Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EVAN KELTON DACKOWSKI MD
NPI 1275119661
Ophthalmology in Tempe, AZ

Q: What is Evan Dackowski's NPI number?

The NPI number for Evan Dackowski is 1275119661. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Q: What is Evan Dackowski's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Evan Dackowski was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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 March 24, 2021PECOS Enrolled

1215 W RIO SALADO PKWY STE 101, TEMPE, AZ 85281(480) 480-2020 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 17, 2026, Aug 12, 2025, Jul 2, 2025 and 4 more (7 updates tracked since 2021).

On this page

About Evan Kelton Dackowski Md NPPES

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

EVAN KELTON DACKOWSKI MD (NPI 1275119661) is an individual ophthalmology provider in Tempe, Arizona, licensed in Arizona (81572) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2021).

NPPES Registry Identity

NPI1275119661

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameEVAN KELTON DACKOWSKICredential: MD

Location Address1215 W RIO SALADO PKWY STE 101Tempe, AZ 85281-2954

Mailing Address1215 W Rio Salado Pkwy Ste 101Tempe, AZ 85281-2954 · (480) 480-2020 · Fax (480) 612-0150

Phone(480) 480-2020

Sole ProprietorNo

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2021

Enumeration DateMarch 24, 2021

Last NPPES UpdateAugust 17, 20267 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1275119661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in AZ · 81572✔ Licensed in IL · 125.078712✔ Licensed in TX · V7489

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1215 W RIO SALADO PKWY STE 101, Tempe, AZ 85281

Open in Google Maps ↗

Secondary Practice Locations 3

Location 12160 S 1st AveMaywood, IL 60153-3328 · Phone (888) 584-7888

Location 21435 Highway 6 Ste 202Sugar Land, TX 77478-4996 · Phone (281) 478-9889

Location 33100 Weslayan St Ste 400Houston, TX 77027-5752 · Phone (713) 526-1600 · Fax (713) 526-0679

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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

Evan Kelton Dackowski 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 ID8729462338

PECOS Enrollment IDI20250808003286

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 85281 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

$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 4

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

DR. DEREK MICHAEL PHELPS OD

Optometrist

1215 W RIO SALADO PKWY STE 101
TEMPE, AZ 85281

Maricopa County (480) 480-2020

DR. JON A. KONTI M.D.

Ophthalmology

1215 W RIO SALADO PKWY STE 101
TEMPE, AZ 85281

Maricopa County (480) 480-2020

DR. MADELINE BEVERLY HOGAN MD

Ophthalmology

1215 W RIO SALADO PKWY STE 101
TEMPE, AZ 85281

Maricopa County (480) 480-2020

EYE CONSULTANTS AND SURGEONS OF ARIZONA LLC

Ophthalmology

1215 W RIO SALADO PKWY STE 101
TEMPE, AZ 85281

Maricopa County (480) 717-8580

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 Evan Dackowski's NPI number?

The NPI number for Evan Dackowski is 1275119661. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Evan Dackowski located?

Evan Dackowski practices at 1215 W Rio Salado Pkwy Ste 101, Tempe, AZ 85281. The listed phone number is (480) 480-2020.

What is Evan Dackowski's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Evan Dackowski enrolled in Medicare?

Yes. Evan Dackowski 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 Evan Dackowski accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Evan Dackowski 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 Evan Dackowski was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.