PETER FITZGIBBONS MD
NPI 1295260826
Pediatrics in Phoenix, AZ

Q: What is Peter Fitzgibbons's NPI number?

The NPI number for Peter Fitzgibbons is 1295260826. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Q: What is Peter Fitzgibbons's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Fitzgibbons was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 20, 2017PECOS Enrolled

4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1507 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2021, Oct 23, 2017, Apr 20, 2017 (3 updates tracked since 2017).

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About Peter Fitzgibbons Md NPPES

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

PETER FITZGIBBONS MD (NPI 1295260826) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (60380) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295260826

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NamePETER FITZGIBBONSCredential: MD

Location Address4212 N 16TH STPhoenix, AZ 85016-5319

Mailing Address4212 N 16th StPhoenix, AZ 85016-5319 · (602) 263-1507

Phone(602) 263-1507

Sole ProprietorNo

Enumeration DateApril 20, 2017

Last NPPES UpdateMay 6, 20213 updates tracked since enumeration

NPPES CertifiedMay 6, 2021

✔ NPI 1295260826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AZ · 60380

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4212 N 16TH ST, Phoenix, AZ 85016

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Fitzgibbons Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Peter Fitzgibbons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm

Same address

Public Health or Welfare

4212 N 16TH ST
Phoenix, AZ 85016

Reassigned Medicare billing, Texas enrollment
599 clinicians in this Medicare group

NPI 1083643738 (602) 263-1200

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 85016 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.

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.

WENDY RAZO

Registered Nurse (Obstetric, High-Risk)