DAVID MEDINA M.D.
NPI 1093764722
Radiology - Vascular & Interventional Radiology in Scottsdale, AZ
NPI Status: Active since May 09, 2006
Contact Information
9323 E BAHIA DRIVE STE 200
SCOTTSDALE, AZ
ZIP 85260
Phone: (480) 562-6610
Fax: (520) 463-4419
- Individual
- Male
- Radiology
- Vascular & Interventional Radiology
- PECOS Enrolled
- Opted-Out Medicare
- Medicare Quality Reporting
About DAVID MEDINA
This page provides the complete NPI Profile along with additional information for David Medina, a provider established in Scottsdale, Arizona with a medical specialization in Radiology, focusing in vascular & interventional radiology . The healthcare provider is registered in the NPI registry with number 1093764722 assigned on May 2006. The practitioner's primary taxonomy code is 2085R0204X with license number 21441 (AZ). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1093764722
- Provider Name
- DAVID MEDINA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9323 E BAHIA DRIVE STE 200 SCOTTSDALE, AZ 85260
- Location Phone
- (480) 562-6610
- Location Fax
- (520) 463-4419
- Mailing Address
- 9323 E BAHIA DR STE 100 SCOTTSDALE, AZ 85260
- Mailing Phone
- (480) 562-6610
- Mailing Fax
- (520) 463-4419
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-09-2006
- Last Update Date
- 12-28-2022
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. David Medina opted out of Medicare effective on 08-23-2021 until 08-23-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Vascular & Interventional Radiology
- Taxonomy Code
- 2085R0204X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 21441
- License State
- AZ
- Taxonomy Description
- A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 2085B0100X | Allopathic & Osteopathic Physicians | Radiology | 21441 (AZ) |
2 | 2085P0229X | Allopathic & Osteopathic Physicians | Radiology | 21441 (AZ) |
3 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | 21441 (AZ) |
4 | 2085R0203X | Allopathic & Osteopathic Physicians | Radiology | 21441 (AZ) |
5 | 2085U0001X | Allopathic & Osteopathic Physicians | Radiology | 21441 (AZ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
213330 | MEDICAID (05) | AZ |
Medicare Participation & PECOS Enrollment Status
David Medina is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 08-23-2021
Opt-Out End Date: 08-23-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 85260 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.89
- Minimum New Patient Price $55.44
- Maximum New Patient Price $168.6
- Average New Patient Copayment $21.47
- Minimum New Patient Copayment $13.86
- Maximum New Patient Copayment $42.15
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.24
- Minimum Established Patient Price $17.72
- Maximum Established Patient Price $137.41
- Average Established Patient Copayment $17.31
- Minimum Established Patient Copayment $4.43
- Maximum Established Patient Copayment $34.35
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Implementation of improvements that contribute to more timely communication of test results | Yes | N/A |
Timely communication of test results defined as timely identification of abnormal test results with timely follow-up. | ||
Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
Participation in an AHRQ-listed patient safety organization. | ||
Use of QCDR data for ongoing practice assessment and improvements | Yes | N/A |
Use of QCDR data, for ongoing practice assessment and improvements in patient safety. | ||
Use of QCDR to promote standard practices, tools and processes in practice for improvement in care coordination | Yes | N/A |
Participation in a Qualified Clinical Data Registry, demonstrating performance of activities that promote use of standard practices, tools and processes for quality improvement (e.g., documented preventative screening and vaccinations that can be shared across MIPS eligible clinician or groups). |
Reviews for DAVID MEDINA M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 9 | 3 | 7 | 6 | 4 | 7 | 2 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 18 | 3 | 14 | 6 | 8 | 7 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 1 + 8 + 3 + 1 + 4 + 6 + 8 + 7 + 4 + 24 = 68 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 68 = 2 | 2 |
The NPI number 1093764722 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093764722, enumerated in the NPI registry as an "individual" on May 09, 2006
The provider is located at 9323 E Bahia Drive Ste 200 Scottsdale, Az 85260 and the phone number is (480) 562-6610
The provider's speciality is Radiology with taxonomy code 2085R0204X with a focus in Vascular & Interventional Radiology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $85.89 with an average copayment of $21.47 for new patient appointments. Established patients should expect a typical charge of $69.24 and an average copayment of 17.31. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on August 23, 2021 to opt-out of the Medicare program. The provider is excluded from the Medicare program until August 23, 2025.
This NPI record was last updated on May 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.