MARCOS DAVID PRADO
NPI 1609571223
Nurse Practitioner - Family in Tucson, AZ

Active since April 03, 2023PECOS EnrolledAccepts Medicare Assignment
1200 N COUNTRY CLUB RD, TUCSON, AZ 85716(877) 634-7333 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2023, Apr 3, 2023 (2 updates tracked since 2023).

About Marcos David Prado NPPES

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

MARCOS DAVID PRADO (NPI 1609571223) is an individual family provider in Tucson, Arizona, licensed in Arizona (267782) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609571223
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARCOS DAVID PRADO
Location Address1200 N COUNTRY CLUB RDTucson, AZ 85716-3625
Mailing Address8 E Cottonwood StCottonwood, AZ 86326-4382 · (877) 634-7333 · Fax (866) 984-3891
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 3, 2023
Last NPPES UpdateJune 5, 20232 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
NPI 1609571223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · 267782
Also ListedRegistered NurseTaxonomy 163W00000X · License 267782 (AZ)
1200 N COUNTRY CLUB RD, Tucson, AZ 85716

Accepted 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

Marcos David Prado 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 ID9032577614
PECOS Enrollment IDI20230614003205
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 2

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 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.
63 services47 patients
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.
36 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85716 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 7

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

Social Worker
1200 N COUNTRY CLUB RD
TUCSON, AZ 85716
Counselor (Professional)
1200 N COUNTRY CLUB RD
TUCSON, AZ 85716
Social Worker
1200 N COUNTRY CLUB RD
TUCSON, AZ 85716
Social Worker
1200 N COUNTRY CLUB RD
TUCSON, AZ 85716
Community/Behavioral Health
1200 N COUNTRY CLUB RD
TUCSON, AZ 85716
Clinic/Center (Mental Health (Including Community Mental Health Center))
1200 N COUNTRY CLUB RD
TUCSON, AZ 85716
Counselor (Professional)
1200 N COUNTRY CLUB RD
TUCSON, AZ 85716

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 Marcos Prado's NPI number?

The NPI number for Marcos Prado is 1609571223. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Marcos Prado located?

Marcos Prado practices at 1200 N Country Club Rd, Tucson, AZ 85716. The listed phone number is (877) 634-7333.

What is Marcos Prado's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marcos Prado enrolled in Medicare?

Yes. Marcos Prado 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 Marcos Prado accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Marcos Prado 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 Marcos Prado was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.