Active NPI 1053382937 Individual Practitioner Male Practitioner

Dr. Abdulfatah M Ali , MD

Ophthalmology • Plano, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Abdulfatah Ali, MD is a certified Ophthalmology practicing in Plano, TX. With approximately 29 years of clinical experience since graduating from Medical College Of Wisconsin in 1997, Dr. Ali delivers high-quality medical care to the local community at 4108 WEST 15TH ST..

Dr. Ali is affiliated with Texas Eye Surgeons Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, measurement of corneal curvature and depth of eye, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4108 West 15th St.
Suite 200

Plano, TX 750755841

Telephone 9723793937

Fax 9723793938

Associated Practice Facility / Clinic

🏢 Texas Eye Surgical Services Management Llc Facility NPI 1255182945

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Plano, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +8.1 yrs vs City Avg

City Avg: 20.9 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

27 Specialists

Practicing in Plano, TX (1616 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ali (29 Years) 29 Yrs

Plano Specialty Average (20.9 Years) 20.9 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	241	118	$247.94	$121.56
92136 Measurement of corneal curvature and depth of eye	126	80	$97.47	$38.66
92014 Established patient complete exam of visual system	114	112	$241.70	$118.42
99213 Established patient office or other outpatient visit, typically 15 minutes	100	69	$175.78	$86.36
66984 Removal of cataract with insertion of lens	76	45	$1038.36	$500.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$324.44	$155.22
92134 Imaging of retina	50	48	$77.66	$37.03
92004 New patient complete exam of visual system	44	44	$285.70	$140.62
66821 Removal of recurring cataract in lens capsule using a laser	34	33	$817.26	$390.73
92133 Imaging of optic nerve	31	30	$69.42	$33.80
92083 Exam of visual field with extended testing	28	27	$120.50	$59.47

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	322	160	$248.55	$124.33
99213 Established patient office or other outpatient visit, typically 15 minutes	135	85	$175.37	$88.02
92014 Established patient complete exam of visual system	118	115	$245.22	$123.11
92136 Measurement of corneal curvature and depth of eye	91	65	$93.69	$40.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$320.90	$161.98
66984 Removal of cataract with insertion of lens	69	42	$1046.21	$521.83
92134 Imaging of retina	65	58	$78.43	$39.06
92004 New patient complete exam of visual system	49	49	$291.52	$146.08
92083 Exam of visual field with extended testing	39	36	$121.20	$60.73
66821 Removal of recurring cataract in lens capsule using a laser	34	33	$891.78	$432.68
92133 Imaging of optic nerve	32	30	$71.23	$34.89

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	193	127	$250.00	$125.72
99213 Established patient office or other outpatient visit, typically 15 minutes	158	94	$177.76	$87.47
92136 Measurement of corneal curvature and depth of eye	126	90	$86.20	$42.47
92014 Established patient complete exam of visual system	123	113	$248.36	$124.44
92134 Imaging of retina	85	75	$79.54	$39.14
66984 Removal of cataract with insertion of lens	77	50	$1048.90	$507.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$325.82	$163.55
92004 New patient complete exam of visual system	57	57	$294.56	$147.76
66821 Removal of recurring cataract in lens capsule using a laser	53	53	$905.70	$454.98
92025 Ct scan of cornea	37	36	$70.64	$33.94
92083 Exam of visual field with extended testing	30	25	$122.66	$61.39
92250 Photography of the retina	29	29	$72.78	$34.96
92133 Imaging of optic nerve	28	24	$72.12	$34.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	23	$110.10	$55.32
66982 Complex removal of cataract with insertion of prosthetic lens	16	13	$1437.22	$713.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$218.08	$104.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	211	123	$1121.71	$475.31
92136 Measurement of corneal curvature and depth of eye	195	149	$142.53	$47.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	130	$224.31	$127.26
99213 Established patient office or other outpatient visit, typically 15 minutes	124	86	$139.56	$89.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$309.53	$164.54
92014 Established patient complete exam of visual system	84	80	$248.42	$122.71
66821 Removal of recurring cataract in lens capsule using a laser	54	52	$855.73	$447.92
92025 Ct scan of cornea	50	49	$72.58	$34.27
92134 Imaging of retina	43	42	$82.25	$39.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	33	$108.52	$55.19
92083 Exam of visual field with extended testing	25	23	$129.11	$62.24
92133 Imaging of optic nerve	25	23	$76.87	$34.96
92004 New patient complete exam of visual system	22	22	$295.66	$148.96
66982 Complex removal of cataract with insertion of prosthetic lens	20	16	$1548.34	$656.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	164	103	$1200.00	$466.67
92136 Measurement of corneal curvature and depth of eye	160	117	$200.00	$50.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	134	$200.00	$106.85
99213 Established patient office or other outpatient visit, typically 15 minutes	136	84	$125.00	$73.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	126	126	$300.00	$162.09
92134 Imaging of retina	38	37	$90.00	$39.22
66821 Removal of recurring cataract in lens capsule using a laser	38	36	$757.89	$410.03
66982 Complex removal of cataract with insertion of prosthetic lens	22	20	$1700.00	$605.45
76514 Ultrasound scan of cornea to determine thickness	21	21	$30.00	$11.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$200.00	$106.10
92133 Imaging of optic nerve	15	14	$90.00	$36.21
92025 Ct scan of cornea	14	14	$75.00	$34.86
92083 Exam of visual field with extended testing	11	11	$135.00	$62.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	289	168	$1200.00	$551.98
92136 Measurement of corneal curvature and depth of eye	254	190	$200.00	$53.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	230	207	$200.00	$103.23
99213 Established patient office or other outpatient visit, typically 15 minutes	218	104	$125.00	$70.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	212	212	$300.00	$159.24
66821 Removal of recurring cataract in lens capsule using a laser	97	93	$804.12	$427.83
92134 Imaging of retina	71	66	$90.00	$37.82
76514 Ultrasound scan of cornea to determine thickness	54	53	$30.00	$11.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$200.00	$104.50
66982 Complex removal of cataract with insertion of prosthetic lens	37	31	$1700.00	$698.91
92133 Imaging of optic nerve	20	16	$90.00	$33.52
92132 Imaging of front third of eye	19	19	$75.00	$28.40
92025 Ct scan of cornea	13	13	$75.00	$35.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$375.00	$197.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	250	149	$1200.00	$523.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	246	246	$300.00	$153.71
92136 Measurement of corneal curvature and depth of eye	229	210	$200.00	$70.28
92025 Ct scan of cornea	227	207	$75.00	$33.78
99213 Established patient office or other outpatient visit, typically 15 minutes	213	110	$125.00	$68.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	170	$200.00	$99.09
66821 Removal of recurring cataract in lens capsule using a laser	71	70	$773.24	$389.31
76514 Ultrasound scan of cornea to determine thickness	49	49	$30.00	$13.51
92134 Imaging of retina	48	48	$90.00	$37.30
66982 Complex removal of cataract with insertion of prosthetic lens	44	36	$1700.00	$676.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$200.00	$101.01
92132 Imaging of front third of eye	25	25	$75.00	$26.82
92083 Exam of visual field with extended testing	25	20	$135.00	$59.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$375.00	$192.53

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	300	300	$300.00	$151.07
66984 Removal of cataract with insertion of lens	235	147	$1205.53	$508.16
99213 Established patient office or other outpatient visit, typically 15 minutes	202	95	$125.00	$67.40
92136 Measurement of corneal curvature and depth of eye	194	189	$200.00	$81.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	128	$200.00	$99.59
92025 Ct scan of cornea	149	138	$75.00	$33.13
66821 Removal of recurring cataract in lens capsule using a laser	94	93	$797.87	$393.45
76514 Ultrasound scan of cornea to determine thickness	71	71	$30.00	$13.09
66982 Complex removal of cataract with insertion of prosthetic lens	59	47	$1713.56	$642.03
92134 Imaging of retina	54	53	$90.00	$35.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$200.00	$99.42
92132 Imaging of front third of eye	27	26	$75.00	$26.35
92133 Imaging of optic nerve	17	15	$90.00	$32.65

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX P0532

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.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License CO DR43898

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

84833378 (CO)

Hospital & Practice Group Affiliations

Texas Eye Surgeons Pa

4108 W 15th St, Plano, TX 750935850

Phone: 9723793937

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 18, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 18, 2016

Registered at 4108 WEST 15TH ST., SUITE 200, PLANO, TX 750755841 (Tel: 9723793937)

📍

Updated Business Mailing Address July 18, 2016

Registered at 4108 WEST 15TH ST., SUITE 200, PLANO, TX 750755841 (Tel: 9723793937)

👤

Provider Name / Credentials Updated July 18, 2016

Recorded as ABDULFATAH ALI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2016

Ophthalmology (License #P0532 in TX)

🟢

Initial NPI Registration & Enumeration January 30, 2006

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: 1053382937

Entity Type:

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

Enumeration Date: January 30, 2006

Last Update: July 18, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4108 West 15th St., Suite 200

Plano, TX 750755841

Phone: 9723793937

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.