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DR. TRACY A FRAUSTO M.D.
NPI 1164527396
Pediatrics in Gilbert, AZ

Active since September 13, 2006PECOS Enrolled
7400 S POWER RD, SUITE 140, GILBERT, AZ 85297(480) 615-2010(480) 279-1189 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Tracy A Frausto M.d. NPPES

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

DR. TRACY A FRAUSTO M.D. (NPI 1164527396) is an individual pediatrics provider in Gilbert, Arizona, licensed in Arizona (36504) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sacaton.

NPPES Registry Identity

NPI1164527396
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. TRACY A FRAUSTOCredential: M.D.
Location Address7400 S POWER RD, SUITE 140Gilbert, AZ 85297-9281
Mailing AddressPo Box 16455Mesa, AZ 85211-6455 · (480) 615-2010
Phone(480) 615-2010
Fax(480) 279-1189
Sole ProprietorNo
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1164527396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in AZ · 36504✔ Licensed in CA · A88268
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.
7400 S POWER RD, Gilbert, AZ 85297
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Secondary Practice Location 1

Location 1483 W Seed Farm RdSacaton, AZ 85147-5000 · Phone (602) 528-1200 · Fax (602) 528-1255

Other Identifiers 1

Medicaid218244AZ

Accepted Insurance

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

Dr. Tracy A Frausto M.d. 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 Reassignments

2

Medicare enrollment records show Tracy Frausto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gila River Health Care Corporation
12 mi
Case Management
3042 W. QUEEN CREEK ROAD
Chandler, AZ 85286
  • Reassigned Medicare billing, Texas enrollment
  • 482 clinicians in this Medicare group
NPI 1629579230 (602) 528-1200
Banner Childrens Banner Health Clinic LLC
26 mi
Primary Care
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 57 clinicians in this Medicare group
NPI 1285278077 (602) 747-4000

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 85297 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 13

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

QUEEN CREEK PEDIATRIC DENTISTRY LLC
Dentist (Pediatric Dentistry)
7400 S POWER RD, BLDG 6, STE 132
GILBERT, AZ 85297
Maricopa County (480) 503-3764
DENTISTRY AT POWER RANCH INC
Dentist (General Practice)
7400 S POWER RD, STE 118
GILBERT, AZ 85297
Maricopa County (480) 279-5533
RICHARD WILLIAM ANDREASEN D.C.
Chiropractor
7400 S POWER RD, SUITE 120
GILBERT, AZ 85297
Maricopa County (480) 279-4441
WENDY LORENZEN M.D.
Pediatrics
7400 S POWER RD, SUITE 140
GILBERT, AZ 85297
Maricopa County (480) 615-2010
RICHARD W ANDREASEN DC & ASSOCIATES PLC
Chiropractor
7400 S POWER RD, SUITE 120
GILBERT, AZ 85297
Maricopa County (480) 279-4441
DAVID STANLEY SORENSON PAC
Physician Assistant
7400 S POWER RD, SUITE 120
GILBERT, AZ 85297
Maricopa County (480) 988-1659
MELINDA MARIE LAWRENCE DNP
Nurse Practitioner (Pediatrics)
7400 S POWER RD, SUITE 140
GILBERT, AZ 85297
Maricopa County (480) 615-2010
PHILEMON R MERRILL JR. PA-C
Physician Assistant (Medical)
7400 S POWER RD, SUITE 120
GILBERT, AZ 85297
Maricopa County (480) 988-1659

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 Tracy Frausto's NPI number?

The NPI number for Tracy Frausto is 1164527396. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Tracy Frausto located?

Tracy Frausto practices at 7400 S Power Rd Suite 140, Gilbert, AZ 85297. The listed phone number is (480) 615-2010.

What is Tracy Frausto's specialty?

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

Is Tracy Frausto enrolled in Medicare?

Yes. Tracy Frausto is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tracy Frausto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Frausto reassigns Medicare benefits to 2 organizations: Gila River Health Care Corporation (Chandler, AZ) and Banner Childrens Banner Health Clinic LLC (Phoenix, AZ). Each 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 Tracy Frausto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracy Frausto accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Tracy Frausto 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 Tracy Frausto was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.