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DR. ALI A. KHAKI M.D.
NPI 1477591923
Surgery in Lincoln City, OR

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
90.27/100
CMS Quality Rating
3100 NE 28TH ST STE E, LINCOLN CITY, OR 97367(541) 994-8114 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ali A. Khaki M.d. NPPES

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

DR. ALI A. KHAKI M.D. (NPI 1477591923) is an individual surgery provider in Lincoln City, Oregon, licensed in Oregon (MD23308) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Samaritan North Lincoln Hospital, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1477591923
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ALI A. KHAKICredential: M.D.
Location Address3100 NE 28TH ST STE ELincoln City, OR 97367-4524
Mailing AddressPo Box 1194Corvallis, OR 97339-1194
Phone(541) 994-8114
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateJune 4, 2006
Last NPPES UpdateNovember 4, 2020
NPPES CertifiedNovember 4, 2020
✔ NPI 1477591923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OR · MD23308
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3100 NE 28TH ST STE E, Lincoln City, OR 97367
Open in Google Maps ↗

Secondary Practice Location 1

Location 19155 SW Barnes Rd, SUITE 830Portland, OR 97225-6625 · Phone (503) 229-7431 · Fax (503) 292-1433

Other Identifiers 1

Medicaid074703OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

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

Dr. Ali A. Khaki M.d. 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 ID8527059716
PECOS Enrollment IDI20040518001109
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.

Hospital Affiliations CMS Care Compare

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

Samaritan North Lincoln Hospital

Critical Access Hospitals · Lincoln City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381302
Location3043 NE 28th StreetLincoln City, OR 97367 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97367 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

90.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.22
Promoting Interoperability100
Improvement Activities40
Cost66.95

Other Providers at the Same Location NPPES

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

MICHAEL DEREK WILLIAMS DO
Surgery
3100 NE 28TH ST STE E
LINCOLN CITY, OR 97367
Lincoln County (541) 994-8114

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 Ali Khaki's NPI number?

The NPI number for Ali Khaki is 1477591923. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Ali Khaki located?

Ali Khaki practices at 3100 NE 28th St Ste E, Lincoln City, OR 97367. The listed phone number is (541) 994-8114.

What is Ali Khaki's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ali Khaki enrolled in Medicare?

Yes. Ali Khaki 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.

What insurance does Ali Khaki accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Ali Khaki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ali Khaki affiliated with any hospitals?

According to CMS data, Ali Khaki is affiliated with Samaritan North Lincoln Hospital.

When was this NPI record last updated?

The NPPES record for Ali Khaki was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.