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Dr. Edward Tognacci , DO

General Practice โ€ข Phoenix, AZ

Active NPI 1265410351 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1111 E Mcdowell Rd
Phoenix, AZ 850062612

Call 6028396968 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1111 E Mcdowell Rd

Phoenix, AZ 850062612

Telephone 6028396968
Fax 6028394144
Organization at the Same NPPES Address or Phone
Banner Imaging Associates Plc Facility NPI 1124077755

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: American Current Care Of Arizona Pa. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

At Still University Of Health Sciences, College Of Osteo Med, Kirksville

Graduation Year

2001

Medicare patients

31 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $2,741 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $2,029 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

11 standardized 30-day fills in 2023

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$53 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2023.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

25 years (graduated 2001)

CMS Doctors and Clinicians data list 2001 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Tognacci has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Tognacci as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Phoenix and Arizona

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 95% of clinicians listed under General Practice in Arizona (2024, 42 clinicians with data). Median for this group: 296. Middle half: 98 to 1,125.

Too few clinicians listed under General Practice in Phoenix have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 95% of clinicians listed under General Practice in Arizona (2024, 42 clinicians with data). Median for this group: $28,517. Middle half: $7,437 to $79,116.

Too few clinicians listed under General Practice in Phoenix have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 95% of clinicians listed under General Practice in Arizona (2024, 42 clinicians with data). Median for this group: $20,687. Middle half: $5,470 to $61,475.

Too few clinicians listed under General Practice in Phoenix have Medicare Part B data for 2024 to compare.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Tognacci are from 2023.

57 active clinicians are listed under General Practice with a practice address in Phoenix, AZ (228 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Phoenix

5.3% of these 57 clinicians have the CMS telehealth indicator.

14% of these 57 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
17 17 $339.88 $161.21

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2023.

CMS Part D ยท Data Year 2023
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Azithromycin Azithromycin 11 55 $52.99 11

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-07-16
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES MI 5101015106

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Emergency Medicine - Emergency Medical Services

NUCC Taxonomy Code: 207PE0004X

License # reported to NPPES MI 5101015106

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - EMERGENCY MEDICINE

Medicare Enrollment ID

I20090721000687

Enrollment State Jurisdiction

TX

PECOS Control ID

3173569746

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

American Current Care Of Arizona Pa

1110 E Route 66, Flagstaff, AZ 860014772

Phone: 9287739695

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

24 listed
Patricia Armstrong , PA

Physician Assistant

NPI 1326015165

Physician Assistant

Robin Avalos , PA-C

Physician Assistant - Medical

NPI 1235214750

Physician Assistant (Certified)

Dr. Erin Baas Pace , MD

Emergency Medicine

NPI 1336344308

Doctor of Medicine (M.D.)

Dr. Moneesh Bhow , MD

Emergency Medicine

NPI 1215986096

Doctor of Medicine (M.D.)

Dr. Marvin Clever , MD

Emergency Medicine

NPI 1093927121

Doctor of Medicine (M.D.)

Dr. Diana Dabell , MD

Emergency Medicine

NPI 1013171842

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2024

General Practice (license number reported to NPPES: MI 5101015106)

โœ…
NPI Profile Active September 08, 2014

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) September 08, 2014

Registered at 1111 E MCDOWELL RD, PHOENIX, AZ 850062612 (Tel: 6028396968)

๐Ÿ“
Business Mailing Address (Initial Record) September 08, 2014

Registered at PO BOX 15070, SCOTTSDALE, AZ 852675070 (Tel: 6028396968)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 08, 2014

Recorded as EDWARD TOGNACCI, DO

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2014

Emergency Medicine (license number reported to NPPES: MI 5101015106)

๐ŸŸข
Initial NPI Registration & Enumeration January 09, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1265410351
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2006
Last Update: July 16, 2024
Sole Proprietor: No

Other General Practices in Phoenix

All General Practices in Phoenix

Mailing Address

Po Box 15070

Scottsdale, AZ 852675070

Phone: 6028396968

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.