CMS-1500 Box 24J / 33a • NPI
1255317194
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207XS0117X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
1051 W US ROUTE 6, SUITE 100, MORRIS, IL, 60450-4200
✓ 9-Digit EDI 837 ZIP+4 (60450-4200)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1255317194 (MIR H ALI, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1255317194)
Medicare Beneficiaries
636
Total Billed Services
2,484
Distinct CPT/HCPCS Codes
72
Medicare Allowed Total
$346,747.91
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
20610 | Aspiration and/or injection of fluid from large joint | 14 |
20939 | Aspiration of bone marrow for spine bone graft | 17 |
20939 | Aspiration of bone marrow for spine bone graft | 11 |
22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 29 |
22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 24 |
62321 | Injection of substance into middle or upper spine canal using imaging guidance | 38 |
63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 14 |
64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 302 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Acetaminophen-Codeine Acetaminophen With Codeine | 17 | 13 |
| Cyclobenzaprine Hcl Cyclobenzaprine Hcl | 151 | 113 |
| Diazepam Diazepam | 12 | 11 |
| Gabapentin Gabapentin | 36 | 23 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 31 | 24 |
| Methylprednisolone Methylprednisolone | 12 | 12 |
| Tramadol Hcl Tramadol Hcl | 187 | 138 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1255317194 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MIR H ALI, M.D. |
| Plain-English Specialty | Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: 207XS0117X (Orthopaedic Surgery, Orthopaedic Surgery of the Spine) |
| Certifying / Licensing Body | American Board of Orthopaedic Surgery (ABOS) |
| Practice Location Address | 1051 W US ROUTE 6, SUITE 100, MORRIS, IL, 60450-4200 |
| Practice Telephone / Fax | Tel: (815) 942-4875 | Fax: (815) 942-5046 |
| Administrative Mailing Address | 725 SCHOOL ST STE A, MORRIS, IL, 60450-1207 |
| Enumeration & Last Sync | Enumerated: 2005-12-22 | CMS Record Updated: 2021-05-06 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207XS0117X)
What Does Taxonomy Code 207XS0117X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207XS0117X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MIR H ALI, M.D.)
Typical CPT / Diagnostic Procedures:- Total Knee Arthroplasty (CPT 27447) & Total Hip Arthroplasty (CPT 27130)
- Arthroscopic Rotator Cuff & ACL Ligament Reconstruction
- Intra-Articular Corticosteroid & Hyaluronic Acid Joint Injections (CPT 20610)
- Fracture Reduction, Internal Fixation & Carpal Tunnel Release
- NSAIDs & Selective COX-2 Inhibitors (Meloxicam, Celecoxib, Naproxen)
- Intra-Articular Triamcinolone Acetonide & Methylprednisolone
- Postoperative Venous Thromboembolism (VTE) Prophylaxis (Apixaban, Rivaroxaban)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207X00000X — Orthopaedic SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: IL | License: 036.122446 | Primary: Secondary |
207XS0117X — Orthopaedic Surgery, Orthopaedic Surgery of the SpinePlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: IL | License: 036-122446 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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