DR. JONATHAN L DAMEWORTH M.D.
NPI 1194102772
Colon & Rectal Surgery in Phoenix, AZ

Q: What is Jonathan Dameworth's NPI number?

The NPI number for Jonathan Dameworth is 1194102772. It was assigned to this individual provider in the NPPES registry on May 2, 2015.

Q: What is Jonathan Dameworth's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Active since May 02, 2015PECOS EnrolledAccepts Medicare Assignment

500 W THOMAS RD STE 400, PHOENIX, AZ 85013(602) 406-3874(602) 406-2335 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2024, Aug 24, 2021 (2 updates tracked since 2021).

On this page

About Dr. Jonathan L Dameworth M.d. NPPES

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

DR. JONATHAN L DAMEWORTH M.D. (NPI 1194102772) is an individual colon & rectal surgery provider in Phoenix, Arizona, licensed in Arizona (64001) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (2015).

NPPES Registry Identity

NPI1194102772

Entity TypeIndividualMale

Primary Taxonomy208C00000X

Provider Legal NameDR. JONATHAN L DAMEWORTHCredential: M.D.

Location Address500 W THOMAS RD STE 400Phoenix, AZ 85013-4238

Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358

Phone(602) 406-3874

Fax(602) 406-2335

Sole ProprietorYes

Medical School CMSCreighton University School Of MedicineGraduated 2015

Enumeration DateMay 2, 2015

Last NPPES UpdateNovember 6, 20242 updates tracked since enumeration

NPPES CertifiedNovember 6, 2024

✔ NPI 1194102772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in AZ · 64001

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

500 W THOMAS RD STE 400, Phoenix, AZ 85013

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Dr. Jonathan L Dameworth 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 ID7214351089

PECOS Enrollment IDI20210802001138

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 2

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

15 services15 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85013 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.

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.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

1 supplier11 claims220 services$4.92 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 20

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

DR. RONALD ANTHONY GAGLIANO JR. M.D.

Colon & Rectal Surgery