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Active NPI 1659395655 Individual Practitioner Male Practitioner

Daniel Anthony Indilicato , PA

Physician Assistant - Surgical • Gilbert, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Daniel Indilicato, PA is a certified Physician Assistant - Surgical practicing in Gilbert, AZ. With approximately 29 years of clinical experience since completing medical education in 1997, Daniel Indilicato delivers high-quality medical care to the local community at 1094 S GILBERT RD.

Daniel Indilicato maintains professional affiliations with Northern Arizona Healthcare Corporation, Neurosurgical Associates Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include partial removal of middle spine bone with release of spinal cord and/or nerves, insertion of cage or mesh device to spine bone and disc space during spine fusion, fusion of spine in lower back with partial removal of spine bone and disc. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1094 S Gilbert Rd
Suite 203

Gilbert, AZ 852963445

Telephone 4808824000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Gilbert, AZ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs +18.5 yrs vs City Avg
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
38 Specialists

Practicing in Gilbert, AZ (431 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Indilicato (29 Years) 29 Yrs
Gilbert Specialty Average (10.5 Years) 10.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves
41 40 $1262.50 $135.79
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion
35 24 $436.43 $33.08
22633 Fusion of spine in lower back with partial removal of spine bone and disc
21 21 $2678.57 $229.79
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back
21 21 $285.50 $33.19
22842 Placement of stabilizing device to back, 3-6 spine bone segments
12 12 $781.25 $97.91

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License AZ 4385

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Shield
000494574001 (NY)
Commercial Insurance / Payer ID Fidelis Care
040511001092 (NY)

Hospital & Practice Group Affiliations

Northern Arizona Healthcare Corporation

269 S Candy Ln, Cottonwood, AZ 863264158

Phone: 9286395588

Northern Arizona Healthcare Corporation

269 S Candy Ln, Cottonwood, AZ 863264158

Phone: 9286341331

Northern Arizona Healthcare Corporation

1200 N Beaver St, Flagstaff, AZ 860013118

Phone: 9282142920

Northern Arizona Healthcare Corporation

1215 N Beaver St, Flagstaff, AZ 860013126

Phone: 9287732249

Northern Arizona Healthcare Corporation

1200 N Beaver St, Flagstaff, AZ 860013118

Neurosurgical Associates Ltd

3420 S Mercy Rd, Gilbert, AZ 852970424

Phone: 4806817134

Practice Associates & Co-Workers

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

20 Associated Practitioners
NPI 1073111357

Doctor of Pharmacy (Pharm.D.)

Ashley Michl , NP

Nurse Practitioner - Acute Care

NPI 1205361987

Nurse Practitioner

Joselito Padaoan , PTA

Long Term Care Hospital

NPI 1285896290

Physical Therapist Assistant

Edward O'beirne , PA

Physician Assistant - Medical

NPI 1356309207

Physician Assistant

Dr. Noel Zweig , MD

Anesthesiology

NPI 1386798296

Doctor of Medicine (M.D.)

Nathan Rousu

Nurse Practitioner - Family

NPI 1386894517

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 27, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2010

Registered at 1094 S GILBERT RD, SUITE 203, GILBERT, AZ 852963445 (Tel: 4808824000)

📍
Updated Business Mailing Address April 27, 2010

Registered at PO BOX 8131, SCOTTSDALE, AZ 852528131 (Tel: 4808824000)

👤
Provider Name / Credentials Updated April 27, 2010

Recorded as DANIEL INDILICATO, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2010

Physician Assistant (License #4385 in AZ)

🟢
Initial NPI Registration & Enumeration July 26, 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: 1659395655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2006
Last Update: April 27, 2010
Sole Proprietor: No

Mailing Address

Po Box 8131

Scottsdale, AZ 852528131

Phone: 4808824000

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.