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DR. AKBAR ALY HUSSAINI M.D.
NPI 1740224195
Orthopaedic Surgery in Burnet, TX

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
86.62/100
CMS Quality Rating
200 JOHN W HOOVER PKWY, BLDG II, SUITE B-C, BURNET, TX 78611(512) 715-3114(512) 715-3116 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2023, Jul 14, 2017 (2 updates tracked since 2017).

About Dr. Akbar Aly Hussaini M.d. NPPES

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

DR. AKBAR ALY HUSSAINI M.D. (NPI 1740224195) is an individual orthopaedic surgery provider in Burnet, Texas, licensed in Texas (N1350) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1740224195
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. AKBAR ALY HUSSAINICredential: M.D.
Location Address200 JOHN W HOOVER PKWY, BLDG II, SUITE B-CBurnet, TX 78611-4563
Mailing Address200 John W Hoover Pkwy, Bldg Ii, Suite B-cBurnet, TX 78611-4563 · (512) 715-3114 · Fax (512) 715-3116
Phone(512) 715-3114
Fax(512) 715-3116
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 16, 2006
Last NPPES UpdateDecember 11, 20232 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
✔ NPI 1740224195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TX · N1350
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
200 JOHN W HOOVER PKWY, Burnet, TX 78611
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1630 Highway 71 WBastrop, TX 78602-4282 · Phone (512) 715-3114 · Fax (512) 715-3116
Location 21201A Hill RdSmithville, TX 78957-9533 · Phone (512) 715-3114 · Fax (512) 715-3116

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Akbar Aly Hussaini 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 ID7517960669
PECOS Enrollment IDI20250305004140
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 11

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
583 services96 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
215 services179 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
105 services93 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
92 services77 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78611 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

86.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.56
Promoting Interoperability90
Improvement Activities40
Cost73.18

Reported Quality Measures

Advance Care Plan
85%1,100 patients4/55-star benchmark: 100%
Breast Cancer Screening
54%572 patients3/55-star benchmark: 93%
Cervical Cancer Screening
27%276 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
40%509 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
58%979 patients3/55-star benchmark: 88%
Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older
0%224 patients1/55-star benchmark: 100%
Controlling High Blood Pressure
71%649 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
87%23 patients4/55-star benchmark: 99%
Dementia: Cognitive Assessment
37%30 patients
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
21%24 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
18%205 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
27%205 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%2,640 patients4/55-star benchmark: 100%
e-Prescribing
86%696 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
81%1,049 patients4/55-star benchmark: 100%
Functional Status After Primary Total Knee Replacement
0%172 patients
Functional Status Assessment for Total Hip Replacement
0%25 patients
HIV Screening
2%664 patients1/55-star benchmark: 60%
One-Time Screening for Hepatitis C Virus (HCV) for all Patients
40%585 patients2/55-star benchmark: 98%
Osteoporosis Management in Women Who Had a Fracture
25%111 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
35%1,586 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
68%1,239 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
13%1,165 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 83% · 1,471 patients
Patients screened: 86% · 1,471 patients
78%176 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 45% · 587 patients
44%587 patients
Provide Patients Electronic Access to Their Health Information
72%1,059 patients3/55-star benchmark: 100%
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
66%494 patients3/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83%545 patients4/55-star benchmark: 91%
Total Knee or Hip Replacement: Shared Decision-Making: Trial of Conservative (Non-surgical) Therapy
0%169 patients1/55-star benchmark: 100%
Total Knee or Hip Replacement: Venous Thromboembolic and Cardiovascular Risk Evaluation
0%152 patients1/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 1,054 patients
Patients totalRate: 9% · 1,084 patients
9%1,084 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers21 claims21 services$60.87 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
1 supplier13 claims13 services$71.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

WALTER LEE CHESSHIR III MD
Family Medicine
200 JOHN W HOOVER PKWY, BLDG 1, STE A
BURNET, TX 78611
Burnet County (512) 715-3110
DR. ERICA J HUGHES MD
Internal Medicine (Pulmonary Disease)
200 JOHN W HOOVER PKWY, BLDG 3, STE D
BURNET, TX 78611
Burnet County (512) 715-3130

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 Akbar Hussaini's NPI number?

The NPI number for Akbar Hussaini is 1740224195. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Akbar Hussaini located?

Akbar Hussaini practices at 200 John W Hoover Pkwy Bldg II, Suite B-C, Burnet, TX 78611. The listed phone number is (512) 715-3114.

What is Akbar Hussaini's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Akbar Hussaini enrolled in Medicare?

Yes. Akbar Hussaini 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 Akbar Hussaini accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Akbar Hussaini 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.

When was this NPI record last updated?

The NPPES record for Akbar Hussaini was last updated on December 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.