TATUM THOMAS KOMENDA PA-C
NPI 1457085565
Physician Assistant in Gilbert, AZ

Q: What is Tatum Komenda's NPI number?

The NPI number for Tatum Komenda is 1457085565. It was assigned to this individual provider in the NPPES registry on July 13, 2022. The provider is also known as Tatum Thomas.

Q: What is Tatum Komenda'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 Tatum Komenda was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 13, 2022PECOS EnrolledAccepts Medicare Assignment

3420 S MERCY RD STE 200, GILBERT, AZ 85297(480) 909-3788(480) 728-8191 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2026, Oct 24, 2023, Jul 13, 2022 (3 updates tracked since 2022).

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About Tatum Thomas Komenda Pa-c NPPES

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

TATUM THOMAS KOMENDA PA-C (NPI 1457085565) is an individual physician assistant in Gilbert, Arizona, licensed in Arizona (10067) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2023).

NPPES Registry Identity

NPI1457085565

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTATUM THOMAS KOMENDACredential: PA-C

Location Address3420 S MERCY RD STE 200Gilbert, AZ 85297-0423

Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358

Phone(480) 909-3788

Fax(480) 728-8191

Sole ProprietorYes

Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2023

Enumeration DateJuly 13, 2022

Last NPPES UpdateMay 26, 20263 updates tracked since enumeration

NPPES CertifiedMay 26, 2026

✔ NPI 1457085565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AZ · 10067

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.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 10067 (AZ)

3420 S MERCY RD STE 200, Gilbert, AZ 85297

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Other Names 1

Former Name (1)Tatum Thomas

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Oscar Health Plan, Inc..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

Tatum Thomas Komenda Pa-c 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 ID3274982970

PECOS Enrollment IDI20231206002687

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 8

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

122 services22 patients

Test or measurement for functional capacity, each 15 minutes 97750

This procedure measures your functional capacity, or ability to perform tasks, over 15-minute intervals. It can help identify limitations or improvements in your physical abilities. The test may involve activities like walking, lifting, or bending.

46 services23 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

40 services28 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.

40 services36 patients

Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, each additional 20 minutes per calendar month 98981

Remote therapeutic monitoring treatment management services involve a healthcare professional monitoring your health remotely. They evaluate data from medical devices, adjust your treatment plan if necessary, and communicate with you about your health. This service is for an additional 20 minutes per month.

38 services12 patients

Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month 98980

Remote therapeutic monitoring treatment management services involve a healthcare professional monitoring your health data remotely. This could include vital signs or other health information. The professional will manage your treatment for the first 20 minutes each month, adjusting as necessary based on the data received.

37 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85297 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 15

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

MS. LEAH CHRISTINE SHEPPARD RN

Nurse Practitioner (Acute Care)