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MRS. LORI A CARRILLO M.D.
NPI 1205864790
Obstetrics & Gynecology in Phoenix, AZ

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
80.74/100
CMS Quality Rating
4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200(602) 263-1619 Get Directions Write a Review

NPPES record last updated: January 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2021, Jun 3, 2020, Jan 31, 2020 and 1 more (4 updates tracked since 2019).

About Mrs. Lori A Carrillo M.d. NPPES

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

MRS. LORI A CARRILLO M.D. (NPI 1205864790) is an individual obstetrics & gynecology provider in Phoenix, Arizona, licensed in Oregon (MD196778) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (2000).

NPPES Registry Identity

NPI1205864790
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMRS. LORI A CARRILLOCredential: M.D.
Location Address4212 N 16TH STPhoenix, AZ 85016-5319
Mailing AddressPo Box 95460Cleveland, OH 44101-0033 · (602) 263-1200 · Fax (602) 263-1619
Phone(602) 263-1200
Fax(602) 263-1619
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2000
Enumeration DateJune 30, 2006
Last NPPES UpdateJanuary 28, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2024
✔ NPI 1205864790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OR · MD196778
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4212 N 16TH ST, Phoenix, AZ 85016
Open in Google Maps ↗

Other Identifiers 1

Medicaid500775586OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Moda Health Plan, Inc..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

Mrs. Lori A Carrillo 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 ID6901876127
PECOS Enrollment IDI20240131004641
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 85016 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.19
Promoting Interoperability99
Improvement Activities40
Cost61.44

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.

WENDY RAZO
Registered Nurse (Obstetric, High-Risk)
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
THOMAS RYAN HALL RN
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
DR. UMAR IQBAL M.D.
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
SHARLA LOUISE WYATT RN
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
KATELYN WENTWORTH PELTIER PHARMD
Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
LAURA MOLANDER
Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
DR. ADEL M SALAMA M.D.
Internal Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
ANCITA BIGMAN RN
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1511

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 Lori Carrillo's NPI number?

The NPI number for Lori Carrillo is 1205864790. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Lori Carrillo located?

Lori Carrillo practices at 4212 N 16th St, Phoenix, AZ 85016. The listed phone number is (602) 263-1200.

What is Lori Carrillo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lori Carrillo enrolled in Medicare?

Yes. Lori Carrillo 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 Lori Carrillo accept?

Health plans from Antidote Health Plan of Arizona, Inc. and Moda Health Plan, Inc. list Lori Carrillo 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 Lori Carrillo was last updated on January 28, 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.