Deactivated NPI 1386609832 Deactivated / Inactive NPI Male Practitioner

Dr. Jonathan W Hackenyos , DO

Internal Medicine • Chandler, AZ

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jonathan Hackenyos has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 19, 2006

NPI Deactivation Date January 05, 2022

Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Hackenyos, DO was a registered Internal Medicine practicing in Chandler, AZ. Throughout an active medical career spanning 16 years, Dr. Hackenyos provided care at the practice location at 245 S DOBSON RD until profile deactivation on 2022-01-05.

Historical Medicare Part B clinical services included chronic care management services, first, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

245 S Dobson Rd

Chandler, AZ 852246577

Telephone 4808955870

Fax 4808950573

Associated Practice Facility / Clinic

🏢 Ocotillo Internal Medicine Associates Facility NPI 1154543650

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Chandler, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 26.7 Yrs

State Avg: 25.1 Yrs

Regional Practice Density

95 Specialists

Practicing in Chandler, AZ (2967 Statewide)

Telehealth Adoption Rate

25.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

29.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,253	1,636	$45.00	$40.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	703	507	$140.00	$106.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	378	297	$178.00	$143.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	239	239	$170.00	$112.27
85610 Blood test, clotting time	55	14	$18.00	$4.20
99213 Established patient office or other outpatient visit, typically 15 minutes	51	51	$100.00	$72.65
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	49	12	$32.00	$22.54
93000 Routine ekg using at least 12 leads including interpretation and report	36	36	$50.00	$16.63
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	11	$20.00	$16.22
83036 Hemoglobin A1C level	22	22	$55.00	$9.55
81002 Urinalysis, manual test	20	19	$15.00	$3.43
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$257.00	$204.62
80305 Testing for presence of drug, read by direct observation	19	19	$40.00	$12.36
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	15	$40.00	$13.89
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$200.00	$162.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$203.00	$162.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	5,258	2,105	$45.00	$40.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,377	853	$140.00	$105.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	730	477	$178.00	$141.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	435	435	$170.00	$113.27
85610 Blood test, clotting time	221	33	$18.00	$4.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	161	22	$32.00	$22.21
99213 Established patient office or other outpatient visit, typically 15 minutes	156	140	$95.96	$72.15
83036 Hemoglobin A1C level	120	105	$55.00	$10.48
G0008 Administration of influenza virus vaccine	105	105	$40.00	$16.25
90756 Vaccine for influenza for injection into muscle	105	105	$50.00	$25.63
93000 Routine ekg using at least 12 leads including interpretation and report	92	88	$50.00	$16.62
81002 Urinalysis, manual test	82	72	$15.00	$3.41
80305 Testing for presence of drug, read by direct observation	75	75	$40.00	$12.35
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	66	66	$220.00	$167.70
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	49	49	$200.00	$162.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$203.00	$161.53
G0009 Administration of pneumococcal vaccine	48	48	$40.00	$16.25
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	48	48	$130.00	$110.21
87804 Detection test by immunoassay with direct visual observation for influenza virus	32	15	$20.00	$16.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	21	$40.00	$15.78
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$257.00	$202.92
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	20	11	$20.00	$1.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,675	979	$140.00	$104.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	825	514	$178.00	$141.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	524	524	$155.95	$114.32
99213 Established patient office or other outpatient visit, typically 15 minutes	280	238	$79.00	$71.33
85610 Blood test, clotting time	243	41	$18.00	$4.71
93000 Routine ekg using at least 12 leads including interpretation and report	171	163	$50.00	$16.52
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	170	30	$32.00	$21.15
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	125	125	$50.00	$18.35
G0008 Administration of influenza virus vaccine	123	123	$40.00	$19.99
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	118	118	$208.39	$168.42
81002 Urinalysis, manual test	104	87	$15.00	$3.34
83036 Hemoglobin A1C level	101	86	$55.00	$11.52
80305 Testing for presence of drug, read by direct observation	81	80	$40.00	$13.19
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	78	78	$122.69	$101.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$203.00	$159.75
J1885 Injection, ketorolac tromethamine, per 15 mg	76	18	$6.32	$0.54
G0009 Administration of pneumococcal vaccine	76	76	$40.00	$19.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	56	43	$40.00	$19.38
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	50	50	$194.40	$163.31
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	45	45	$257.00	$203.06
87804 Detection test by immunoassay with direct visual observation for influenza virus	39	19	$20.00	$14.66
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	29	17	$20.00	$1.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$144.00	$105.97
99496 Transitional care management services for problem of high complexity	15	14	$248.73	$228.01
99495 Transitional care management services for problem of at least moderate complexity	12	11	$204.17	$161.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,348	775	$140.00	$105.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	628	386	$178.00	$140.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	467	467	$150.00	$113.53
85610 Blood test, clotting time	309	42	$18.00	$5.21
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	229	35	$32.00	$19.91
99213 Established patient office or other outpatient visit, typically 15 minutes	218	197	$79.00	$72.02
93000 Routine ekg using at least 12 leads including interpretation and report	127	124	$50.00	$16.73
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	103	103	$50.00	$18.47
G0008 Administration of influenza virus vaccine	102	102	$40.00	$25.01
83036 Hemoglobin A1C level	91	75	$55.00	$12.76
80305 Testing for presence of drug, read by direct observation	81	72	$40.00	$14.66
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	75	75	$200.70	$168.35
81002 Urinalysis, manual test	71	62	$15.00	$3.39
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	64	64	$98.13	$91.37
G0009 Administration of pneumococcal vaccine	63	63	$40.00	$25.01
J1885 Injection, ketorolac tromethamine, per 15 mg	60	15	$6.32	$0.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$203.00	$161.90
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	45	45	$190.00	$163.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	29	$40.00	$24.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$257.00	$203.84
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	13	$20.00	$16.11
99495 Transitional care management services for problem of at least moderate complexity	22	22	$180.00	$161.16

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AZ 3777

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

Brooke Lee , PA-C

Physician Assistant

NPI 1235641747

Physician Assistant (Certified)

Dr. Cheryl Maurice , MD

Internal Medicine

NPI 1265497713

Doctor of Medicine (M.D.)

Dr. Sultana Akhter , MD

Internal Medicine

NPI 1477810760

Doctor of Medicine (M.D.)

Carly Hopkins , PA-C

Physician Assistant

NPI 1477989291

Physician Assistant (Certified)

Faith Real , PA-C

Physician Assistant - Medical

NPI 1487136917

Physician Assistant (Certified)

Dr. Nicholas Vlahos , MD

Internal Medicine

NPI 1538228044

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

⚠️

NPI Profile Deactivated January 05, 2022

Record deactivated on January 05, 2022

✅

NPI Profile Active October 15, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 15, 2012

Registered at 245 S DOBSON RD, CHANDLER, AZ 852246577 (Tel: 4808955870)

📍

Updated Business Mailing Address October 15, 2012

Registered at 245 S DOBSON RD, CHANDLER, AZ 852246577 (Tel: 4808955870)

👤

Provider Name / Credentials Updated October 15, 2012

Recorded as JONATHAN HACKENYOS, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2012

Internal Medicine (License #3777 in AZ)

🟢

Initial NPI Registration & Enumeration April 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386609832

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 19, 2006

Last Update: October 15, 2012

Deactivation Date: January 05, 2022

Update or Correct Profile

Mailing Address

245 S Dobson Rd

Chandler, AZ 852246577

Phone: 4808955870

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.