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TED RICO
NPI 1457035909
Dentist in Sacaton, AZ

Active since June 14, 2023PECOS Enrolled
483 W SEED FARM RD, SACATON, AZ 85147(520) 562-3321 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 26, 2025, Jun 14, 2023 (2 updates tracked since 2023).

About Ted Rico NPPES

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

TED RICO (NPI 1457035909) is an individual dentist in Sacaton, Arizona, licensed in Arizona (D012413) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1457035909
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameTED RICO
Location Address483 W SEED FARM RDSacaton, AZ 85147-5000
Mailing Address483 W Seed Farm RdSacaton, AZ 85147-5000
Phone(520) 562-3321
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 14, 2023
Last NPPES UpdateJune 26, 20252 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1457035909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D012413
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
483 W SEED FARM RD, Sacaton, AZ 85147
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Ted Rico is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113417692
PECOS Enrollment IDI20251104000852
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 Reassignment

Medicare enrollment records show Ted Rico reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gila River Health Care Corporation
Same address
Critical Access
483 W. SEED FARM RD.
Sacaton, AZ 85147
  • Reassigned Medicare billing, Texas enrollment
  • 482 clinicians in this Medicare group
NPI 1225023179 (602) 528-1200

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 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
$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 20

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

DEVI SEPPERUMAL
Dietitian, Registered
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (602) 528-1200
AUNDRIA THOMPSON LAC
Counselor
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (602) 528-7100
CLAUDIA WARD
Counselor
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (602) 271-7942
BENJAMIN LEVI THUESEN PA-C
Physician Assistant
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (520) 562-3321
WHITNEY MCGINN PT, DPT, MSCS
Physical Therapist
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (602) 528-1200
BROOKE LEE BILLINGS FNP-C
Nurse Practitioner (Family)
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (602) 528-1200
COLLEEN MARIE AUSTIN LMSW
Social Worker (Clinical)
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (602) 528-7131
TRACY NGUYEN
Optometrist
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (602) 271-7960

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 Ted Rico's NPI number?

The NPI number for Ted Rico is 1457035909. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is Ted Rico located?

Ted Rico practices at 483 W Seed Farm Rd, Sacaton, AZ 85147. The listed phone number is (520) 562-3321.

What is Ted Rico's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Ted Rico enrolled in Medicare?

Yes. Ted Rico is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ted Rico's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ted Rico reassigns Medicare benefits to Gila River Health Care Corporation (Sacaton, AZ). The 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 Ted Rico's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ted Rico accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Cigna Healthcare and 5 other insurers list Ted Rico 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 Ted Rico was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.