JACK M WOLFSON D.O.
NPI 1467458000
Internal Medicine - Cardiovascular Disease in Paradise Valley, AZ

Active since June 27, 2005PECOS Enrolled
10585 N TATUM BLVD, STE D135, PARADISE VALLEY, AZ 85253(480) 535-6844(480) 535-6845 Get Directions Write a Review

NPPES record last updated: July 27, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jack M Wolfson D.o. NPPES

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

JACK M WOLFSON D.O. (NPI 1467458000) is an individual cardiovascular disease provider in Paradise Valley, Arizona, licensed in Arizona (3761) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467458000
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJACK M WOLFSONCredential: D.O.
Location Address10585 N TATUM BLVD, STE D135Paradise Valley, AZ 85253-1073
Mailing Address10585 N Tatum Blvd, Ste D135Paradise Valley, AZ 85253-1073 · (480) 535-6844 · Fax (480) 535-6845
Fax(480) 535-6845
Sole ProprietorNo
Enumeration DateJune 27, 2005
Last NPPES UpdateJuly 27, 2016
NPI 1467458000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in AZ · 3761
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

10585 N TATUM BLVD, Paradise Valley, AZ 85253

Other Identifiers 7

Other25-01062AZ · United Healthcare
Medicare ID-Type Unspecified70465AZ
OtherAZ0714780AZ · Blue Cross Blue Shield
Medicare UPINH62537AZ
Other060068481AZ · Railroad Medicare
Other1Z6403AZ · Healthnet
Medicaid690257AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jack M Wolfson D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 7, 2016 through July 7, 2026.

Opt-Out Effective DateJuly 7, 2016
Opt-Out In Effect ThroughJuly 7, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85253 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
$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 7

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

Clinic/Center (Dental)
10585 N TATUM BLVD, SUITE D132
PARADISE VALLEY, AZ 85253
Clinic/Center (Dental)
10585 N TATUM BLVD, D-132
PARADISE VALLEY, AZ 85253
Internal Medicine
10585 N TATUM BLVD, D-137
PARADISE VALLEY, AZ 85253
Registered Nurse
10585 N TATUM BLVD, SUITE D130
PARADISE VALLEY, AZ 85253
Clinic/Center (Primary Care)
10585 N TATUM BLVD, D-137
PARADISE VALLEY, AZ 85253
Internal Medicine (Pulmonary Disease)
10585 N TATUM BLVD, STE D130
PARADISE VALLEY, AZ 85253
Neuromusculoskeletal Medicine & OMM
10585 N TATUM BLVD, SUITE D135
PARADISE VALLEY, AZ 85253

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467458000, enumerated as an "individual" on June 27, 2005.

The provider is located at 10585 N TATUM BLVD STE D135 PARADISE VALLEY, AZ 85253 and the phone number is (480) 535-6844.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.