Active NPI 1124017009 Individual Practitioner Female Practitioner

Dr. Tara Maria Ostrom , MD

Internal Medicine • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tara Ostrom, MD is a certified Internal Medicine practicing in Phoenix, AZ. With approximately 30 years of clinical experience since graduating from University Of Southern California Keck School Of Medicine in 1996, Dr. Ostrom delivers high-quality medical care to the local community at 20040 N 19TH AVE.

Dr. Ostrom is affiliated with Greater Phoenix Collaborative Care Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, established patient outpatient office visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

20040 N 19th Ave
Suite A

Phoenix, AZ 850274255

Telephone 6238695000

Fax 6238690927

Associated Practice Facility / Clinic

🏢 Acacia Internal Medicine Facility NPI 1013937895

Medicare Profile & Education

Medical School

University Of Southern California Keck School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Phoenix, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +7.5 yrs vs City Avg

City Avg: 22.5 Yrs

State Avg: 25.1 Yrs

Regional Practice Density

726 Specialists

Practicing in Phoenix, AZ (2967 Statewide)

Telehealth Adoption Rate

16.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ostrom (30 Years) 30 Yrs

Phoenix Specialty Average (22.5 Years) 22.5 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
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$385.15	$125.16
99213 Established patient office or other outpatient visit, typically 15 minutes	39	28	$277.28	$87.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	25	$384.50	$123.80
G0008 Administration of influenza virus vaccine	13	13	$136.00	$31.38
90653 Vaccine for influenza for injection into muscle	12	12	$220.42	$81.82

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	48	37	$382.42	$123.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	42	42	$382.00	$124.73
99213 Established patient office or other outpatient visit, typically 15 minutes	36	29	$267.00	$87.54
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	11	11	$232.00	$75.81

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	133	86	$389.14	$121.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	71	71	$390.13	$127.11
99213 Established patient office or other outpatient visit, typically 15 minutes	67	52	$276.33	$82.30
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	20	20	$287.00	$70.25
G0008 Administration of influenza virus vaccine	19	19	$40.00	$28.50

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	144	86	$334.00	$122.61
99213 Established patient office or other outpatient visit, typically 15 minutes	120	84	$230.00	$83.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$360.00	$130.57
G0008 Administration of influenza virus vaccine	30	29	$48.00	$16.60
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	26	25	$65.00	$29.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$140.00	$50.78
G0444 Annual depression screening, 5 to 15 minutes	12	12	$53.91	$18.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	163	89	$226.61	$72.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	77	$330.40	$105.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	31	$138.17	$43.93
90662 Influenza vaccine split virus, preservative free	26	25	$160.11	$58.40
G0008 Administration of influenza virus vaccine	25	24	$100.16	$16.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$352.47	$114.91
93000 Routine ekg using at least 12 leads including interpretation and report	17	14	$50.58	$15.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	193	110	$217.66	$69.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	95	$321.42	$100.66
G0008 Administration of influenza virus vaccine	57	57	$100.16	$16.25
90662 Influenza vaccine split virus, preservative free	56	56	$160.11	$53.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$350.34	$113.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	12	$61.20	$16.40
G0444 Annual depression screening, 5 to 15 minutes	13	13	$53.91	$17.63
G0442 Annual alcohol misuse screening, 5 to 15 minutes	11	11	$54.96	$17.63
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$50.58	$16.66

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	198	97	$174.05	$100.64
99213 Established patient office or other outpatient visit, typically 15 minutes	96	64	$132.43	$67.61
G0008 Administration of influenza virus vaccine	27	27	$55.88	$19.99
90662 Influenza vaccine split virus, preservative free	27	27	$75.14	$52.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$250.44	$108.79

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	322	122	$161.64	$102.75
99213 Established patient office or other outpatient visit, typically 15 minutes	127	63	$109.71	$69.93
G0008 Administration of influenza virus vaccine	42	41	$50.00	$25.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$174.54	$110.60
90662 Influenza vaccine split virus, preservative free	37	37	$64.08	$48.05
G0009 Administration of pneumococcal vaccine	20	20	$35.00	$25.01
93000 Routine ekg using at least 12 leads including interpretation and report	19	17	$25.67	$16.21
90670 Pneumococcal vaccine for injection into muscle	18	18	$271.59	$188.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$247.91	$156.94

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AZ 26889

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

565492 (AZ)

Hospital & Practice Group Affiliations

Greater Phoenix Collaborative Care Pc

5830 N 19th Ave, Phoenix, AZ 850152494

Phone: 6023361966

Greater Phoenix Collaborative Care Pc

20040 N 19th Ave, Phoenix, AZ 850274255

Phone: 6022490115

Practice Associates & Co-Workers

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

18 Associated Practitioners

Jill Holland , APRN

Nurse Practitioner - Adult Health

NPI 1023048675

Advanced Practice Registered Nurse

Autumn Snead , FNP-C

Nurse Practitioner - Family

NPI 1043608755

Family Nurse Practitioner (Certified)

Ayesha Shamim

Pharmacist

NPI 1134846058

Lillianne Do

Pharmacist

NPI 1225807415

Marsha Evans , ANP

Nurse Practitioner - Adult Health

NPI 1245208172

Adult Nurse Practitioner

Dr. Marie Rink , MD

Internal Medicine

NPI 1316936297

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active January 27, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address January 27, 2017

Registered at PO BOX 35380, LAS VEGAS, NV 891335380 (Tel: 6238695000)

📍

Updated Practice Location January 27, 2017

Registered at 20040 N 19TH AVE, SUITE A, PHOENIX, AZ 850274255 (Tel: 6238695000)

👤

Provider Name / Credentials Updated January 27, 2017

Recorded as TARA OSTROM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2017

Internal Medicine (License #26889 in AZ)

✅

NPI Profile Active June 24, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 24, 2010

Registered at 20040 N 19TH AVE, SUITE A, PHOENIX, AZ 850274255 (Tel: 6238695000)

📍

Updated Business Mailing Address June 24, 2010

Registered at 20040 N 19TH AVE, SUITE A, PHOENIX, AZ 850274255 (Tel: 6238695000)

👤

Provider Name / Credentials Updated June 24, 2010

Recorded as TARA OSTROM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2010

Internal Medicine (License #26889 in AZ)

🟢

Initial NPI Registration & Enumeration October 13, 2005

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: 1124017009

Entity Type:

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

Enumeration Date: October 13, 2005

Last Update: January 27, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 35380

Las Vegas, NV 891335380

Phone: 6238695000

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.