MARTIN DUFOUR M.D.
NPI 1578792800
Family Medicine in Nogales, AZ

Active since July 08, 2009PECOS EnrolledAccepts Medicare Assignment
1852 N MASTICK WAY, NOGALES, AZ 85621(520) 281-1550(520) 281-4487 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2023, Mar 11, 2021, May 29, 2020 and 2 more (5 updates tracked since 2018).

About Martin Dufour M.d. NPPES

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

MARTIN DUFOUR M.D. (NPI 1578792800) is an individual family medicine provider in Nogales, Arizona, licensed in Arizona (59450) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1578792800
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARTIN DUFOURCredential: M.D.
Location Address1852 N MASTICK WAYNogales, AZ 85621-1063
Mailing Address825 N Grand Ave Ste 100Nogales, AZ 85621-1061 · (520) 761-2128 · Fax (520) 281-1112
Fax(520) 281-4487
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 8, 2009
Last NPPES UpdateJanuary 27, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1578792800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AZ · 59450✔ Licensed in OH · 35121488✔ Licensed in NC · 2018-02908✔ Licensed in CA · C141556✔ Licensed in FL · ME103387
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1852 N MASTICK WAY, Nogales, AZ 85621

Secondary Practice Locations 5

Location 110515 N Oracle Rd Ste 185Oro Valley, AZ 85737-9378 · Phone (520) 585-5878 · Fax (844) 205-6998
Location 2260 Hospital Dr Ste 209Ukiah, CA 95482 · Phone (707) 463-7488
Location 35380 US Highway 158 Ste 110Advance, NC 27006 · Phone (336) 893-3225 · Fax (336) 893-3219
Location 4324 N Queen StKinston, NC 28501-4932 · Phone (252) 522-9800 · Fax (252) 523-9790
Location 5355th Medical Group/SGHC, 4175 S. Alamo AveTucson, AZ 85707-8570 · Phone (520) 228-2615

Other Identifiers 4

Medicaid0087019OH
Medicaid3025372OH
Medicaid604437AZ
Other59450AZ · Arizona Medical License

Accepted 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

Martin Dufour 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 ID3274662887
PECOS Enrollment IDI20190308002659, I20250109003609
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

4

Medicare enrollment records show Martin Dufour reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
1852 N MASTICK WAY
Nogales, AZ 85621
  • Reassigned Medicare billing, Arizona enrollment
  • 60 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
4370 EVE RD
Simi Valley, CA 93063
  • Reassigned Medicare billing, California enrollment
  • 216 clinicians in this Medicare group
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Multi-Specialty
1370 PRAIRIE CITY RD
Folsom, CA 95630
  • Reassigned Medicare billing, California enrollment
  • 918 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

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.
408 services328 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
201 services171 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
57 services57 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
38 services36 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
24 services24 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85621 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.

Radiology (Diagnostic Radiology)
1852 N MASTICK WAY
NOGALES, AZ 85621
Family Medicine
1852 N MASTICK WAY
NOGALES, AZ 85621
Pediatrics
1852 N MASTICK WAY
NOGALES, AZ 85621
Nurse Practitioner (Family)
1852 N MASTICK WAY
NOGALES, AZ 85621
Family Medicine
1852 N MASTICK WAY
NOGALES, AZ 85621
Pediatrics
1852 N MASTICK WAY
NOGALES, AZ 85621
Counselor (Professional)
1852 N MASTICK WAY
NOGALES, AZ 85621
Counselor (Professional)
1852 N MASTICK WAY
NOGALES, AZ 85621

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 Martin Dufour's NPI number?

The NPI number for Martin Dufour is 1578792800. It was assigned to this individual provider in the NPPES registry on July 8, 2009.

Where is Martin Dufour located?

Martin Dufour practices at 1852 N Mastick Way, Nogales, AZ 85621. The listed phone number is (520) 281-1550.

What is Martin Dufour's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Martin Dufour enrolled in Medicare?

Yes. Martin Dufour 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 Martin Dufour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martin Dufour reassigns Medicare benefits to 4 organizations: Mariposa Community Health Center, Inc (Nogales, AZ), Clinicas Del Camino Real, Inc (Simi Valley, CA), Permanente Medical Group Inc (Stockton, CA) and Regents Of The University Of California (Folsom, CA). 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 Martin Dufour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Martin Dufour accept?

Health plans from Blue Cross Blue Shield of Arizona, CareSource, Cigna Healthcare and Imperial Insurance Companies, Inc. list Martin Dufour 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 Martin Dufour was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.