Gastroenterology • Naperville, IL 60540 • NPI #1437136454

Dr. Rafi Ali, MD

100 Spalding DR, Ste. 208, Naperville, IL 60540 • +1-929-555-4643

Medical Education: Accredited U.S. Medical School (Class of 1993)

80 Active CMS HCPCS Codes
4.68/5
Waiting-Room Score
19 patient logs
$218.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Naperville Percentiles

NPI #1437136454 • CBSA Regional • Gastroenterology

Dr. Rafi Ali DotMD Verification Badge

Dr. Rafi Ali, MD (NPI #1437136454) practices Gastroenterology in Naperville, IL (60540) with sub-specialty concentration in 80 Active CMS HCPCS Codes, recording 1,317 annual CMS services across 403 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (75th Naperville percentile) (-0.20σ vs IL state mean, 55.11th statewide percentile).

Granular CPT/HCPCS billing distribution at 100 Spalding DR, Ste. 208 shows Dr. Rafi Ali's primary concentration in Established Gastroenterology, GERD & IBD Evaluation (code 99214: 487x/yr, 75th local percentile) alongside Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy (45380: 329x/yr, $356–$488).

Self-pay new patient consultations with Dr. Ali (CPT 99204 GPCI-adjusted benchmark) estimate around $218.00 (community reported average: $218.00) with hybrid in-clinic and telehealth video consults, 21-minute average reception wait, and a 4.55/5 modern protocol openness score across 19 patient logs.

NPI registry verification (#1437136454) confirms Dr. Rafi Ali's MD standing serving CBSA 60540 with a 4.68/5 patient scorecard.

Naperville Percentile 75.00th

Compared against Naperville, IL Gastroenterology peers

IL State Percentile 55.11th

1,317 annual services across 403 beneficiaries

Regional Volume Z-Score -0.205σ

Standard deviations from IL Gastroenterology mean utilization

Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks

HCPCS Clinical Procedure Description Annual Volume Local Pct Est. Cash Range
99214 Established Gastroenterology, GERD & IBD Evaluation 487 75th $148 – $202
45380 Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy 329 71th $356 – $488
43239 Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy 277 76th $295 – $405
45385 Colonoscopy w/ Snare Polypectomy Lesion Removal 132 76th $396 – $543
99204 New Patient Digestive & Hepatology Consultation 92 79th $208 – $285
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Dr. Rafi Ali, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Ali National Provider Identifier NPI #1437136454 (MD) CMS NPPES Registry (60540)
Dr. Ali Naperville CMS Volume Rank 75.00th Pct (1,317 CMS svcs; Z -0.205σ) CMS Medicare Part B (IL Gastroenterology)
Fair Cash-Pay New-Patient Benchmark $218.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Naperville, IL)
Waiting-Room Wait Time & Cash Friendliness $218.00 avg paid • 21 min lobby wait 19 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.60/5 Listening • 4.55/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
21 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $218.00
Listens Without Rushing
4.60/5
Patient communication rating
Modern Protocol Openness
4.55/5
Preventive labs, GLP-1s & HRT
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