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ANTHONY NAGORKA MD
NPI 1053491316
Pediatrics in Phoenix, AZ

Active since October 17, 2006PECOS Enrolled
4434 N 12TH STREET, PHOENIX, AZ 85014(602) 242-5121(602) 242-6945 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Anthony Nagorka Md NPPES

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

ANTHONY NAGORKA MD (NPI 1053491316) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (23053) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053491316
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameANTHONY NAGORKACredential: MD
Location Address4434 N 12TH STREETPhoenix, AZ 85014-1101
Mailing Address4434 N 12th StreetPhoenix, AZ 85014-1101 · (602) 242-5121 · Fax (602) 242-6945
Phone(602) 242-5121
Fax(602) 242-6945
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateSeptember 7, 2023
NPPES CertifiedSeptember 7, 2023
✔ NPI 1053491316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 23053
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4434 N 12TH STREET, Phoenix, AZ 85014
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony Nagorka Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Anthony Nagorka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoenix Pediatrics Ltd
Same address
Pediatrics
4434 N 12TH ST
Phoenix, AZ 85014
  • Reassigned Medicare billing, Arizona enrollment
  • 7 clinicians in this Medicare group
NPI 1871788513 (602) 242-5121

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85014 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
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$13.70 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier15 claims48 services$11.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Anthony Nagorka's NPI number?

The NPI number for Anthony Nagorka is 1053491316. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Anthony Nagorka located?

Anthony Nagorka practices at 4434 N 12th Street, Phoenix, AZ 85014. The listed phone number is (602) 242-5121.

What is Anthony Nagorka's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Anthony Nagorka enrolled in Medicare?

Yes. Anthony Nagorka is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anthony Nagorka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Nagorka reassigns Medicare benefits to Phoenix Pediatrics Ltd (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Nagorka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Nagorka accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc. and Blue Cross Blue Shield of Arizona list Anthony Nagorka 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.

When was this NPI record last updated?

The NPPES record for Anthony Nagorka was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.