Medicare Enrolled
Dr. Sohail Ali, M.D.
Endocrinology · Maitland, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Ali from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Ali?
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What this data tells you about Dr. Ali
Dr. Sohail Ali is an endocrinology specialist in Maitland, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Ali performed 12,667 Medicare services across 7,333 unique beneficiaries.
Between the years covered by Open Payments, Dr. Ali received a total of $13,021 from 53 pharmaceutical and/or device companies across 456 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in endocrinology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Ali is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 6% volume in FL
$13,021 industry payments
Medicare Practice Summary
Medicare Utilization ↗12,667
Medicare services
Top 6% in FL for endocrinology
7,333
Unique beneficiaries
$25
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~633 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,308 | $90 | $190 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
1,193 | $8 | $19 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
1,083 | $10 | $35 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
759 | $10 | $40 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
723 | $16 | $55 |
| Thyroxine (T4) level test A blood test that measures the total amount of thyroxine, a thyroid hormone, in your body. |
718 | $7 | $22 |
| Thyroid hormone evaluation A blood test to measure the levels of thyroid hormones in the body. This evaluation helps assess how well the thyroid gland is functioning. |
718 | $6 | $25 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
679 | $5 | $40 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
649 | $13 | $61 |
| LDL cholesterol level test A blood test that measures the amount of low-density lipoprotein (LDL) cholesterol in your blood. LDL is often referred to as "bad" cholesterol. |
647 | $10 | $21 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
647 | $8 | $22 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
454 | $6 | $26 |
| Continuous glucose monitoring with interpretation This procedure involves monitoring blood sugar levels in tissue fluid using a sensor placed under the skin, along with the interpretation and reporting of the results. |
378 | $26 | $65 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
330 | $40 | $165 |
| Collagen cross-links urine test A urine test used to evaluate bone health by measuring collagen cross-links. |
228 | $18 | $90 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
220 | $29 | $125 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
214 | $61 | $170 |
| Ultrasound of head and neck soft tissue This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation. |
195 | $73 | $250 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
190 | $36 | $225 |
| Continuous glucose monitoring, sensor under skin This procedure involves continuous monitoring of blood sugar levels in tissue fluid using a sensor placed under the skin with provider-supplied equipment. |
163 | $98 | $300 |
| Diabetes self-management training, individual Individualized education and training for managing diabetes, billed per 30-minute session. |
102 | $40 | $75 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
92 | $6 | $35 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
80 | $117 | $300 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
80 | $37 | $55 |
| Thyroglobulin antibody blood test A blood test that measures the level of antibodies against thyroglobulin, a protein produced by the thyroid gland. |
75 | $16 | $50 |
| Urine volume measurement | 58 | $4 | $5 |
| Zoledronic acid injection, 1 mg An injection of zoledronic acid administered at a dose of 1 mg. |
55 | $6 | $225 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
54 | $131 | $225 |
| Free T3 thyroid hormone test A blood test that measures the level of free triiodothyronine (T3) hormone in your body. This helps assess how well your thyroid gland is functioning. |
51 | $17 | $95 |
| Thyroglobulin level test A blood test that measures the level of thyroglobulin, a protein produced by the thyroid gland. |
49 | $16 | $105 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
44 | $16 | $50 |
| Total cortisol level test A blood test that measures the total amount of cortisol hormone in your body. Cortisol is a hormone produced by the adrenal glands. |
43 | $16 | $75 |
| Sex hormone binding globulin level test A blood test that measures the level of sex hormone binding globulin, a protein that binds to sex hormones in the bloodstream. |
41 | $21 | $85 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
41 | $25 | $130 |
| Online digital evaluation for established patient, 5-10 minutes This service involves an online digital evaluation and management visit for an established patient. It covers a total time of 5 to 10 minutes over a period of up to 7 days. |
38 | $11 | $20 |
| Urine calcium level test A laboratory test that measures the amount of calcium present in a urine sample. This test helps evaluate calcium metabolism and kidney function. |
34 | $6 | $26 |
| Microsomal antibody test A blood test that measures the level of microsomal antibodies, which are autoantibodies produced by the immune system. |
31 | $14 | $50 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
29 | $15 | $25 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
25 | $7 | $26 |
| Urine total protein level A laboratory test that measures the total amount of protein present in a urine sample. |
24 | $4 | $30 |
| Ultrasound-guided fine needle aspiration biopsy, first lesion A biopsy procedure where a thin needle is used to collect tissue samples from a growth, guided by ultrasound imaging. This code applies to the first lesion or mass sampled during the session. |
23 | $100 | $600 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
21 | $49 | $64 |
| Chronic care management services Comprehensive assessment and care planning for patients requiring ongoing chronic care management. |
21 | $47 | $64 |
| C-peptide level test A blood test that measures the amount of C-peptide, a protein produced along with insulin, to help evaluate insulin production and diabetes management. |
19 | $20 | $35 |
| Prolactin level test A blood test that measures the amount of prolactin, a hormone produced by the pituitary gland that stimulates milk production, in the body. |
15 | $19 | $74 |
| New patient office visit, complex (60-74 min) | 15 | $157 | $325 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
11 | $49 | $80 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
0.1% high complexity
2.2% medium
97.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$13,021
Total received (2018-2024)
Avg $1,860/year across 7 years
Top 25% in FL for endocrinology
53
Companies
456
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$8,474 (65.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$4,547 (34.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,509
2023
$1,435
2022
$182
2021
$193
2020
$3,573
2019
$2,904
2018
$3,226
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Tandem Diabetes Care, Inc.
$4,894
Novo Nordisk Inc
$977
Lilly USA, LLC
$851
SANOFI-AVENTIS U.S. LLC
$608
Radius Health, Inc.
$520
Dexcom, Inc.
$500
Amgen Inc.
$371
AstraZeneca Pharmaceuticals LP
$325
Boehringer Ingelheim Pharmaceuticals, Inc.
$300
IBSA Pharma Inc.
$288
Merck Sharp & Dohme Corporation
$261
Janssen Pharmaceuticals, Inc
$212
Amneal Pharmaceuticals LLC
$203
AbbVie, Inc.
$185
Abbott Laboratories
$184
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$173
Bayer Healthcare Pharmaceuticals Inc.
$170
Medtronic MiniMed, Inc.
$163
Senseonics, Incorporated
$138
PFIZER INC.
$135
Amarin Pharma Inc.
$118
Ipsen Biopharmaceuticals, Inc
$116
AbbVie Inc.
$97
Insulet Corporation
$95
Shire North American Group Inc
$94
CeQur Corporation
$77
ABBVIE INC.
$76
Antares Pharma, Inc.
$71
Kyowa Kirin, Inc.
$68
Kowa Pharmaceuticals America, Inc.
$61
RECORDATI_RARE_DISEASES_INC.
$60
Gemini Laboratories, LLC
$57
Valeritas, Inc.
$56
BETA BIONICS, INC.
$52
Corcept Therapeutics
$51
Averitas Pharma Inc.
$41
Xeris Pharmaceuticals, Inc.
$38
Endo Pharmaceuticals Inc.
$34
Horizon Therapeutics plc
$34
Rhythm Pharmaceuticals, Inc.
$33
Neurocrine Biosciences, Inc.
$26
Astellas Pharma US Inc
$21
Amphastar Pharmaceuticals, Inc.
$20
Ascensia Diabetes Care Us Inc.
$19
Roche Diabetes Care, Inc.
$19
Supernus Pharmaceuticals, Inc.
$19
Bayer HealthCare Pharmaceuticals Inc.
$18
LIFESCAN, INC.
$16
Renalytix AI, Inc.
$16
Medtronic, Inc.
$16
Strongbridge US INC.
$15
Ferring Pharmaceuticals Inc.
$14
MannKind Corporation
$13
Top 3 companies account for 51.6% of total payments
Associated products mentioned in payments ›
AFREZZA · AVEED · Androgel · BAQSIMI · BASAGLAR · CYCLOSET · Cables · CeQur Simplicity · Crysvita · DC ACCU-CHEK Diabetes Management Solutions · DEXCOM CGM · DEXCOM G6 CGM SYSTEM · DISEASE STATE · Dexcom CGM · Dexcom G6 Transmitter · EVENITY · EVERSENSE 365 SENSOR KIT (RETAIL) · Eversense · FARXIGA · FORTEO · FreeStyle Libre Pro · FreeStyle Lite system · GVOKE PFS · HUMALOG · HUMULIN · HUMULIN R 500 · INVOKANA · Increlex · JANUVIA · JARDIANCE · KIDNEYINTELX BLOOD COLLECTION CONVENIENCE KIT · Kerendia · Kits and Accessories · Korlym · LICART · Livalo · MACRILEN · MINIMED 780G · MOUNJARO · Minimed 670G System · NATPARA (PARATHYROID HORMONE) · Norditropin · ONETOUCH VERIO FLEX · Omnipod · Otrexup · Ozempic · PREVNAR 20 · Prolia · QUTENZA · RECORLEV · Repatha · Rybelsus · SOLIQUA · SOLIQUA 100/33 · SOMATULINE DEPOT · SOMAVERT · SYNJARDY · SYNTHROID · Saxenda · Software · Sogroya · Somatuline Depot · Synthroid · TEPEZZA · TESTOPEL · TOUJEO · TRADJENTA · TRULICITY · TZIELD · Tirosint · Tresiba · Tymlos · UNITHROID · V-GO · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XYOSTED · ZOMACTON · iLet Bionic Pancreas · t-slim insulin pump · t:slim X2 Insulin Pump with Control-IQ · t:slim X2 insulin pump
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (65%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $103 per 100 Medicare services performed
Geographic Context
Endocrinologists within 10 mi
59
Per 100K population
4.1
County median income
$77,011
Nearest hospital
ADVENTHEALTH ORLANDO
5.3 mi
5.3 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Ali is a clinical cardiology specialist, with above-average Medicare volume (top 6% in FL), with low-engagement industry engagement, with 20 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Ali experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Ali performed 1,308 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Ali receive payments from pharmaceutical companies?
Yes. Dr. Ali received a total of $13,021 from 53 companies across 456 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Ali's costs compare to other endocrinologists in Maitland?
Dr. Ali's average Medicare payment per service is $25. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Ali) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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