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BRETT DUSENBERRY M.D.
NPI 1104274430
Pediatrics in Tucson, AZ

Active since May 26, 2016PECOS EnrolledAccepts Medicare Assignment
5199 E FARNESS DR STE 101, TUCSON, AZ 85712(520) 222-8076 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brett Dusenberry M.d. NPPES

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

BRETT DUSENBERRY M.D. (NPI 1104274430) is an individual pediatrics provider in Tucson, Arizona, licensed in Arizona (60604) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oklahoma City, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104274430
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameBRETT DUSENBERRYCredential: M.D.
Location Address5199 E FARNESS DR STE 101Tucson, AZ 85712-2262
Mailing Address5199 E Farness Dr Ste 101Tucson, AZ 85712-2262
Phone(520) 222-8076
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 26, 2016
Last NPPES UpdateMay 21, 2020
NPPES CertifiedMay 21, 2020
✔ NPI 1104274430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 60604
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5199 E FARNESS DR STE 101, Tucson, AZ 85712
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Secondary Practice Location 1

Location 11200 Childrens AveOklahoma City, OK 73104-4637 · Phone (405) 271-4417

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, UnitedHealthcare.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

Brett Dusenberry M.d. 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 ID6406219401
PECOS Enrollment IDI20250612002103
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85712 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.

Other Providers at the Same Location NPPES 4

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

LESLIE STREETER NP
Nurse Practitioner (Family)
5199 E FARNESS DR STE 101
TUCSON, AZ 85712
Pima County (520) 222-8076
LEILA SAMSAM DNP
Nurse Practitioner (Family)
5199 E FARNESS DR STE 101
TUCSON, AZ 85712
Pima County (520) 222-8076
DR. MOHAMMED MORTAZAVI MD
Pediatrics (Sports Medicine)
5199 E FARNESS DR STE 101
TUCSON, AZ 85712
Pima County (520) 222-8076
MONICA CECELIA PITA
Specialist/Technologist (Athletic Trainer)
5199 E FARNESS DR STE 101
TUCSON, AZ 85712
Pima County (520) 222-8076

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 Brett Dusenberry's NPI number?

The NPI number for Brett Dusenberry is 1104274430. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Where is Brett Dusenberry located?

Brett Dusenberry practices at 5199 E Farness Dr Ste 101, Tucson, AZ 85712. The listed phone number is (520) 222-8076.

What is Brett Dusenberry's specialty?

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

Is Brett Dusenberry enrolled in Medicare?

Yes. Brett Dusenberry 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 Brett Dusenberry accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Brett Dusenberry 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 Brett Dusenberry was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.