1. Home
  2. Directory
  3. Arizona
  4. Sacaton
  5. Internal Medicine
  6. NPI Profile

EDWIN MGBAM MD
NPI 1265492433
Internal Medicine in Sacaton, AZ

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
86.99/100
CMS Quality Rating
483 W. SEED FARM RD., SACATON, AZ 85147(602) 528-1200(602) 528-1255 Get Directions Write a Review

NPPES record last updated: March 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edwin Mgbam Md NPPES

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

EDWIN MGBAM MD (NPI 1265492433) is an individual internal medicine provider in Sacaton, Arizona, licensed in Arizona (33253) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1265492433
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEDWIN MGBAMCredential: MD
Location Address483 W. SEED FARM RD.Sacaton, AZ 85147-0038
Mailing Address483 W. Seed Farm Rd.Sacaton, AZ 85147-0038 · (602) 528-1200 · Fax (602) 528-1255
Phone(602) 528-1200
Fax(602) 528-1255
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMarch 23, 2006
Last NPPES UpdateMarch 2, 2012
✔ NPI 1265492433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 33253
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
483 W. SEED FARM RD., Sacaton, AZ 85147
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedZ83242AZ
Medicare UPINI14259AZ
Medicaid88130101AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Edwin Mgbam Md 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 ID8820064504
PECOS Enrollment IDI20050128000863
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 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
79 services53 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services20 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
21 services21 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85147 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
$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.

86.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.35
Promoting Interoperability88
Improvement Activities40
Cost53.95

Reported Quality Measures

Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
47%320 patients2/55-star benchmark: 98%
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.
75%2,832 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
18%470 patients1/55-star benchmark: 98%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
68%687 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
90%98 patients5/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
59%642 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
80%587 patients4/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
5%692 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 6

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers12 claims12 services$65.58 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers16 claims33 services$25.15 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers18 claims80 services$1.70 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 suppliers18 claims18 services$13.23 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims13 services$24.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers25 claims25 services$65.23 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 20

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

CONNIE GIGOUS FNP
Nurse Practitioner (Family)
483 W. SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200
JOAN E LAZORE FNP-C
Nurse Practitioner (Family)
483 W. SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200
DR. MONICA A LUMPKIN M.D.
Family Medicine
483 W. SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200
DR. NGUYET MINH KHA DDS
Dentist (General Practice)
483 W. SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200
GILA RIVER HEALTH CARE CORPORTION
General Acute Care Hospital (Critical Access)
483 W. SEED FARM RD., CREDENTIALING
SACATON, AZ 85147
Pinal County (602) 528-1340
LYNN MARIE PACHECO LCSW
Social Worker (Clinical)
483 W. SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200
MAILI HUCK CAREY RD, CDE
Dietitian, Registered
483 W. SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200
MS. CHERIE KEMPER R.D.
Dietitian, Registered
483 W. SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200

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 Edwin Mgbam's NPI number?

The NPI number for Edwin Mgbam is 1265492433. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Edwin Mgbam located?

Edwin Mgbam practices at 483 W. Seed Farm Rd., Sacaton, AZ 85147. The listed phone number is (602) 528-1200.

What is Edwin Mgbam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Edwin Mgbam enrolled in Medicare?

Yes. Edwin Mgbam 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 Edwin Mgbam accept?

Health plans from Blue Cross Blue Shield of Arizona list Edwin Mgbam 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 Edwin Mgbam was last updated on March 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.