ANTHONY MCCALL YOUNG NP-C
NPI 1255596060
Nurse Practitioner - Family in Sun Lakes, AZ

Active since July 21, 2008PECOS EnrolledAccepts Medicare Assignment
10450 E RIGGS RD, SUITE 114, SUN LAKES, AZ 85248(480) 505-2450(480) 505-2465 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2023, Dec 4, 2018 (2 updates tracked since 2018).

About Anthony Mccall Young Np-c NPPES

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

ANTHONY MCCALL YOUNG NP-C (NPI 1255596060) is an individual family provider in Sun Lakes, Arizona, licensed in Arizona (AP3053) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1255596060
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameANTHONY MCCALL YOUNGCredential: NP-C
Location Address10450 E RIGGS RD, SUITE 114Sun Lakes, AZ 85248-7758
Mailing Address10450 E Riggs Rd, Ste 114Sun Lakes, AZ 85248-7758 · (480) 505-2450 · Fax (480) 505-2464
Fax(480) 505-2465
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 21, 2008
Last NPPES UpdateMarch 21, 20232 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
NPI 1255596060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · AP3053
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP3053 (AZ)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP3053 (AZ)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP3053 (AZ)
10450 E RIGGS RD, Sun Lakes, AZ 85248

Accepted 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

Anthony Mccall Young Np-c 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 ID7810920071
PECOS Enrollment IDI20230622002804
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 3

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.
311 services239 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
201 services84 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
177 services154 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160112
Location1200 1st Avenue EastSpencer, IA 51301 · Clay County
Emergency services Birthing friendly

Lakes Regional Healthcare

Acute Care Hospitals · Spirit Lake, IA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160124
Location2301 Highway 71Spirit Lake, IA 51360 · Dickinson County
Emergency services Birthing friendly

Avera Holy Family Hospital

Critical Access Hospitals · Estherville, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161351
Location826 North 8th StreetEstherville, IA 51334 · Emmet County
Emergency services

Avera Heart Hospital Of South Dakota

Acute Care Hospitals · Sioux Falls, SD
5/5 CMS rating
OwnershipProprietary
CMS Certification Number430095
Location4500 W 69th StSioux Falls, SD 57108 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85248 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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
7%578 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers26 claims73 services$6.13 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims20 services$0.80 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers11 claims11 services$17.10 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers12 claims12 services$10.52 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers13 claims78 services$1.94 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$14.86 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 7

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

Internal Medicine
10450 E RIGGS RD, SUITE 110
SUN LAKES, AZ 85248
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
10450 E RIGGS RD, SUITE #107
CHANDLER, AZ 85248
Internal Medicine
10450 E RIGGS RD, SUITE 110
SUN LAKES, AZ 85248
Anesthesiology (Pain Medicine)
10450 E RIGGS RD, SUITE 102
SUN LAKES, AZ 85248
Clinic/Center (Ambulatory Surgical)
10450 E RIGGS RD, SUITE 101
SUN LAKES, AZ 85248
Family Medicine
10450 E RIGGS RD, STE 114
SUN LAKES, AZ 85248
Dentist (Periodontics)
10450 E RIGGS RD, SUITE #118
SUN LAKES, AZ 85248

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 Anthony Young's NPI number?

The NPI number for Anthony Young is 1255596060. It was assigned to this individual provider in the NPPES registry on July 21, 2008.

Where is Anthony Young located?

Anthony Young practices at 10450 E Riggs Rd Suite 114, Sun Lakes, AZ 85248. The listed phone number is (480) 505-2450.

What is Anthony Young's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Anthony Young enrolled in Medicare?

Yes. Anthony Young 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 Anthony Young accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Anthony Young 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.

Is Anthony Young affiliated with any hospitals?

According to CMS data, Anthony Young is affiliated with Spencer Municipal Hospital, Lakes Regional Healthcare, Avera Holy Family Hospital and Avera Heart Hospital Of South Dakota.

When was this NPI record last updated?

The NPPES record for Anthony Young was last updated on March 21, 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.