Individual provider Active NPI

Todd Barrett Jaffe, MD

  • Pain Medicine (Anesthesiology) Physician
  • Lakeside, AZ
National Provider Identifier
1629049275
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
71525 Issued in AZ
Practice address
4830 State Route 260
103
Lakeside, AZ 85929
Phone
(928) 368-7346
Fax
(926) 495-5514
NPI assigned
Jan 31, 2006
Last updated
Oct 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) Physician 207LA0401X 71525 AZ
Pain Medicine (Anesthesiology) Physician 207LP2900X 71525 AZ Primary

Addresses

Primary practice location

4830 State Route 260
103
Lakeside, AZ 85929

Mailing address

1925 Passage Dr
Show Low, AZ 85901-6905
Phone (928) 368-7346

Other practice location 1

1925 Passage Dr
Show Low, AZ 85901-6905
Phone (928) 368-7346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211222000460 GU Practitioner - Pain ManagementPractitioner - Addiction Medicine 7911975081 Reassigns benefits to 1 organization
I20231101003779 AZ Practitioner - Pain Management 7911975081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
R Franklin University of Med & Sci/Chicago Medical School, 1978
Medicare assignment
May accept Medicare assignment
Group practices
Flagstaff Pain and Treatment CenterGroup PAC ID 0749691038, 13 clinicians

Practice addresses (Care Compare)

2051 Evergreen LN
Suite C
Show Low, AZ 85901-7928
Phone (928) 368-7346

823 N San Francisco St
Flagstaff, AZ 86001-3265

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.66

Merit-based Incentive Payment System (MIPS)

Final score
65.1 of 100Reported as group
Quality
100
Promoting interoperability
0
Improvement activities
30
Cost
79.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
71525AZMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flagstaff Pain & Treatment Center Pain Medicine CurrentSince Nov 1, 2023 Accepting new patients
Guam X-Ray CurrentSince Nov 23, 2021 Accepting new patients
Jaffe Ethical Addiction and Pain Care LLC Pain Medicine CurrentSince Sep 27, 2025 Accepting new patients
Arcand Family Practice LLC Past Accepting new patients

Locations

823 N San Francisco St
Ste A
Flagstaff, AZ 86001
Phone (480) 213-8488

4672 Maverick Ln
Ste 1
Lakeside, AZ 85929

3401 S White Mountain Rd
Ste A
Show Low, AZ 85901
Phone (520) 244-0089

610 E Baseline Rd
Tempe, AZ 85283
Phone (480) 969-0405

633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1629049275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 PASSAGE DR",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859016905",
            "telephone_number": "928-368-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 STATE ROUTE  260",
            "address_2": "103",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "85929",
            "telephone_number": "928-368-7346",
            "fax_number": "926-495-5514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1925 Passage Dr",
            "address_purpose": "LOCATION",
            "city": "Show Low",
            "state": "AZ",
            "postal_code": "859016905",
            "country_code": "US",
            "telephone_number": "928-368-7346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "TODD",
        "middle_name": "BARRETT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "AZ",
            "license": "71525",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "71525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeside, AZ

Sources for this page

Verify at the official NPI Registry.