DR. ABTIN HAJILOO KHOSRAVI (M.D.) – Surgery Physician, NPI 1356583033
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,317 GENERAL SURGERY in CA
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Provider Addresses for DR. ABTIN HAJILOO KHOSRAVI (M.D.)
775, West La Veta Avenue, Orange, Orange County, California, 92868, United States
ORANGE, CA 928684306
Phone: (714) 541-4996
Fax: (714) 835-9550
Type: Location
5871, Wilkins Drive, Durham, Orange County, North Carolina, 27705, United States
ORANGE, CA 928635871
Phone: (714) 571-5000
Fax: (714) 571-5055
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $3,359.
Total Amount is formed as General ($3,359) + Research ($0) + Ownership ($0) = $3,359.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,872).
Total Amount
$3,359
General + Research + Ownership
Payments
41
Total payment records
General Amount
$3,359
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $2,872 |
| Medtronic, Inc. | $377 |
| Davol Inc. | $75 |
| Becton, Dickinson and Company | $20 |
| BIOTISSUE HOLDINGS INC. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-10-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160929000333 | I | General Surgery | NJ | TBD |
| I20171002000914 | I | General Surgery | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 33 | 31 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 30 | 30 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 30 | 30 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 15 | $0 |
| 49650 | Repair of groin hernia using an endoscope | 19 | 19 | $0 |
Insurance plans in this area (ZIP 92868)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Colorectal Surgery (Proctology), General Surgery | CA | |
| General Surgery, General Practice | CA | |
| General Surgery | CA | |
| General Surgery | CA | |
| General Surgery | CA | |
| Colorectal Surgery (Proctology) | CA |
Reviews
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