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EDWARD G GHATTAS DO
NPI 1164412466
Family Medicine in Peoria, AZ

Active since October 27, 2005PECOS EnrolledAccepts Medicare Assignment
26900 N LAKE PLEASANT PKWY # 200, PEORIA, AZ 85383(623) 561-3000(623) 561-3009 Get Directions Write a Review

NPPES record last updated: January 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edward G Ghattas Do NPPES

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

EDWARD G GHATTAS DO (NPI 1164412466) is an individual family medicine provider in Peoria, Arizona, licensed in Arizona (005164) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (1980).

NPPES Registry Identity

NPI1164412466
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEDWARD G GHATTASCredential: DO
Location Address26900 N LAKE PLEASANT PKWY # 200Peoria, AZ 85383-1394
Mailing Address26900 N Lake Pleasant Pkwy # 200Peoria, AZ 85383-1394 · (623) 561-3000 · Fax (623) 561-3009
Phone(623) 561-3000
Fax(623) 561-3009
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1980
Enumeration DateOctober 27, 2005
Last NPPES UpdateJanuary 20, 2020
✔ NPI 1164412466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AZ · 005164✔ Licensed in MI · 5101011159
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
26900 N LAKE PLEASANT PKWY # 200, Peoria, AZ 85383
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Other Identifiers 13

OtherC2472MI · Mcare
Other204373MI · Mclaren Health Plan
Other080093523MI · Metrahealth
Other204373MI · Health Advantage Network
Medicaid3327505MI
Medicaid425169AZ
OtherF78381MI · Health Net Federal
Other080D410020MI · Blue Cross Blue Shield
Other080D410020MI · Blue Care Network
Other0852524385MI · Health Plus
Other5895095MI · Aetna
Other2341129003MI · Cigna
OtherF78381MI · Health Alliance Plan

Accepted Insurance

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

Edward G Ghattas Do 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 ID9436209798
PECOS Enrollment IDI20090608000144
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 5

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.

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.
460 services242 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
352 services213 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
122 services80 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
36 services36 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.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85383 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

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers18 claims33 services$6.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

DR. TIMOTHY EUGENE RIDER M.D.
Family Medicine
26900 N LAKE PLEASANT PKWY # 200
PEORIA, AZ 85383
Maricopa County (602) 561-3000

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 Edward Ghattas's NPI number?

The NPI number for Edward Ghattas is 1164412466. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Edward Ghattas located?

Edward Ghattas practices at 26900 N Lake Pleasant Pkwy # 200, Peoria, AZ 85383. The listed phone number is (623) 561-3000.

What is Edward Ghattas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Edward Ghattas enrolled in Medicare?

Yes. Edward Ghattas 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 Edward Ghattas accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list Edward Ghattas 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 Edward Ghattas was last updated on January 20, 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.