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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

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment
1215 W RIO SALADO PKWY STE 101, TEMPE, AZ 85281(480) 480-2020(480) 612-0150 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2026, Aug 17, 2026, Aug 12, 2025 and 5 more (8 updates tracked since 2021).

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 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
Fax(480) 612-0150
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2021
Enumeration DateMarch 24, 2021
Last NPPES UpdateSeptember 10, 20268 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1275119661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in AZ · 81572
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Evan Dackowski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eye Consultants And Surgeons Of Arizona LLC
Same address
Ophthalmology
1215 W RIO SALADO PKWY STE 101
Tempe, AZ 85281
  • Reassigned Medicare billing, Arizona enrollment
  • 9 clinicians in this Medicare group
NPI 1942078969 (480) 717-8580
Berkeley Eye Institute, PLLC
1,005 mi
Ophthalmology
3100 WESLAYAN ST, STE 400
Houston, TX 77027
  • Reassigned Medicare billing, Texas enrollment
  • 78 clinicians in this Medicare group
NPI 1740286186 (713) 526-1600

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 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 5

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
SHAGHAYEGH MOHEBBI HESARI 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.

Which organizations bill Medicare for Evan Dackowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Dackowski reassigns Medicare benefits to 2 organizations: Eye Consultants And Surgeons Of Arizona LLC (Tempe, AZ) and Berkeley Eye Institute, PLLC (Houston, TX). Each 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 Evan Dackowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evan Dackowski accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers 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 September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.