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JASON RICHARDSON
NPI 1255513206
Surgery in Mesa, AZ

Active since December 01, 2007PECOS Enrolled
4860 E BASELINE RD STE 105, MESA, AZ 85206(480) 485-8585 Get Directions Write a Review

NPPES record last updated: January 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jason Richardson NPPES

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

JASON RICHARDSON (NPI 1255513206) is an individual surgery provider in Mesa, Arizona, licensed in Arizona (46221) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1255513206
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJASON RICHARDSON
Location Address4860 E BASELINE RD STE 105Mesa, AZ 85206-4670
Mailing Address10115 E Bell Rd Ste 107, #178Scottsdale, AZ 85260-2189
Phone(480) 485-8585
Sole ProprietorNo
Enumeration DateDecember 1, 2007
Last NPPES UpdateJanuary 22, 2023
NPPES CertifiedJanuary 22, 2023
✔ NPI 1255513206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AZ · 46221
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4860 E BASELINE RD STE 105, Mesa, AZ 85206
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Secondary Practice Location 1

Location 19305 W Thomas Rd Ste 480Phoenix, AZ 85037-3375 · Phone (480) 485-8585

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Richardson 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 Reassignment

Medicare enrollment records show Jason Richardson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prism Bariatrics LLC
Same address
Surgery
4860 E BASELINE RD STE 105
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • 6 clinicians in this Medicare group
NPI 1902566433 (480) 485-8585

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 85206 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.

Other Providers at the Same Location NPPES 8

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

JOHN J DE BARROS MD
Surgery
4860 E BASELINE RD STE 105
MESA, AZ 85206
Maricopa County (480) 485-8585
PHOENIX BARIATRIC LLC
Surgery
4860 E BASELINE RD STE 105
MESA, AZ 85206
Maricopa County (480) 485-8585
ALEXIA GONZALEZ
Dietitian, Registered
4860 E BASELINE RD STE 105
MESA, AZ 85206
Maricopa County (480) 485-8585
CHELSEA M PRICE MS, RD, LDN
Dietitian, Registered
4860 E BASELINE RD STE 105
MESA, AZ 85206
Maricopa County (480) 485-8585
LYL PHOENIX LLC
Surgery
4860 E BASELINE RD STE 105
MESA, AZ 85206
Maricopa County (480) 485-8585
TEMPE ADVANCED SUPPORT GROUP PLLC
Surgery
4860 E BASELINE RD STE 105
MESA, AZ 85206
Maricopa County (480) 485-8585
BMI PHOENIX LLC
Surgery
4860 E BASELINE RD STE 105
MESA, AZ 85206
Maricopa County (801) 485-8585
PRISM BARIATRICS LLC
Surgery
4860 E BASELINE RD STE 105
MESA, AZ 85206
Maricopa County (480) 485-8585

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 Jason Richardson's NPI number?

The NPI number for Jason Richardson is 1255513206. It was assigned to this individual provider in the NPPES registry on December 1, 2007.

Where is Jason Richardson located?

Jason Richardson practices at 4860 E Baseline Rd Ste 105, Mesa, AZ 85206. The listed phone number is (480) 485-8585.

What is Jason Richardson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jason Richardson enrolled in Medicare?

Yes. Jason Richardson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jason Richardson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Richardson reassigns Medicare benefits to Prism Bariatrics LLC (Mesa, AZ). The 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 Jason Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Richardson accept?

Health plans from UnitedHealthcare list Jason Richardson 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 Jason Richardson was last updated on January 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.