.46

Medical Specialties & State Licenses

CMS Verified: 2021-02-15

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License GA 73979

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License ND 16643

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Northeast Georgia Physicians Group Inc

58 Big A Rd, Toccoa, GA 305776017

Phone: 7068863148

Secondary Practice Locations

1364 Clifton Rd Ne, Ste.n-305

Atlanta, GA 303225074

Phone: 4047785334

Practice Associates & Co-Workers

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

13 Associated Practitioners

Charlotte Griffith , NP-C

Nurse Practitioner

NPI 1124380761

Nurse Practitioner (Certified)

Dr. Marc Coan , MD

Internal Medicine

NPI 1174516330

Doctor of Medicine (M.D.)

Travis Dobbs , FNP

Nurse Practitioner - Family

NPI 1215461892

Family Nurse Practitioner

Dr. Thomas Yates , MD

Internal Medicine

NPI 1225012446

Doctor of Medicine (M.D.)

Valerie Defoor , FNP

Nurse Practitioner

NPI 1235734344

Family Nurse Practitioner

Dr. Nicholas Talley , DO

Internal Medicine

NPI 1235868472

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location December 07, 2020

Registered at 58 BIG A RD, TOCCOA, GA 305776017 (Tel: 7068866819)

📍

Updated Business Mailing Address December 07, 2020

Registered at PO BOX 742616, ATLANTA, GA 303742616 (Tel: 7702198420)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2020

Internal Medicine (License #16643 in ND)

✅

NPI Profile Active October 12, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 12, 2015

Registered at 1364 CLIFTON RD NE, STE.N-305, ATLANTA, GA 303225074 (Tel: 4047785334)

📍

Updated Business Mailing Address October 12, 2015

Registered at 1364 CLIFTON RD NE, STE.N-305, ATLANTA, GA 303225074

👤

Provider Name / Credentials Updated October 12, 2015

Recorded as MUHAMMAD ALI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2015

Hospitalist (License #073979 in GA)

🟢

Initial NPI Registration & Enumeration May 08, 2008

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: 1730355850

Entity Type:

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

Enumeration Date: May 08, 2008

Last Update: February 15, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 742616

Atlanta, GA 303742616

Phone: 7702198420

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.