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ALI M GHAFFARI SR. MD
NPI 1881647352
Family Medicine in Clovis, NM

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
815 WEST 14TH ST, CLOVIS, NM 88101(505) 762-6492(505) 762-9981 Get Directions Write a Review

NPPES record last updated: August 30, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ali M Ghaffari Sr. Md NPPES

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

ALI M GHAFFARI SR. MD (NPI 1881647352) is an individual family medicine provider in Clovis, New Mexico, licensed in New Mexico (81202) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Plains Regional Medical Center, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1881647352
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameALI M GHAFFARI SR.Credential: MD
Location Address815 WEST 14TH STClovis, NM 88101
Mailing Address815 W 14th StClovis, NM 88101-5514 · (505) 762-6492 · Fax (505) 762-9981
Phone(505) 762-6492
Fax(505) 762-9981
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateMay 18, 2006
Last NPPES UpdateAugust 30, 2010
✔ NPI 1881647352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NM · 81202
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.
815 WEST 14TH ST, Clovis, NM 88101
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Other Identifiers 3

MedicaidS2511NM
Medicare UPINC97783
Medicare ID-Type Unspecified700521052

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.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

Ali M Ghaffari Sr. 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 ID9335107952
PECOS Enrollment IDI20051208000933
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.

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.
166 services47 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
104 services54 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.
78 services42 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Plains Regional Medical Center

Acute Care Hospitals · Clovis, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320022
Location2100 N Martin Luther King, Jr, BlvdClovis, NM 88101 · Curry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88101 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers12 claims54 services$7.12 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier20 claims20 services$19.18 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
4 suppliers41 claims42 services$113.52 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 Ali Ghaffari's NPI number?

The NPI number for Ali Ghaffari is 1881647352. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Ali Ghaffari located?

Ali Ghaffari practices at 815 West 14th St, Clovis, NM 88101. The listed phone number is (505) 762-6492.

What is Ali Ghaffari's specialty?

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

Is Ali Ghaffari enrolled in Medicare?

Yes. Ali Ghaffari 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 Ghaffari accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Ali Ghaffari 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 Ghaffari affiliated with any hospitals?

According to CMS data, Ali Ghaffari is affiliated with Plains Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ali Ghaffari was last updated on August 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.