✓ Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Pediatric Surgery (2086S0120X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

JUAN M. ACOSTA, MD (NPI #1467423772)

Surgery, Pediatric Surgery • PHOENIX, AZ • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1467423772
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2086S0120X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Pediatric Surgery
Box 32 Service Location & ZIP+4
1919 E THOMAS RD, PHOENIX, AZ, 85016-7710
✓ 9-Digit EDI 837 ZIP+4 (85016-7710)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1467423772 (JUAN M. ACOSTA, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1467423772)

Medicare Beneficiaries
47
Total Billed Services
152
Distinct CPT/HCPCS Codes
17
Medicare Allowed Total
$19,073.92

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more14
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more80

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Acarbose
Acarbose
11<11
Albuterol Sulfate Hfa
Albuterol Sulfate
8131
Alendronate Sodium
Alendronate Sodium
12240
Allopurinol
Allopurinol
3313
Alprazolam
Alprazolam
5130
Amiodarone Hcl
Amiodarone Hcl
12<11
Amlodipine Besylate
Amlodipine Besylate
28695
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
1413

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1467423772 (NPI-1 Individual Practitioner)
Provider / Legal NameJUAN M. ACOSTA, MD
Plain-English SpecialtyLicensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Pediatric Surgery
NUCC Code: 2086S0120X (Surgery, Pediatric Surgery)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address1919 E THOMAS RD, PHOENIX, AZ, 85016-7710
Practice Telephone / FaxTel: (602) 933-1000
Administrative Mailing Address2108 E THOMAS RD, PHOENIX, AZ, 85016-7761
Enumeration & Last SyncEnumerated: 2006-01-27 | CMS Record Updated: 2026-08-20

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1919 E THOMAS RD, PHOENIX, AZ, 85016-7710

🗺️ Open in Google Maps 🏥 More Providers in PHOENIX

Plain-English Taxonomy & CMS Crosswalk (2086S0120X)

What Does Taxonomy Code 2086S0120X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2086S0120X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Pediatric Surgery"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Surgery, Pediatric Surgery for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JUAN M. ACOSTA, MD)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
2086S0120X — Surgery, Pediatric Surgery
Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Pediatric Surgery
State: AZ | License: 35220 | Primary: Yes (Primary)
207R00000X — Internal Medicine
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: CA | License: A66595 | Primary: Secondary
Medical Billing, RCM & Hospital Credentialing Teams:
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