Doctor profile · Federal record
Dr. Kelli Favata, M.D.
Vascular Specialist/Technologist (CMS: Internal Medicine) · Internal Medicine Physician · Internal Medicine Physician · Gilbert, AZ
- NPI 1184822348
- Accepts Medicare
- MIPS 82.5 / 100 · 2023
- 19 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3530 S Val Vista Dr Ste B210
Gilbert, AZ 852977318
(800) 991-6117 - Mailing address
-
3820 Northdale Blvd Ste 201
Tampa, FL 336241893
Credentials & registration
- NPI registered
- July 2007 — 19 yrs on file
- Profile last updated
- February 15, 2025
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 246XC2903X — NUCC code
- State licenses (2)
- Arizona #45344 · South Carolina #30177
- Medicaid
- AZ #654974
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1184822348. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
95
Distinct HCPCS
3
Medicare allowed
$40,413
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 38 | 32 | $124 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 31 | 26 | $87 | |
36465 |
Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 26 | 16 | $1,269 |
In context: peer comparison
Among 1 peers in Gilbert Vascular Specialist/Technologist, average services per provider: 31. This provider delivers 3.1× the peer median.Open Payments
Industry payments received
All-time total
$947
Transactions
19
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AngioDynamics, INC. | 16 | $857.34 | |
| Boston Scientific Corporation | 2 | $46.18 | |
| Tactile Systems Technology INC | 1 | $43.15 |
By nature of payment
Frequently asked questions
What is Dr. Kelli Favata's medical specialty?
Dr. Kelli Favata practices Vascular Specialist/Technologist in Gilbert, AZ.
Where does Dr. Kelli Favata practice?
Dr. Kelli Favata practices at 3530 S Val Vista Dr Ste B210, Gilbert, AZ 852977318. Office phone: 8009916117.
What is Dr. Kelli Favata's NPI?
Dr. Kelli Favata's National Provider Identifier (NPI) is 1184822348, issued by NPPES.
Does Dr. Kelli Favata accept Medicare assignment?
Yes. Dr. Kelli Favata accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelli Favata commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Injection of chemical agent into single incompetent vein of leg using ultrasound guidance (HCPCS 36465). Source: CMS Medicare Physician & Other Practitioners file.