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Gregory C Etienne , PA

Physician Assistant β€’ Phoenix, AZ

Active NPI 1497384168 Individual Practitioner Male Practitioner
Practice location in NPPES

444 W Osborn Rd Ste 200
Phoenix, AZ 850133817

Call 4802239314 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

444 W Osborn Rd Ste 200

Phoenix, AZ 850133817

Telephone 4802239314
Fax 4809239155
Organization at the Same NPPES Address or Phone
Arizona Orthopedic & Fracture Surgeons Pc Facility NPI 1851302947

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

Industry payments (Open Payments)

Fewer than 11 payment records totaling $18.60 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2020

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, β€œDoes your provider accept Medicare as full payment?”

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)

Gregory Etienne 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 Gregory Etienne 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

941 active clinicians are listed under Physician Assistant with a practice address in Phoenix, AZ (3,745 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Phoenix

14.3% of these 941 clinicians have the CMS telehealth indicator.

55.6% of these 941 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $18.60.

Manufacturer Payment Nature Product Type Amount ($)
Bioventus LLC
Food and Beverage
In-kind items and services
SUPARTZ FX SODIUM HYALURONATE General $18.60

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-02-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES AZ 8320

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

License # reported to NPPES PR 154
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 - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20231004003777

Enrollment State Jurisdiction

AZ

PECOS Control ID

3173985025

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.

Clinicians Sharing This Practice Address or Phone

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

2 listed
Dr. David Moore , MD

Family Medicine

NPI 1841559846

Doctor of Medicine (M.D.)

Dr. Candyce Williams , MD

Rehabilitation Practitioner

NPI 1114991155

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
πŸ“
Updated Practice Location February 07, 2025

Registered at 444 W OSBORN RD STE 200, PHOENIX, AZ 850133817 (Tel: 4802239314)

πŸ“
Updated Business Mailing Address February 07, 2025

Registered at 4834 E BROADWAY BLVD, TUCSON, AZ 857113610 (Tel: 4802239314)

πŸ“
Updated Practice Location November 02, 2023

Registered at 5331 S SUPERSTITION MOUNTAIN DR, GOLD CANYON, AZ 851181921 (Tel: 9562128416)

πŸ“
Updated Business Mailing Address November 02, 2023

Registered at 5830 W THUNDERBIRD RD STE B8-1001, GLENDALE, AZ 853064654 (Tel: 9562128416)

πŸ“
Updated Practice Location July 27, 2022

Registered at 13077 LOST WILLOW, EL PASO, TX 799381228 (Tel: 9562128416)

πŸ“
Updated Business Mailing Address July 27, 2022

Registered at 13077 LOST WILLOW, EL PASO, TX 799381228 (Tel: 9562128416)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2022

Physician Assistant (license number reported to NPPES: PR 154)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2021

Physician Assistant (license number reported to NPPES: AZ 8320)

βœ…
NPI Profile Active April 05, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 05, 2020

Registered at 7400 N 4TH ST, MCALLEN, TX 785041859 (Tel: 9562128416)

πŸ“
Business Mailing Address (Initial Record) April 05, 2020

Registered at PO BOX 2711, EDINBURG, TX 785402711 (Tel: 9562128416)

πŸ‘€
Provider Name / Credentials (Initial Record) April 05, 2020

Recorded as GREGORY ETIENNE, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2020

Physician Assistant (license number reported to NPPES: PR 154)

🟒
Initial NPI Registration & Enumeration April 05, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497384168
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2020
Last Update: February 07, 2025
Sole Proprietor: Yes

Other Physician Assistants in Phoenix

All Physician Assistants in Phoenix

Mailing Address

4834 E Broadway Blvd

Tucson, AZ 857113610

Phone: 4802239314

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.