Doctor profile · Federal record
Dr. Ali Rafatjoo, M.D.
Family Medicine Physician (CMS: Family Practice) · Newport Beach, CA
- NPI 1154341907
- Accepts Medicare
- 32 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
360 San Miguel Dr, Suite 206
Newport Beach, CA 926607853
(949) 640-4455
fax (949) 640-4456
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- March 2, 2021
- Year of graduation
- 1994 — 32 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- California #A54980
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1154341907. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
636
Distinct HCPCS
10
Medicare allowed
$71,942
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 233 | 107 | $193 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 92 | 65 | $138 | |
J0696 |
Injection, ceftriaxone sodium, per 250 mg | 88 | 16 | $1 | |
87804 |
Detection test by immunoassay with direct visual observation for influenza virus | 34 | 17 | $16 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 32 | 32 | $140 | |
99490 |
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 29 | 19 | $67 | |
87811 |
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 24 | 22 | $41 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 20 | 17 | $16 | |
96372 |
Injection of drug or substance under skin or into muscle | 20 | 16 | $16 | |
J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 19 | 16 | $0 |
In context: peer comparison
Among 15 peers in this city , average services per provider: 212. This provider delivers 3.0× the peer median.Open Payments
Industry payments received
All-time total
$153
Transactions
7
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Lilly USA, LLC | 2 | $45.52 | |
| ABBVIE INC. | 2 | $41.24 | |
| Novo Nordisk Inc | 1 | $23.46 | |
| Novartis Pharmaceuticals Corporation | 1 | $23.34 | |
| PFIZER INC. | 1 | $19.34 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
720
Patients
207
Total drug cost
$54,284
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Rosuvastatin Calcium | Generic | 131 | 36 | $3,012 |
| Alprazolam | Generic | 70 | 20 | $352 |
| Levothyroxine Sodium | Generic | 70 | 21 | $1,269 |
| Zolpidem Tartrate | Generic | 58 | 16 | $394 |
| Famotidine | Generic | 44 | 13 | $1,473 |
| Azithromycin | Generic | 41 | 33 | $252 |
| Ozempic (Semaglutide) | Brand | 41 | 0 | $42,820 |
| Trazodone Hcl | Generic | 40 | 17 | $907 |
| Atorvastatin Calcium | Generic | 36 | 11 | $439 |
| Methylprednisolone | Generic | 34 | 28 | $425 |
Hospital affiliations
Frequently asked questions
What is Dr. Ali Rafatjoo's medical specialty?
Dr. Ali Rafatjoo practices Family Medicine Physician in Newport Beach, CA.
Where does Dr. Ali Rafatjoo practice?
Dr. Ali Rafatjoo practices at 360 San Miguel Dr, Newport Beach, CA 926607853. Office phone: 9496404455.
What is Dr. Ali Rafatjoo's NPI?
Dr. Ali Rafatjoo's National Provider Identifier (NPI) is 1154341907, issued by NPPES.
Does Dr. Ali Rafatjoo accept Medicare assignment?
Yes. Dr. Ali Rafatjoo accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ali Rafatjoo commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99215); Established patient office or other outpatient visit (HCPCS 99214); Injection, ceftriaxone sodium, per 250 mg (HCPCS J0696). Source: CMS Medicare Physician & Other Practitioners file.