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SIMONETTE YUSON PAGKOS
NPI 1306247192
Nurse Anesthetist, Certified Registered in Scottsdale, AZ

Active since September 11, 2014Accepts Medicare Assignment
78.58/100
CMS Quality Rating
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2020, Oct 31, 2018, Feb 29, 2016 (3 updates tracked since 2016).

About Simonette Yuson Pagkos NPPES

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

SIMONETTE YUSON PAGKOS (NPI 1306247192) is an individual nurse anesthetist, certified registered in Scottsdale, Arizona, licensed in Arizona (CRNA1127) and active in the NPI registry since September 2014. She maintains a secondary practice location in Scottsdale and is a graduate of Other (2014).

NPPES Registry Identity

NPI1306247192
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSIMONETTE YUSON PAGKOS
Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5452
Mailing Address13400 E Shea BlvdScottsdale, AZ 85259-5452 · (480) 301-8000
Phone(480) 301-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 11, 2014
Last NPPES UpdateOctober 2, 20203 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
✔ NPI 1306247192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in AZ · CRNA1127✔ Licensed in NY · 666851-1
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 666851-1 (NY)
13400 E SHEA BLVD, Scottsdale, AZ 85259
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Secondary Practice Location 1

Location 18901 E Raintree Dr Ste 100Scottsdale, AZ 85260-7026 · Phone (480) 767-2100

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

Simonette Yuson Pagkos 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 ID8325269764
PECOS Enrollment IDI20150908003096

Medicare Billing Reassignments

7

Medicare enrollment records show Simonette Pagkos reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayo Clinic Arizona
0.1 mi
Multi-Specialty
13400 E SHEA BLVD
Scottsdale, AZ 85259
  • Reassigned Medicare billing, Arizona enrollment
  • 1,792 clinicians in this Medicare group
NPI 1558332494 (480) 301-8000
Scottsdale Surgical Partners LLC
5.9 mi
Anesthesiology
8901 E RAINTREE DR STE 100
Scottsdale, AZ 85260
  • Reassigned Medicare billing, Arizona enrollment
  • 77 clinicians in this Medicare group
NPI 1396232559 (209) 956-7725
Mesa Anesthesia Services PLLC
7.1 mi
Anesthesiology
8573 E PRINCESS DR, SUITE 215
Scottsdale, AZ 85255
  • Reassigned Medicare billing, Arizona enrollment
  • 31 clinicians in this Medicare group
NPI 1720386832 (480) 563-5757
Banner Hospital Based Physicians Arizona LLC
14 mi
Multi-Specialty
1900 N HIGLEY RD
Gilbert, AZ 85234
  • Reassigned Medicare billing, Arizona enrollment
  • 1,081 clinicians in this Medicare group
NPI 1124374822 (480) 543-2034
Valley Anesthesiology Consultants, Inc.
15 mi
Anesthesiology
2262 E ROSE GARDEN LN
Phoenix, AZ 85024
  • Reassigned Medicare billing, Arizona enrollment
  • 518 clinicians in this Medicare group
NPI 1285660704 (954) 939-5000
Banner - University Hospital Based Physicians LLC
18 mi
General Acute Care Hospital
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 728 clinicians in this Medicare group
NPI 1750751566 (602) 747-4000
Integrated Anesthesia Consultants Plc
21 mi
Anesthesiology
3615 S ROME ST
Gilbert, AZ 85297
  • Reassigned Medicare billing, Arizona enrollment
  • 29 clinicians in this Medicare group
NPI 1144645656 (623) 777-4747

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 85259 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.

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.

78.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.05
Promoting Interoperability100
Improvement Activities40
Cost59.56

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.

AMITKUMAR MEHTA MD
Internal Medicine (Hematology & Oncology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
DR. DEBJIT SAHA MBBS
Internal Medicine (Critical Care Medicine)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
MICHAL REID M.D.
Internal Medicine (Pulmonary Disease)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
DR. DANIEL MARK FRENDL MD, PHD
Urology
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
BRETT THEODORE TOLPA CRNA
Nurse Anesthetist, Certified Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
GINA MUNSON CRNA
Nurse Anesthetist, Certified Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
DR. CATALINA NICOLE FLORES MD
Radiology (Diagnostic Radiology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
NICOLE WARRINGTON MD
Radiology (Diagnostic Radiology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000

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 Simonette Pagkos's NPI number?

The NPI number for Simonette Pagkos is 1306247192. It was assigned to this individual provider in the NPPES registry on September 11, 2014.

Where is Simonette Pagkos located?

Simonette Pagkos practices at 13400 E Shea Blvd, Scottsdale, AZ 85259. The listed phone number is (480) 301-8000.

What is Simonette Pagkos's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Simonette Pagkos enrolled in Medicare?

Yes. Simonette Pagkos 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 Simonette Pagkos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simonette Pagkos reassigns Medicare benefits to 7 organizations: Mayo Clinic Arizona (Scottsdale, AZ), Scottsdale Surgical Partners LLC (Scottsdale, AZ), Mesa Anesthesia Services PLLC (Scottsdale, AZ), Banner Hospital Based Physicians Arizona LLC (Gilbert, AZ), Valley Anesthesiology Consultants, Inc. (Phoenix, AZ) and 2 more organizations, listed in the Medicare section above. 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 Simonette Pagkos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Simonette Pagkos was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.