PETER DUONG PA - NPI 1336964022 - Physician Assistant in Mesa, AZ

Q: What is Peter Duong's NPI number?

The NPI number for Peter Duong is 1336964022. It was assigned to this individual provider in the NPPES registry on November 19, 2024.

Q: What is Peter Duong's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Duong was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

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About Peter Duong Pa NPPES

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

PETER DUONG PA (NPI 1336964022) is an individual physician assistant in Mesa, Arizona, licensed in Arizona (10938) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1336964022

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NamePETER DUONGCredential: PA

Location Address4135 S POWER RD STE 129Mesa, AZ 85212-3627

Mailing Address4135 S Power Rd Ste 129Mesa, AZ 85212-3627 · (480) 751-3091 · Fax (480) 840-9320

Phone(480) 751-3091

Fax(480) 840-9320

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 19, 2024

Last NPPES UpdateJuly 28, 20264 updates tracked since enumeration

NPPES CertifiedJuly 28, 2026

✔ NPI 1336964022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AZ · 10938

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4135 S POWER RD STE 129, Mesa, AZ 85212

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.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

Peter Duong Pa 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 ID2769909308

PECOS Enrollment IDI20250507002988

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 85212 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

$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 6

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

RACQUEL PILAR GALVAN FNP-C

Nurse Practitioner (Family)