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JACOB DAVID GOZDOR
NPI 1407588817
Family Medicine in Tucson, AZ

Active since June 26, 2022PECOS Enrolled
707 N ALVERNON WAY, TUCSON, AZ 85711(989) 583-0000 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob David Gozdor NPPES

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

JACOB DAVID GOZDOR (NPI 1407588817) is an individual family medicine provider in Tucson, Arizona, licensed in Arizona (R80915) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407588817
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACOB DAVID GOZDOR
Location Address707 N ALVERNON WAYTucson, AZ 85711-1827
Mailing Address10106 Dorchester CtClarkston, MI 48348-2192 · (248) 568-1886
Phone(989) 583-0000
Sole ProprietorNo
Enumeration DateJune 26, 2022
Last NPPES UpdateApril 15, 2024
NPPES CertifiedApril 15, 2024
✔ NPI 1407588817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · R80915
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License G235356135366 (MI)
707 N ALVERNON WAY, Tucson, AZ 85711
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob David Gozdor 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85711 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.

EMILY SNAVELY DE LA ROSA NP-C
Nurse Practitioner (Family)
707 N ALVERNON WAY, STE. 101
TUCSON, AZ 85711
Pima County (520) 694-1640
JONATHAN M HOLMES M.D.
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
707 N ALVERNON WAY
TUCSON, AZ 85711
Pima County (520) 626-0044
KELLY ANN RIKER
Counselor (Addiction (Substance Use Disorder))
707 N ALVERNON WAY
TUCSON, AZ 85711
Pima County (520) 694-8888
DR. SARA ITZEL SHOUSHTARI MD
Ophthalmology
707 N ALVERNON WAY
TUCSON, AZ 85711
Pima County (520) 694-1460
DR. ALYSHA MARIE SOUSA DO
Family Medicine
707 N ALVERNON WAY
TUCSON, AZ 85711
Pima County (520) 621-6323
DR. LEONARD DANIEL LATT M.D. PH.D.
Orthopaedic Surgery
707 N ALVERNON WAY, ORTHOPAEDIC SURGERY - SUITE 205
TUCSON, AZ 85711
Pima County (520) 694-8000
BERNADETTE CORNELISON PHARMD, M.S.
Pharmacist
707 N ALVERNON WAY
TUCSON, AZ 85711
Pima County (520) 694-8888
REBECCA HEGARTY NP-C
Family Medicine
707 N ALVERNON WAY
TUCSON, AZ 85711
Pima County (520) 694-8888

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 Jacob Gozdor's NPI number?

The NPI number for Jacob Gozdor is 1407588817. It was assigned to this individual provider in the NPPES registry on June 26, 2022.

Where is Jacob Gozdor located?

Jacob Gozdor practices at 707 N Alvernon Way, Tucson, AZ 85711. The listed phone number is (989) 583-0000.

What is Jacob Gozdor's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacob Gozdor enrolled in Medicare?

Yes. Jacob Gozdor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Gozdor was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.