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Active NPI 1164017679 Individual Practitioner Male Practitioner

Braiden Clark Fairbanks , PA-C

Physician Assistant • Phoenix, AZ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Braiden Fairbanks, PA-C is a certified Physician Assistant practicing in Phoenix, AZ. With approximately 5 years of clinical experience since completing medical education in 2021, Braiden Fairbanks delivers high-quality medical care to the local community at 349 E CORONADO RD.

Braiden Fairbanks is affiliated with Mayo Clinic Arizona and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

349 E Coronado Rd

Phoenix, AZ 850041525

Telephone 6022665678
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Phoenix, AZ

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -5.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
938 Specialists

Practicing in Phoenix, AZ (3711 Statewide)

Telehealth Adoption Rate
14.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
60.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fairbanks (5 Years) 5 Yrs
Phoenix Specialty Average (10.1 Years) 10.1 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
148 123 $245.00 $103.36
99213 Established patient office or other outpatient visit, typically 15 minutes
116 91 $163.00 $74.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
92 92 $372.00 $136.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
17 17 $242.00 $87.51

Medical Specialties & State Licenses

CMS Verified: 2025-02-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 8690

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Mayo Clinic Arizona

13400 E Shea Blvd, Scottsdale, AZ 852595404

Phone: 4803018000

Secondary Practice Locations

13400 E Shea Blvd

Scottsdale, AZ 852595499

Phone: 4803018000

Practice Associates & Co-Workers

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

12 Associated Practitioners
Kaitlin Beadles , PA

Physician Assistant

NPI 1174141238

Physician Assistant

Dr. David Drewitz , MD

Internal Medicine - Gastroenterology

NPI 1174574610

Doctor of Medicine (M.D.)

Dr. Bruce Noland , MD

Internal Medicine - Gastroenterology

NPI 1245280346

Doctor of Medicine (M.D.)

Dr. Shiva Ratuapli , MD

Internal Medicine - Gastroenterology

NPI 1265492060

Doctor of Medicine (M.D.)

Breana Baker , MSPA, PA-C

Physician Assistant

NPI 1285215541

MSPA, Physician Assistant (Certified)

Emily Peterson , PA-C

Physician Assistant

NPI 1306554209

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Business Mailing Address February 24, 2025

Registered at 253 N PIEDRA, MESA, AZ 852077561 (Tel: 4807211784)

👤
Provider Name / Credentials Updated February 24, 2025

Recorded as BRAIDEN FAIRBANKS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2025

Physician Assistant (License #8690 in AZ)

📍
Updated Practice Location November 18, 2021

Registered at 349 E CORONADO RD, PHOENIX, AZ 850041525 (Tel: 6022665678)

NPI Profile Active March 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2021

Registered at 435 N 5TH ST, PHOENIX, AZ 850042157 (Tel: 6028272450)

📍
Updated Business Mailing Address March 05, 2021

Registered at 5302 E VAN BUREN ST UNIT 3021, PHOENIX, AZ 850087975 (Tel: 4807211784)

👤
Provider Name / Credentials Updated March 05, 2021

Recorded as BRAIDEN FAIRBANKS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 05, 2021

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: 1164017679
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2021
Last Update: February 24, 2025
Sole Proprietor: No

Mailing Address

253 N Piedra

Mesa, AZ 852077561

Phone: 4807211784

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.