DR. KRISTA DEANN PELLICORE M.D.
NPI 1235174731
Family Medicine in Avondale, AZ

Q: What is Krista Pellicore's NPI number?

The NPI number for Krista Pellicore is 1235174731. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Q: What is Krista Pellicore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Krista Pellicore was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since June 18, 2006PECOS EnrolledAccepts Medicare Assignment

506 E WESTERN AVE STE 104, AVONDALE, AZ 85323(602) 230-7373(602) 230-3086 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2023, Jul 22, 2021 (2 updates tracked since 2021).

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About Dr. Krista Deann Pellicore M.d. NPPES

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

DR. KRISTA DEANN PELLICORE M.D. (NPI 1235174731) is an individual family medicine provider in Avondale, Arizona, licensed in Arizona (48328) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Goodyear, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1235174731

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KRISTA DEANN PELLICORECredential: M.D.

Location Address506 E WESTERN AVE STE 104Avondale, AZ 85323-2422

Mailing Address3101 N Central Ave Ste 550Phoenix, AZ 85012-2635 · (602) 230-7373 · Fax (602) 682-7455

Phone(602) 230-7373

Fax(602) 230-3086

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJune 18, 2006

Last NPPES UpdateApril 22, 20252 updates tracked since enumeration

NPPES CertifiedApril 22, 2025

✔ NPI 1235174731 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 · 48328✔ Licensed in IN · 01057388A

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.

506 E WESTERN AVE STE 104, Avondale, AZ 85323

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Secondary Practice Location 1

Location 1140 N Litchfield Rd, Suite 200Goodyear, AZ 85338-1277 · Phone (602) 243-7277 · Fax (602) 323-8048

Other Identifiers 3

Other000000305690Bcbs Provider Number

Medicaid200447730IN

Medicaid857797AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, 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

Dr. Krista Deann Pellicore 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 ID2264320290

PECOS Enrollment IDI20131120001545

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

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.

17 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85323 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.

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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.

OLIVIA ABUHL PA-C

Clinical Nurse Specialist (Psychiatric/Mental Health)