GERALD ABASTILLAS AGPCNP
NPI 1386189777
Nurse Practitioner - Primary Care in Sacaton, AZ

Q: What is Gerald Abastillas's NPI number?

The NPI number for Gerald Abastillas is 1386189777. It was assigned to this individual provider in the NPPES registry on December 21, 2016.

Q: What is Gerald Abastillas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Gerald Abastillas was last updated on February 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 21, 2016PECOS EnrolledAccepts Medicare Assignment

86.99/100

CMS Quality Rating

483 W SEED FARM ROAD, SACATON, AZ 85147(602) 528-1200(520) 550-6292 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 8, 2024, Dec 21, 2016 (2 updates tracked since 2016).

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About Gerald Abastillas Agpcnp NPPES

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

GERALD ABASTILLAS AGPCNP (NPI 1386189777) is an individual primary care provider in Sacaton, Arizona, licensed in Arizona (AP9608) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1386189777

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameGERALD ABASTILLASCredential: AGPCNP

Location Address483 W SEED FARM ROADSacaton, AZ 85147

Mailing AddressP.o. Box 38 483 W. Seed Farm RoadSacaton, AZ 85147-0038 · (602) 528-1200

Phone(602) 528-1200

Fax(520) 550-6292

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateDecember 21, 2016

Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2024

✔ NPI 1386189777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in AZ · AP9608

483 W SEED FARM ROAD, Sacaton, AZ 85147

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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.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

Gerald Abastillas Agpcnp 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 ID244513091

PECOS Enrollment IDI20170202000288

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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

252 services83 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

35 services24 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.

20 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85147 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.

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.

86.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.35

Promoting Interoperability

Improvement Activities

Cost

53.95

Reported Quality Measures

Diabetes: Foot Exam

The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year

72%354 patients3/55-star benchmark: 98%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

98%3,364 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

76%375 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

98%43 patients5/55-star benchmark: 90%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

81%347 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

97%282 patients5/55-star benchmark: 96%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

1%379 patients1/55-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.

Other Providers at the Same Location NPPES 7

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

JULIE SUE TOMES RPH

Pharmacist