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IAN PEDREGOSA DY
NPI 1780288852
Nurse Practitioner - Family in Phoenix, AZ

Active since November 30, 2020PECOS EnrolledAccepts Medicare Assignment
35.47/100
CMS Quality Rating
815 E ROSE LN UNIT 117, PHOENIX, AZ 85014(480) 280-8690 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2024, Nov 30, 2020 (2 updates tracked since 2020).

About Ian Pedregosa Dy NPPES

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

IAN PEDREGOSA DY (NPI 1780288852) is an individual family provider in Phoenix, Arizona, licensed in Arizona (250388) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1780288852
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameIAN PEDREGOSA DY
Location Address815 E ROSE LN UNIT 117Phoenix, AZ 85014-1915
Mailing Address815 E Rose Ln Unit 117Phoenix, AZ 85014-1915 · (480) 280-8690
Phone(480) 280-8690
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 30, 2020
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1780288852 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 · 250388
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 250388 (AZ)
815 E ROSE LN UNIT 117, Phoenix, AZ 85014
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc.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

Ian Pedregosa Dy 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 ID6901212653
PECOS Enrollment IDI20221004000767
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 Ian Dy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pedregosa-Dy Holistic Wellness LLC
1.5 mi
Psychiatric/Mental Health
7301 N 16TH ST STE 102
Phoenix, AZ 85020
  • Reassigned Medicare billing, Arizona enrollment
NPI 1831855683 (480) 280-8690
Dr. Gregory Carr MD LLC
1.9 mi
Psychiatry
5021 N 20TH ST
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 43 clinicians in this Medicare group
NPI 1386041861 (480) 719-6554
Mana Health & Wellness Inc
3.3 mi
Multi-Specialty
4550 N BLACK CANYON HWY
Phoenix, AZ 85017
  • Reassigned Medicare billing, Arizona enrollment
  • 2 clinicians in this Medicare group
NPI 1043903875 (808) 306-3054
Mind 247 Practice LLC
3.9 mi
Mental Health (Including Community Mental Health Center)
2728 N 24TH STREET, 2ND FLOOR
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 99 clinicians in this Medicare group
NPI 1083330682 (844) 646-3247

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

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85014 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

35.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.56
Promoting Interoperability0
Improvement Activities0
Cost32.01

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 Ian Dy's NPI number?

The NPI number for Ian Dy is 1780288852. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Where is Ian Dy located?

Ian Dy practices at 815 E Rose Ln Unit 117, Phoenix, AZ 85014. The listed phone number is (480) 280-8690.

What is Ian Dy's specialty?

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

Is Ian Dy enrolled in Medicare?

Yes. Ian Dy 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 Ian Dy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ian Dy reassigns Medicare benefits to 4 organizations: Pedregosa-Dy Holistic Wellness LLC (Phoenix, AZ), Dr. Gregory Carr MD LLC (Phoenix, AZ), Mana Health & Wellness Inc (Phoenix, AZ) and Mind 247 Practice LLC (Phoenix, AZ). 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 Ian Dy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ian Dy accept?

Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Ian Dy 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 Ian Dy was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.