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DR. SARAH ALI MD
NPI 1881258937
Family Medicine in Round Rock, TX

Active since April 24, 2019PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
2051 GATTIS SCHOOL RD STE 250, ROUND ROCK, TX 78664(512) 324-4813(512) 324-4727 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 15, 2022, Apr 24, 2019 (2 updates tracked since 2019).

About Dr. Sarah Ali Md NPPES

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

DR. SARAH ALI MD (NPI 1881258937) is an individual family medicine provider in Round Rock, Texas, licensed in Texas (S9644) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1881258937
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SARAH ALICredential: MD
Location Address2051 GATTIS SCHOOL RD STE 250Round Rock, TX 78664-7491
Mailing Address2051 Gattis School Rd Ste 250Round Rock, TX 78664-7491 · (512) 324-4813 · Fax (512) 324-4727
Phone(512) 324-4813
Fax(512) 324-4727
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 24, 2019
Last NPPES UpdateNovember 15, 20222 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
✔ NPI 1881258937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · S9644
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2051 GATTIS SCHOOL RD STE 250, Round Rock, TX 78664
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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. Sarah Ali Md 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 ID9537495452
PECOS Enrollment IDI20221107002319
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 8

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.

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.
106 services62 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
61 services61 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.
35 services28 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
26 services26 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
26 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78664 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Advance Care Plan
44%296 patients2/55-star benchmark: 100%
Breast Cancer Screening
69%249 patients3/55-star benchmark: 93%
Cervical Cancer Screening
67%525 patients3/55-star benchmark: 98%
Chlamydia Screening for Women
29%84 patients
Closing the Referral Loop: Receipt of Specialist Report
41%702 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
66%514 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
55%403 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Antiplatelet Therapy
80%30 patients4/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
29%206 patients2/55-star benchmark: 100%
Diabetes: Eye Exam
48%189 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
23%189 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%2,306 patients4/55-star benchmark: 100%
e-Prescribing
98%2,185 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
43%283 patients2/55-star benchmark: 100%
HIV Screening
14%981 patients1/55-star benchmark: 60%
Non-Recommended Cervical Cancer Screening in Adolescent Females
Lower rates are better for this measure.
7%30 patients
One-Time Screening for Hepatitis C Virus (HCV) for all Patients
29%735 patients2/55-star benchmark: 98%
Optimal Asthma Control
Patients adultCtrlNoExacRisk: 0% · 35 patients
Patients adultsNoRiskExac: 0% · 35 patients
Patients adultsWellCtrl: 0% · 35 patients
0%42 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
31%1,156 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
83%966 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
35%1,362 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 90% · 1,029 patients
Patients screened: 93% · 1,029 patients
57%87 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 57% · 736 patients
Patients screened: 62% · 736 patients
5%40 patients
Provide Patients Electronic Access to Their Health Information
87%781 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
71%145 patients3/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%295 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 297 patients
Patients totalRate: 9% · 302 patients
8%302 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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.17 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$67.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sarah Ali's NPI number?

The NPI number for Sarah Ali is 1881258937. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Where is Sarah Ali located?

Sarah Ali practices at 2051 Gattis School Rd Ste 250, Round Rock, TX 78664. The listed phone number is (512) 324-4813.

What is Sarah Ali's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sarah Ali enrolled in Medicare?

Yes. Sarah 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.

What insurance does Sarah Ali 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 3 other insurers list Sarah Ali 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 Sarah Ali was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.