DR. ALYSSA PABELLE DIPALAC VIVAS D.O.
NPI 1720460819
Family Medicine in Queen Creek, AZ

Active since June 24, 2015PECOS EnrolledAccepts Medicare Assignment
21212 E OCOTILLO RD, QUEEN CREEK, AZ 85142(602) 755-0800(480) 571-7973 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2022, Jul 26, 2019, Feb 26, 2018 (3 updates tracked since 2018).

About Dr. Alyssa Pabelle Dipalac Vivas D.o. NPPES

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

DR. ALYSSA PABELLE DIPALAC VIVAS D.O. (NPI 1720460819) is an individual family medicine provider in Queen Creek, Arizona, licensed in Arizona (007363) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1720460819
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALYSSA PABELLE DIPALAC VIVASCredential: D.O.
Location Address21212 E OCOTILLO RDQueen Creek, AZ 85142-9667
Mailing Address21212 E Ocotillo RdQueen Creek, AZ 85142-9667 · (602) 755-0800 · Fax (480) 571-7973
Fax(480) 571-7973
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 24, 2015
Last NPPES UpdateDecember 2, 20223 updates tracked since enumeration
NPPES CertifiedDecember 2, 2022
NPI 1720460819 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 · 007363 Licensed in AZ · R2590
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.
21212 E OCOTILLO RD, Queen Creek, AZ 85142

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

Dr. Alyssa Pabelle Dipalac Vivas D.o. 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 ID8426306606
PECOS Enrollment IDI20180803001303
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 18

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.
157 services87 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
82 services57 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
74 services54 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
71 services45 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
64 services64 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
63 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85142 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 3

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

Pharmacist
21212 E OCOTILLO RD
QUEEN CREEK, AZ 85142
Pharmacist
21212 E OCOTILLO RD
QUEEN CREEK, AZ 85142
Pharmacy
21212 E OCOTILLO RD
QUEEN CREEK, AZ 85142

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 Alyssa Pabelle Vivas's NPI number?

The NPI number for Alyssa Pabelle Vivas is 1720460819. It was assigned to this individual provider in the NPPES registry on June 24, 2015.

Where is Alyssa Pabelle Vivas located?

Alyssa Pabelle Vivas practices at 21212 E Ocotillo Rd, Queen Creek, AZ 85142. The listed phone number is (602) 755-0800.

What is Alyssa Pabelle Vivas's specialty?

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

Is Alyssa Pabelle Vivas enrolled in Medicare?

Yes. Alyssa Pabelle Vivas 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 Alyssa Pabelle Vivas accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Alyssa Pabelle Vivas 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 Alyssa Pabelle Vivas was last updated on December 2, 2022. 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.