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TONY ORAFUNAM APRN
NPI 1457056285
Nurse Practitioner - Psychiatric/Mental Health in Grand Prairie, TX

Active since April 03, 2023PECOS EnrolledAccepts Medicare Assignment
2603 BAXTER DR, GRAND PRAIRIE, TX 75052(972) 974-3000 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tony Orafunam Aprn NPPES

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

TONY ORAFUNAM APRN (NPI 1457056285) is an individual psychiatric/mental health provider in Grand Prairie, Texas, licensed in Texas (1100702) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1457056285
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTONY ORAFUNAMCredential: APRN
Location Address2603 BAXTER DRGrand Prairie, TX 75052-7081
Mailing Address2603 Baxter DrGrand Prairie, TX 75052-7081 · (972) 974-3000
Phone(972) 974-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 3, 2023
NPPES CertifiedApril 1, 2023
✔ NPI 1457056285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1100702
2603 BAXTER DR, Grand Prairie, TX 75052
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Arizona, Inc, Oscar Health 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

Tony Orafunam Aprn 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 ID2466806104
PECOS Enrollment IDI20230928001630, I20241009003024, I20250106001882
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

2

Medicare enrollment records show Tony Orafunam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mainstream Psychiatry Associates PLLC
7.0 mi
Psychiatric/Mental Health
2100 N STATE HIGHWAY 360
Grand Prairie, TX 75050
  • Reassigned Medicare billing, Arizona and Texas enrollments
NPI 1124857750 (346) 220-3534
Timely Psychiatry And Family Health Np Practice
1,407 mi
Mental Health (Including Community Mental Health Center)
230 HILTON AVE STE 103
Hempstead, NY 11550
  • Reassigned Medicare billing, New York enrollment
  • 10 clinicians in this Medicare group
NPI 1659090603 (516) 464-0266

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 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.
63 services12 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
57 services11 patients
Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
19 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75052 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

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 Tony Orafunam's NPI number?

The NPI number for Tony Orafunam is 1457056285. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Tony Orafunam located?

Tony Orafunam practices at 2603 Baxter Dr, Grand Prairie, TX 75052. The listed phone number is (972) 974-3000.

What is Tony Orafunam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tony Orafunam enrolled in Medicare?

Yes. Tony Orafunam 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 Tony Orafunam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tony Orafunam reassigns Medicare benefits to 2 organizations: Mainstream Psychiatry Associates PLLC (Grand Prairie, TX) and Timely Psychiatry And Family Health Np Practice (Hempstead, NY). 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 Tony Orafunam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tony Orafunam accept?

Health plans from Cigna HealthCare of Arizona, Inc, Cigna Healthcare, Oscar Health, Oscar Insurance Company and UnitedHealthcare list Tony Orafunam 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 Tony Orafunam was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.