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DONALD JOSEPH VELARDE M.D.
NPI 1467449215
Hospitalist in Mesa, AZ

Active since October 05, 2005PECOS EnrolledAccepts Medicare Assignment
4711 E FALCON DR, SUITE 355, MESA, AZ 85215(480) 357-2048(480) 214-5147 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donald Joseph Velarde M.d. NPPES

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

DONALD JOSEPH VELARDE M.D. (NPI 1467449215) is an individual hospitalist provider in Mesa, Arizona, licensed in Arizona (22015) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (1986).

NPPES Registry Identity

NPI1467449215
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDONALD JOSEPH VELARDECredential: M.D.
Location Address4711 E FALCON DR, SUITE 355Mesa, AZ 85215-2508
Mailing Address4711 E Falcon Dr, Suite 355Mesa, AZ 85215-2508 · (480) 357-2048 · Fax (480) 214-5147
Phone(480) 357-2048
Fax(480) 214-5147
Sole ProprietorYes
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1986
Enumeration DateOctober 5, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1467449215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in AZ · 22015
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
4711 E FALCON DR, Mesa, AZ 85215
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Other Identifiers 3

Medicare ID-Type Unspecified72482
Other392689AZ · Ahcccs
Medicare UPINF73111

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

Donald Joseph Velarde M.d. 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 ID143115139
PECOS Enrollment IDI20050509000388
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
761 services343 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
163 services161 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
155 services154 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
79 services65 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
38 services38 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85215 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%295 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%82 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers28 claims28 services$15.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers53 claims53 services$68.30 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$34.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

PRODIGEE INPATIENT PHYSICIANS GROUP, P.L.L.C.
Hospitalist
4711 E FALCON DR, SUITE 355
MESA, AZ 85215
Maricopa County (480) 357-2048
MEDICAL AID CORPORATION
Durable Medical Equipment & Medical Supplies
4711 E FALCON DR, STE 208
MESA, AZ 85215
Maricopa County (480) 830-7314
STEPHEN ALAN CUSHNER M.D.
Hospitalist
4711 E FALCON DR, SUITE 202
MESA, AZ 85215
Maricopa County (480) 357-2048
PRODIGEE HOSPITALISTS P.C.
Hospitalist
4711 E FALCON DR, SUITE 355
MESA, AZ 85215
Maricopa County (480) 357-2048

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 Donald Velarde's NPI number?

The NPI number for Donald Velarde is 1467449215. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Donald Velarde located?

Donald Velarde practices at 4711 E Falcon Dr Suite 355, Mesa, AZ 85215. The listed phone number is (480) 357-2048.

What is Donald Velarde's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Donald Velarde enrolled in Medicare?

Yes. Donald Velarde 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.

What insurance does Donald Velarde accept?

Health plans from Blue Cross Blue Shield of Arizona list Donald Velarde 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 Donald Velarde was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.