USMAN ALI
NPI 1285842625
Psychiatry & Neurology - Psychiatry in Altoona, PA

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment
46.78/100
CMS Quality Rating
620 HOWARD AVE, ALTOONA, PA 16601(814) 889-2011 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2023, Jun 15, 2021, May 26, 2021 (3 updates tracked since 2021).

About Usman Ali NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

USMAN ALI (NPI 1285842625) is an individual psychiatry provider in Altoona, Pennsylvania, licensed in Pennsylvania (MD439532) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1285842625
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameUSMAN ALI
Location Address620 HOWARD AVEAltoona, PA 16601-4804
Mailing Address620 Howard AveAltoona, PA 16601-4804
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 18, 2007
Last NPPES UpdateNovember 16, 20233 updates tracked since enumeration
NPPES CertifiedNovember 16, 2023
NPI 1285842625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in PA · MD439532
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
620 HOWARD AVE, Altoona, PA 16601

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Usman Ali is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739373655
PECOS Enrollment IDI20101104000232
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
123 services44 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
23 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services18 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
15 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

46.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality17.39
Improvement Activities40
Cost51.45

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
620 HOWARD AVE
ALTOONA, PA 16601
Nurse Anesthetist, Certified Registered
620 HOWARD AVE
ALTOONA, PA 16601
Physician Assistant (Medical)
620 HOWARD AVE
ALTOONA, PA 16601
Nurse Anesthetist, Certified Registered
620 HOWARD AVE
ALTOONA, PA 16601
Dietitian, Registered
620 HOWARD AVE
ALTOONA, PA 16601
Physician Assistant
620 HOWARD AVE
ALTOONA, PA 16601
Psychiatry & Neurology (Psychiatry)
620 HOWARD AVE
ALTOONA, PA 16601
Physical Therapy Assistant
620 HOWARD AVE
ALTOONA, PA 16601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Usman Ali's NPI number?

The NPI number for Usman Ali is 1285842625. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Usman Ali located?

Usman Ali practices at 620 Howard Ave, Altoona, PA 16601. The listed phone number is (814) 889-2011.

What is Usman Ali's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Usman Ali enrolled in Medicare?

Yes. Usman Ali is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Usman Ali affiliated with any hospitals?

According to CMS data, Usman Ali is affiliated with Upmc Altoona.

When was this NPI record last updated?

The NPPES record for Usman Ali was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.