DR. ALI DAFTARIAN (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1407018021

DR. ALI DAFTARIAN (M.D.) is a healthcare provider. based in Bryan, Texas. specializing in PAIN MANAGEMENT, ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. P3139 (TX). The NPI Number for DR. ALI DAFTARIAN (M.D.) is 1407018021

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALI DAFTARIAN (M.D.)
NPI
1407018021
Phone
(979) 774-1377
Address
3841 SAGEBRIAR
Enumeration Date
25 June 2008
Last Update Date
25 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
9797313906
Graduation Year
2008 (18 years ago)
PAC ID
5890940381
Group Practice PAC ID
4789574153
Professional Enrollment ID
I20130307000411
Address ID
TX778023487BR3201XEXXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

755 PAIN MANAGEMENT in TX

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Provider Addresses for DR. ALI DAFTARIAN (M.D.)

  • 3841, Sagebriar Drive, Bryan, Brazos County, Texas, 77802, United States

    BRYAN, TX 778026107

    Phone: (979) 774-1377

    Fax: (979) 774-6147

    Type: Location

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States

    COLLEGE STATION, TX 778420797

    Phone: (979) 774-1377

    Fax: (979) 774-6147

    Type: Mailing

  • 2801 FRANCISCAN DR

    BRYAN, TX 778022544

    Phone: (979) 774-1377

    Fax: (979) 774-6147

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $3,135.

Total Amount is formed as General ($3,135) + Research ($0) + Ownership ($0) = $3,135.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Stryker Corporation ($1,203).

Total Amount

$3,135

General + Research + Ownership

Payments

28

Total payment records

General Amount

$3,135

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-03-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130307000411IPain ManagementTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes365207$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level338197$0
64484Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level14495$0
62321Injection of substance into middle or upper spine canal using imaging guidance9367$0
64493Injection of lower or sacral spine facet joint using imaging guidance, single level9154$0
View full utilization report →

Insurance plans in this area (ZIP 77802)

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Provider's Procedures

DR. ALI DAFTARIAN (M.D.) performs procedures in PAIN MANAGEMENT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PAIN MANAGEMENTTX20610Aspiration and/or injection of large joint or joint capsule9755
PAIN MANAGEMENTTX62311Injections of substances into lower or sacral spine7349
PAIN MANAGEMENTTX64493Injections of lower or sacral spine facet joint using imaging guidance11272

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789574153View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTX
Physician AssistantTX
Nurse PractitionerTX
Interventional Pain Management, Physical Medicine And RehabilitationTX
Nurse PractitionerTX

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Frequently asked questions

Is DR. ALI DAFTARIAN (M.D.) listed with a National Provider Identifier?
Yes — DR. ALI DAFTARIAN (M.D.) has NPI 1407018021 on file in the registry.
Is there an active status for DR. ALI DAFTARIAN (M.D.)?
For scheduling context, DR. ALI DAFTARIAN (M.D.) is shown as active in the registry.
What expertise is attributed to DR. ALI DAFTARIAN (M.D.)?
DR. ALI DAFTARIAN (M.D.)'s specialty line reads Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Is DR. ALI DAFTARIAN (M.D.) associated with Bryan?
Public fields place DR. ALI DAFTARIAN (M.D.) around Bryan, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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