1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Family Medicine
  6. NPI Profile

JASON RICHARD D.O.
NPI 1619151552
Family Medicine in Phoenix, AZ

Active since December 27, 2007PECOS Enrolled
3931 E CAMELBACK RD, PHOENIX, AZ 85018(602) 687-7858(602) 687-9276 Get Directions Write a Review

NPPES record last updated: December 30, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jason Richard D.o. NPPES

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

JASON RICHARD D.O. (NPI 1619151552) is an individual family medicine provider in Phoenix, Arizona, licensed in Arizona (005253) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619151552
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJASON RICHARDCredential: D.O.
Location Address3931 E CAMELBACK RDPhoenix, AZ 85018-2609
Mailing Address12040 N 40th WayPhoenix, AZ 85028-1529 · (602) 320-7557
Phone(602) 687-7858
Fax(602) 687-9276
Sole ProprietorNo
Enumeration DateDecember 27, 2007
Last NPPES UpdateDecember 30, 2011
✔ NPI 1619151552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 005253
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License R931 (AZ)
3931 E CAMELBACK RD, Phoenix, AZ 85018
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Richard D.o. 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 Jason Richard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tuba City Regional Health Care Corporation
93 mi
Family Medicine
HIGHWAY 89 NORTH AT THE 466 MILE MARKER, 1/8 MILE N OF CAMERON CHAPTER HOUSE
Cameron, AZ 86020
  • Reassigned Medicare billing, Texas enrollment
  • 540 clinicians in this Medicare group
NPI 1134382211 (928) 283-2672

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 85018 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 4

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

DR. JEFFREY JEROME ZACHER M.D.
Family Medicine
3931 E CAMELBACK RD
PHOENIX, AZ 85018
Maricopa County (602) 687-7858
DRX ARIZONA I, LLC.
Clinic/Center (Urgent Care)
3931 E CAMELBACK RD
PHOENIX, AZ 85018
Maricopa County (877) 474-9379
ELISABETH LEHIGH MIDDLETON PA-C
Physician Assistant
3931 E CAMELBACK RD
PHOENIX, AZ 85018
Maricopa County (602) 687-7858
JENNIFER WILD D.O.
Family Medicine
3931 E CAMELBACK RD
PHOENIX, AZ 85018
Maricopa County (602) 687-7858

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 Jason Richard's NPI number?

The NPI number for Jason Richard is 1619151552. It was assigned to this individual provider in the NPPES registry on December 27, 2007.

Where is Jason Richard located?

Jason Richard practices at 3931 E Camelback Rd, Phoenix, AZ 85018. The listed phone number is (602) 687-7858.

What is Jason Richard's specialty?

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

Is Jason Richard enrolled in Medicare?

Yes. Jason Richard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jason Richard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Richard reassigns Medicare benefits to Tuba City Regional Health Care Corporation (Cameron, 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 Jason Richard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jason Richard was last updated on December 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.