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

BRANDON WAN DO
NPI 1902500739
Family Medicine in Queen Creek, AZ

Active since March 27, 2023PECOS Enrolled
21805 S ELLSWORTH RD STE 111, QUEEN CREEK, AZ 85142(623) 300-9073 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Brandon Wan Do NPPES

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

BRANDON WAN DO (NPI 1902500739) is an individual family medicine provider in Queen Creek, Arizona, licensed in Arizona (012271) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of West Virginia School Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1902500739
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRANDON WANCredential: DO
Location Address21805 S ELLSWORTH RD STE 111Queen Creek, AZ 85142-9366
Mailing Address21805 S Ellsworth Rd Ste 111Queen Creek, AZ 85142-9366 · (623) 300-9073
Phone(623) 300-9073
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2023
Enumeration DateMarch 27, 2023
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1902500739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 012271
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.
21805 S ELLSWORTH RD STE 111, Queen Creek, AZ 85142
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Cigna HealthCare of Arizona, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon Wan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951865963
PECOS Enrollment IDI20260710001869
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 Brandon Wan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Honorhealth Medical Group, LLC
17 mi
Family Medicine
7695 S RESEARCH DR
Tempe, AZ 85284
  • Reassigned Medicare billing, Arizona enrollment
  • 502 clinicians in this Medicare group
NPI 1467110627 (480) 256-1664

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 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.

DR. CAMERON DAVID WAGNER DO, MBA
Family Medicine
21805 S ELLSWORTH RD STE 111
QUEEN CREEK, AZ 85142
Maricopa County (623) 300-9073
PEDIATRIC DEVELOPMENTAL CONNECTIONS
Pediatrics (Neurodevelopmental Disabilities)
21805 S ELLSWORTH RD STE 111
QUEEN CREEK, AZ 85142
Maricopa County (480) 462-3868
HONORHEALTH MEDICAL GROUP, LLC
Family Medicine
21805 S ELLSWORTH RD STE 111
QUEEN CREEK, AZ 85142
Maricopa County (623) 580-5800

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 Brandon Wan's NPI number?

The NPI number for Brandon Wan is 1902500739. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Brandon Wan located?

Brandon Wan practices at 21805 S Ellsworth Rd Ste 111, Queen Creek, AZ 85142. The listed phone number is (623) 300-9073.

What is Brandon Wan's specialty?

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

Is Brandon Wan enrolled in Medicare?

Yes. Brandon Wan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brandon Wan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Wan reassigns Medicare benefits to Honorhealth Medical Group, LLC (Tempe, 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 Brandon Wan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandon Wan accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Brandon Wan 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 Brandon Wan was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.