WAQAS ALI DO
NPI 1942861638
Pain Medicine - Interventional Pain Medicine in Rockwall, TX

Active since June 24, 2019PECOS EnrolledAccepts Medicare Assignment
82.14/100
CMS Quality Rating
1301 SUMMER LEE DR, ROCKWALL, TX 75032(972) 771-8111 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2025, Dec 19, 2024, Jul 24, 2024 and 3 more (6 updates tracked since 2019).

About Waqas Ali Do NPPES

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

WAQAS ALI DO (NPI 1942861638) is an individual interventional pain medicine provider in Rockwall, Texas, licensed in Texas (T0993) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Hunt Regional Medical Center, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1942861638
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameWAQAS ALICredential: DO
Location Address1301 SUMMER LEE DRRockwall, TX 75032-5452
Mailing Address1301 Summer Lee DrRockwall, TX 75032-5452 · (972) 771-8111
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 24, 2019
Last NPPES UpdateAugust 14, 20256 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
NPI 1942861638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in TX · T0993
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiologyTaxonomy 207L00000X · License T0993 (TX)
Also ListedEmergency MedicineTaxonomy 207P00000X · License T0993 (TX)
1301 SUMMER LEE DR, Rockwall, TX 75032

Secondary Practice Locations 6

Location 1600 Pine VlyRichardson, TX 75081-5138 · Phone (214) 436-9519
Location 2325 Fm 548 Ste 100Forney, TX 75126-6992 · Phone (972) 771-8111
Location 3200 N Virginia StTerrell, TX 75160-2732 · Phone (972) 771-8111
Location 4731 Woodbridge Pkwy Ste 100Wylie, TX 75098-7165 · Phone (972) 771-8111
Location 5115 Fm 2453 Ste DRoyse City, TX 75189-7037 · Phone (972) 771-8111
Location 6200 N Arch StRoyse City, TX 75189-8631 · Phone (972) 771-8111

Accepted 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

Waqas Ali Do 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 ID8325431497
PECOS Enrollment IDI20220214000913
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 13

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.
152 services30 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
133 services14 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.
124 services124 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.
86 services60 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
59 services59 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.
41 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450352
Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County
Emergency services Birthing friendly

Baylor Scott And White Medical Center Mckinney

Acute Care Hospitals · Mc Kinney, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670082
Location5252 West University DriveMc Kinney, TX 75071 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75032 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

82.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Improvement Activities40

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.

Nurse Practitioner
1301 SUMMER LEE DR
ROCKWALL, TX 75032
Physical Therapist
1301 SUMMER LEE DR
ROCKWALL, TX 75032
Occupational Therapist
1301 SUMMER LEE DR
ROCKWALL, TX 75032
Physical Therapist
1301 SUMMER LEE DR
ROCKWALL, TX 75032
Podiatrist (Foot & Ankle Surgery)
1301 SUMMER LEE DR
ROCKWALL, TX 75032
Physical Therapist
1301 SUMMER LEE DR
ROCKWALL, TX 75032
Physical Therapist
1301 SUMMER LEE DR
ROCKWALL, TX 75032
Physical Therapist
1301 SUMMER LEE DR
ROCKWALL, TX 75032

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 Waqas Ali's NPI number?

The NPI number for Waqas Ali is 1942861638. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Waqas Ali located?

Waqas Ali practices at 1301 Summer Lee Dr, Rockwall, TX 75032. The listed phone number is (972) 771-8111.

What is Waqas Ali's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Waqas Ali enrolled in Medicare?

Yes. Waqas 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 Waqas Ali accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Waqas 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.

Is Waqas Ali affiliated with any hospitals?

According to CMS data, Waqas Ali is affiliated with Hunt Regional Medical Center and Baylor Scott And White Medical Center Mckinney.

When was this NPI record last updated?

The NPPES record for Waqas Ali was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.