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DYLAN JAMES KERTZIE
NPI 1265318224
Physician Assistant in Glendale, AZ

Active since August 14, 2025PECOS EnrolledAccepts Medicare Assignment
5601 W EUGIE AVE STE 100, GLENDALE, AZ 85304(602) 298-8888 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dylan James Kertzie NPPES

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

DYLAN JAMES KERTZIE (NPI 1265318224) is an individual physician assistant in Glendale, Arizona and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1265318224
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDYLAN JAMES KERTZIE
Location Address5601 W EUGIE AVE STE 100Glendale, AZ 85304-1256
Mailing Address5334 E Palo Verde DrParadise Valley, AZ 85253-5158 · (716) 481-4197
Phone(602) 298-8888
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 14, 2025
NPPES CertifiedAugust 14, 2025
✔ NPI 1265318224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5601 W EUGIE AVE STE 100, Glendale, AZ 85304
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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

Dylan James Kertzie 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 ID5294220083
PECOS Enrollment IDI20251218003839
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 85304 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 6

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

DENISE LYN LOPEZ PA-C
Physician Assistant
5601 W EUGIE AVE STE 100
GLENDALE, AZ 85304
Maricopa County (602) 865-4510
SHASTA ELIZABETH HENDERSON MD
Orthopaedic Surgery (Orthopaedic Trauma)
5601 W EUGIE AVE STE 100
GLENDALE, AZ 85304
Maricopa County (602) 865-4510
BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC
Durable Medical Equipment & Medical Supplies
5601 W EUGIE AVE STE 100
GLENDALE, AZ 85304
Maricopa County (602) 865-4510
DESERT WEST OBGYN
Obstetrics & Gynecology
5601 W EUGIE AVE STE 100
GLENDALE, AZ 85304
Maricopa County (602) 978-1500
DERIC H NYE D.O.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
5601 W EUGIE AVE STE 100
GLENDALE, AZ 85304
Maricopa County (602) 865-4510
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
Durable Medical Equipment & Medical Supplies
5601 W EUGIE AVE STE 100
GLENDALE, AZ 85304
Maricopa County (602) 747-4000

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 Dylan Kertzie's NPI number?

The NPI number for Dylan Kertzie is 1265318224. It was assigned to this individual provider in the NPPES registry on August 14, 2025.

Where is Dylan Kertzie located?

Dylan Kertzie practices at 5601 W Eugie Ave Ste 100, Glendale, AZ 85304. The listed phone number is (602) 298-8888.

What is Dylan Kertzie's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dylan Kertzie enrolled in Medicare?

Yes. Dylan Kertzie 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.

When was this NPI record last updated?

The NPPES record for Dylan Kertzie was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.