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SHARON TOTH NP
NPI 1982776563
Nurse Practitioner - Family in Queen Creek, AZ

Active since November 15, 2006PECOS EnrolledAccepts Medicare Assignment
31258 N TRAIL DUST DR, QUEEN CREEK, AZ 85143(480) 262-0837 Get Directions Write a Review

NPPES record last updated: June 29, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sharon Toth Np NPPES

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

SHARON TOTH NP (NPI 1982776563) is an individual family provider in Queen Creek, Arizona, licensed in Arizona (RN128697) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1982776563
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHARON TOTHCredential: NP
Location Address31258 N TRAIL DUST DRQueen Creek, AZ 85143-4139
Mailing Address31258 N Trail Dust DrQueen Creek, AZ 85143-4139 · (480) 262-0837
Phone(480) 262-0837
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 15, 2006
Last NPPES UpdateJune 29, 2013
✔ NPI 1982776563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · RN128697
31258 N TRAIL DUST DR, Queen Creek, AZ 85143
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Other Identifiers 3

Medicare UPINP-60695AZ
Medicaid878374AZ
Medicare PIN1982776563AZ

Accepted Insurance

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

Sharon Toth Np 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 ID8123926490
PECOS Enrollment IDI20091013000534
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

2

Medicare enrollment records show Sharon Toth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Phoenix Family Medical Care PLLC
35 mi
Family Medicine
1002 E MCDOWELL RD STE A
Phoenix, AZ 85006
  • Reassigned Medicare billing, Arizona enrollment
  • 2 clinicians in this Medicare group
NPI 1952540593 (602) 388-4299
Banner Primary Care Physicians Arizona LLC
36 mi
Primary Care
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 271 clinicians in this Medicare group
NPI 1417238908 (602) 747-4000

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 8

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 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.
232 services173 patients
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.
213 services141 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.
79 services79 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
44 services43 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
43 services42 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.
36 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85143 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.

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 Sharon Toth's NPI number?

The NPI number for Sharon Toth is 1982776563. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Sharon Toth located?

Sharon Toth practices at 31258 N Trail Dust Dr, Queen Creek, AZ 85143. The listed phone number is (480) 262-0837.

What is Sharon Toth's specialty?

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

Is Sharon Toth enrolled in Medicare?

Yes. Sharon Toth 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 Sharon Toth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sharon Toth reassigns Medicare benefits to 2 organizations: Phoenix Family Medical Care PLLC (Phoenix, AZ) and Banner Primary Care Physicians Arizona 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 Sharon Toth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sharon Toth accept?

Health plans from Blue Cross Blue Shield of Arizona list Sharon Toth 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 Sharon Toth was last updated on June 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.