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PEDRO PACHECO MD
NPI 1538147186
Pediatrics in Tucson, AZ

Active since January 04, 2006PECOS Enrolled
839 W CONGRESS ST, TUCSON, AZ 85745(520) 670-3909(520) 309-2560 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2025, Sep 25, 2018 (2 updates tracked since 2018).

About Pedro Pacheco Md NPPES

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

PEDRO PACHECO MD (NPI 1538147186) is an individual pediatrics provider in Tucson, Arizona, licensed in Arizona (20129) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538147186
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NamePEDRO PACHECOCredential: MD
Location Address839 W CONGRESS STTucson, AZ 85745-2819
Mailing Address839 W Congress StTucson, AZ 85745-2819 · (520) 670-3909 · Fax (520) 309-2560
Phone(520) 670-3909
Fax(520) 309-2560
Sole ProprietorNo
Enumeration DateJanuary 4, 2006
Last NPPES UpdateMarch 6, 20252 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
✔ NPI 1538147186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 20129
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
839 W CONGRESS ST, Tucson, AZ 85745
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Other Identifiers 1

Medicaid055716AZ

Accepted Insurance

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

Pedro Pacheco Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Pedro Pacheco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

El Rio Santa Cruz Neighborhood Health Center, Inc
Same address
Federally Qualified Health Center (FQHC)
839 W CONGRESS ST
Tucson, AZ 85745
  • Reassigned Medicare billing, Arizona enrollment
  • 464 clinicians in this Medicare group
NPI 1487602736 (520) 670-3909

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 85745 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
$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.

Other Providers at the Same Location NPPES 20

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

NICOLA FINLEY MD
Internal Medicine
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 792-9890
MRS. LINDA GAIL NADLER CHAMBERLAIN OPTICIAN
Technician/Technologist (Optician)
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 620-6709
CRISTINA MONTIEL
Dental Hygienist
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 670-3909
SHAWN LEE
Dental Hygienist
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 670-3909
JANICE RODENBERG CNM
Advanced Practice Midwife
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 670-3870
GABRIELLE OCHOA MD
Internal Medicine
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 670-3909
DR. DANIEL JOSEPH CAPPOZZO D.C.
Chiropractor
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 670-3909
MR. HERMAN DAVID VERDUGO RPH
Pharmacist
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 205-4996

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 Pedro Pacheco's NPI number?

The NPI number for Pedro Pacheco is 1538147186. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Pedro Pacheco located?

Pedro Pacheco practices at 839 W Congress St, Tucson, AZ 85745. The listed phone number is (520) 670-3909.

What is Pedro Pacheco's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Pedro Pacheco enrolled in Medicare?

Yes. Pedro Pacheco is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pedro Pacheco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Pacheco reassigns Medicare benefits to El Rio Santa Cruz Neighborhood Health Center, Inc (Tucson, AZ). The 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 Pedro Pacheco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pedro Pacheco accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc and 2 other insurers list Pedro Pacheco 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 Pedro Pacheco was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.