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ANDREA GRACIELA AGUIRRE MD
NPI 1518227206
Obstetrics & Gynecology in Phoenix, AZ

Active since May 29, 2012PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
500 W THOMAS RD STE 680, PHOENIX, AZ 85013(602) 406-6017(602) 406-2144 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 12, 2024, Apr 15, 2024 (2 updates tracked since 2024).

About Andrea Graciela Aguirre Md NPPES

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

ANDREA GRACIELA AGUIRRE MD (NPI 1518227206) is an individual obstetrics & gynecology provider in Phoenix, Arizona, licensed in Arizona (53101) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gilbert, and is a graduate of University Of Arizona College Of Medicine (2012).

NPPES Registry Identity

NPI1518227206
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameANDREA GRACIELA AGUIRRECredential: MD
Location Address500 W THOMAS RD STE 680Phoenix, AZ 85013-4235
Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358
Phone(602) 406-6017
Fax(602) 406-2144
Sole ProprietorYes
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2012
Enumeration DateMay 29, 2012
Last NPPES UpdateDecember 12, 20242 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1518227206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in AZ · 53101
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
500 W THOMAS RD STE 680, Phoenix, AZ 85013
Open in Google Maps ↗

Secondary Practice Location 1

Location 13477 S Mercy Rd Ste 108Gilbert, AZ 85297-0440 · Phone (480) 909-3789 · Fax (480) 728-8891

Accepted Insurance

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

Andrea Graciela Aguirre Md 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 ID2466726716
PECOS Enrollment IDI20180717002683
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 Andrea Aguirre reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sjhmc Physician Services
0.1 mi
Multi-Specialty
350 W THOMAS RD
Phoenix, AZ 85013
  • Reassigned Medicare billing, Arizona enrollment
  • 773 clinicians in this Medicare group
NPI 1326098005 (602) 406-3729
Banner-University Medical Group
0.4 mi
Multi-Specialty
2901 N CENTRAL AVE
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 1,514 clinicians in this Medicare group
NPI 1508809427 (602) 747-4000

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 85013 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.

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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
Improvement Activities40

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.

JULIE HASTINGS
Physical Medicine & Rehabilitation
500 W THOMAS RD STE 680
PHOENIX, AZ 85013
Maricopa County (602) 406-6439
LAUREN HILL PT, DPT
Physical Therapist
500 W THOMAS RD STE 680
PHOENIX, AZ 85013
Maricopa County (480) 231-2855
KIMBERLY ANN WOLFE PA-C
Physician Assistant (Medical)
500 W THOMAS RD STE 680
PHOENIX, AZ 85013
Maricopa County (602) 406-6017
NICOLE OMOLARA AFUAPE M.D.
Obstetrics & Gynecology
500 W THOMAS RD STE 680
PHOENIX, AZ 85013
Maricopa County (602) 406-6017

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 Andrea Aguirre's NPI number?

The NPI number for Andrea Aguirre is 1518227206. It was assigned to this individual provider in the NPPES registry on May 29, 2012.

Where is Andrea Aguirre located?

Andrea Aguirre practices at 500 W Thomas Rd Ste 680, Phoenix, AZ 85013. The listed phone number is (602) 406-6017.

What is Andrea Aguirre's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Andrea Aguirre enrolled in Medicare?

Yes. Andrea Aguirre 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 Andrea Aguirre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Aguirre reassigns Medicare benefits to 2 organizations: Sjhmc Physician Services (Phoenix, AZ) and Banner-University Medical Group (Phoenix, AZ). 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 Andrea Aguirre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Aguirre accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Andrea Aguirre 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 Andrea Aguirre was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.