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ANTHONY ASUELIMEN AGHENTA MD
NPI 1316084130
Internal Medicine in Gilbert, AZ

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment
725 W ELLIOT RD BLDG 3, GILBERT, AZ 85233(480) 963-6144(480) 899-1404 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 19, 2025, Dec 31, 2019 (2 updates tracked since 2019).

About Anthony Asuelimen Aghenta Md NPPES

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

ANTHONY ASUELIMEN AGHENTA MD (NPI 1316084130) is an individual internal medicine provider in Gilbert, Arizona, licensed in Arizona (41309) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1316084130
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANTHONY ASUELIMEN AGHENTACredential: MD
Location Address725 W ELLIOT RD BLDG 3Gilbert, AZ 85233-5301
Mailing Address725 W Elliot Rd Bldg 3Gilbert, AZ 85233-5301 · (480) 963-6144 · Fax (480) 899-1404
Phone(480) 963-6144
Fax(480) 899-1404
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJanuary 31, 2007
Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
✔ NPI 1316084130 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 · 41309
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.
725 W ELLIOT RD BLDG 3, Gilbert, AZ 85233
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona 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

Anthony Asuelimen Aghenta 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 ID5698813749
PECOS Enrollment IDI20091110000247
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

4

Medicare enrollment records show Anthony Aghenta reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pioneer Hospitalists, PLLC
5.4 mi
Internal Medicine
475 S DOBSON RD
Chandler, AZ 85224
  • Reassigned Medicare billing, Arizona enrollment
  • 120 clinicians in this Medicare group
NPI 1033177316 (480) 926-0170
Dvma, LLC
32 mi
Internal Medicine
13350 N 94TH DR, SUITE A101
Peoria, AZ 85381
  • Reassigned Medicare billing, Arizona enrollment
  • 97 clinicians in this Medicare group
NPI 1194893800 (623) 974-1500
San Carlos Apache Healthcare Corporation
79 mi
Critical Access Hospital
103 MEDICINE WAY ROAD
Peridot, AZ 85542
  • Reassigned Medicare billing, Texas enrollment
  • 438 clinicians in this Medicare group
NPI 1265813075 (928) 475-1200
Prescott Healthcare Solutions LLC
92 mi
Family Medicine
743 MILLER VALLEY RD
Prescott, AZ 86301
  • Reassigned Medicare billing, Arizona enrollment
  • 214 clinicians in this Medicare group
NPI 1821454505 (928) 777-9600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

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.
131 services127 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
110 services67 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
99 services52 patients
Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes 99422
This is a digital health service for existing patients. Over a week, your healthcare provider will assess and manage your health concerns online. The total time spent communicating will be between 11-20 minutes. This service offers convenience and continuous care.
41 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 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.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85233 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
95%495 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%300 patients4/55-star benchmark: 100%
Falls: Risk Assessment
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
94%36 patients4/55-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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$14.24 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
1 supplier24 claims24 services$65.35 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$133.18 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 4

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

EMILY AILEEN VOGELSBERG
Physician Assistant
725 W ELLIOT RD BLDG 3, 105
GILBERT, AZ 85233
Maricopa County (480) 963-6144
ALAINA METZ
Physician Assistant
725 W ELLIOT RD BLDG 3
GILBERT, AZ 85233
Maricopa County (480) 840-9155
MIKAYLA ISABEL MULARONI PA
Physician Assistant
725 W ELLIOT RD BLDG 3, 105
GILBERT, AZ 85233
Maricopa County (480) 963-6144
MS. COURTNEY ALEXANDRA BAISEY ALVAREZ FNP-C
Nurse Practitioner (Family)
725 W ELLIOT RD BLDG 3, 105
GILBERT, AZ 85233
Maricopa County (480) 963-6144

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 Anthony Aghenta's NPI number?

The NPI number for Anthony Aghenta is 1316084130. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Anthony Aghenta located?

Anthony Aghenta practices at 725 W Elliot Rd Bldg 3, Gilbert, AZ 85233. The listed phone number is (480) 963-6144.

What is Anthony Aghenta's specialty?

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

Is Anthony Aghenta enrolled in Medicare?

Yes. Anthony Aghenta 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 Anthony Aghenta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Aghenta reassigns Medicare benefits to 4 organizations: Pioneer Hospitalists, PLLC (Chandler, AZ), Dvma, LLC (Peoria, AZ), San Carlos Apache Healthcare Corporation (Peridot, AZ) and Prescott Healthcare Solutions LLC (Prescott, AZ). 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 Anthony Aghenta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Aghenta accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. and 1 other insurer list Anthony Aghenta 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 Anthony Aghenta was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.