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DR. ALBERTO AGUAYO RICO M.D,
NPI 1003181470
Internal Medicine in Albuquerque, NM

Active since March 18, 2012PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
401 SAN MATEO BLVD SE, ALBUQUERQUE, NM 87108(505) 462-7333(505) 462-7440 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Alberto Aguayo Rico M.d, NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALBERTO AGUAYO RICO M.D, (NPI 1003181470) is an individual internal medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2014-0767) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1003181470
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ALBERTO AGUAYO RICOCredential: M.D,
Location Address401 SAN MATEO BLVD SEAlbuquerque, NM 87108-2921
Mailing AddressPo Box 26666, Presbyterian Healthcare ServicesAlbuquerque, NM 87125-6666 · (505) 923-6770
Phone(505) 462-7333
Fax(505) 462-7440
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 18, 2012
Last NPPES UpdateJuly 21, 2015
✔ NPI 1003181470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NM · MD2014-0767
Definition
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.
401 SAN MATEO BLVD SE, Albuquerque, NM 87108
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alberto Aguayo Rico M.d, is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416274188
PECOS Enrollment IDI20150721000821
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alberto Aguayo Rico reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Presbyterian Healthcare Services
2.9 mi
General Acute Care Hospital
1100 CENTRAL SE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1215913470 (505) 841-1234

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
272 services130 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
53 services53 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services26 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
26 services15 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers36 claims102 services$6.10 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims12 services$1.04 avg. paid by Medicare
Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier24 claims599 services$11.19 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
1 supplier24 claims163 services$278.52 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier23 claims156 services$7.97 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier24 claims163 services$24.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS ROTHFELD MD
Pediatrics
401 SAN MATEO BLVD SE, PMG SAN MATEO
ALBUQUERQUE, NM 87108
Bernalillo County (505) 462-7306
PREBYTERIAN HEALTHCARE SERVICES
General Acute Care Hospital
401 SAN MATEO BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 462-7416
GAIL L ROTHFORK CNM
Advanced Practice Midwife
401 SAN MATEO BLVD SE, PMG SAN MATEO
ALBUQUERQUE, NM 87108
Bernalillo County (505) 462-7306
MIKAL ANN SMOKER PA-C
Physician Assistant
401 SAN MATEO BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 462-7333
YOLANDA TSO MD
Pediatrics
401 SAN MATEO BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 462-7333
DAWN ANNMARIE VIGIL CNP
Nurse Practitioner (Family)
401 SAN MATEO BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 462-7368
VANESSA LOPEZ-VIETS PHD
Psychologist (Clinical)
401 SAN MATEO BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 462-7333
JULIENNE NZABARINDA
Community Health Worker
401 SAN MATEO BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 347-8758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alberto Aguayo Rico's NPI number?

The NPI number for Alberto Aguayo Rico is 1003181470. It was assigned to this individual provider in the NPPES registry on March 18, 2012.

Where is Alberto Aguayo Rico located?

Alberto Aguayo Rico practices at 401 San Mateo Blvd SE, Albuquerque, NM 87108. The listed phone number is (505) 462-7333.

What is Alberto Aguayo Rico's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Alberto Aguayo Rico enrolled in Medicare?

Yes. Alberto Aguayo Rico is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Alberto Aguayo Rico's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alberto Aguayo Rico reassigns Medicare benefits to Presbyterian Healthcare Services (Albuquerque, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alberto Aguayo Rico's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alberto Aguayo Rico accept?

Health plans from UnitedHealthcare list Alberto Aguayo Rico as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alberto Aguayo Rico affiliated with any hospitals?

According to CMS data, Alberto Aguayo Rico is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Alberto Aguayo Rico was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.