Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ROBERT POWELL
NPI 1043840283
Physician Assistant in Phoenix, AZ

Active since January 16, 2020PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
1331 N 7TH ST STE 405, PHOENIX, AZ 85006(602) 254-3151(866) 939-2673 Get Directions Write a Review

NPPES record last updated: July 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2026, Apr 15, 2026, May 12, 2021 and 1 more (4 updates tracked since 2020).

About Robert Powell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT POWELL (NPI 1043840283) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (11476) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Espanola Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1043840283
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameROBERT POWELL
Location Address1331 N 7TH ST STE 405Phoenix, AZ 85006-2754
Mailing Address18444 N 25th Ave Ste 310Phoenix, AZ 85023-1266 · (866) 974-2673 · Fax (480) 499-8459
Fax(866) 939-2673
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 16, 2020
Last NPPES UpdateJuly 11, 20264 updates tracked since enumeration
NPPES CertifiedJuly 11, 2026
NPI 1043840283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AZ · 11476
Definition
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
1331 N 7TH ST STE 405, Phoenix, AZ 85006

Secondary Practice Locations 4

Location 118444 N 25th Ave Ste 210Phoenix, AZ 85023-1264 · Phone (866) 974-2673 · Fax (866) 939-2673
Location 210484 W Thunderbird Blvd Ste 100Sun City, AZ 85351-6019 · Phone (866) 974-2673 · Fax (866) 939-2673
Location 310494 W Thunderbird Blvd Ste 102Sun City, AZ 85351-6122 · Phone (866) 997-4267 · Fax (866) 939-2673
Location 43420 S Mercy Rd Ste 211Gilbert, AZ 85297-0424 · Phone (602) 254-3151 · Fax (866) 939-2673

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Robert Powell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810391786
PECOS Enrollment IDI20210814000324
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presbyterian Espanola Hospital

Acute Care Hospitals · Espanola, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320011
Location1010 Spruce StreetEspanola, NM 87532 · Rio Arriba County
Emergency services Birthing friendly

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
1331 N 7TH ST STE 405
PHOENIX, AZ 85006
Nurse Practitioner (Acute Care)
1331 N 7TH ST STE 405
PHOENIX, AZ 85006
Neurological Surgery
1331 N 7TH ST STE 405
PHOENIX, AZ 85006
Physician Assistant
1331 N 7TH ST STE 405
PHOENIX, AZ 85006
Nurse Practitioner (Gerontology)
1331 N 7TH ST STE 405
PHOENIX, AZ 85006
Neurological Surgery
1331 N 7TH ST STE 405
PHOENIX, AZ 85006
Neurological Surgery
1331 N 7TH ST STE 405
PHOENIX, AZ 85006
Neurological Surgery
1331 N 7TH ST STE 405
PHOENIX, AZ 85006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Powell's NPI number?

The NPI number for Robert Powell is 1043840283. It was assigned to this individual provider in the NPPES registry on January 16, 2020.

Where is Robert Powell located?

Robert Powell practices at 1331 N 7th St Ste 405, Phoenix, AZ 85006. The listed phone number is (602) 254-3151.

What is Robert Powell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Robert Powell enrolled in Medicare?

Yes. Robert Powell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Powell accept?

Health plans from UnitedHealthcare list Robert Powell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Robert Powell affiliated with any hospitals?

According to CMS data, Robert Powell is affiliated with Presbyterian Espanola Hospital and Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Robert Powell was last updated on July 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.