DR. BETSY KRAUSE M.D.
NPI 1003262965
Family Medicine in Albuquerque, NM

Q: What is Betsy Krause's NPI number?

The NPI number for Betsy Krause is 1003262965. It was assigned to this individual provider in the NPPES registry on May 10, 2016.

Q: What is Betsy Krause's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Betsy Krause was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since May 10, 2016PECOS EnrolledAccepts Medicare Assignment

83.84/100

CMS Quality Rating

4515 COORS BLVD NW, ALBUQUERQUE, NM 87120(505) 596-2200 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2025, Aug 27, 2020, Jan 23, 2020 and 1 more (4 updates tracked since 2016).

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About Dr. Betsy Krause M.d. NPPES

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

DR. BETSY KRAUSE M.D. (NPI 1003262965) is an individual family medicine provider in Albuquerque, New Mexico, licensed in Indiana (01079312A) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Union Hospital Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003262965

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. BETSY KRAUSECredential: M.D.

Location Address4515 COORS BLVD NWAlbuquerque, NM 87120-3699

Mailing AddressPo Box 26666, Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354

Phone(505) 596-2200

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 10, 2016

Last NPPES UpdateDecember 3, 20254 updates tracked since enumeration

NPPES CertifiedDecember 3, 2025

✔ NPI 1003262965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01079312A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License MD2020-0806 (NM)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 01079312A (IN)

4515 COORS BLVD NW, Albuquerque, NM 87120

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Secondary Practice Locations 2

Location 1221 North Celia Ave, IU Health Ball Memorial Family Medicine ResidencyMunice, IN 47303 · Phone (765) 747-3141 · Fax (765) 741-2977

Location 22401 W University AveMuncie, IN 47303-3428 · Phone (765) 747-3111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Betsy Krause 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 ID8426342908

PECOS Enrollment IDI20180323001081, I20200831002043

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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

164 services162 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

50 services50 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

47 services47 patients

Hospital Affiliations CMS Care Compare 3

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

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150023

Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County

Emergency services Birthing friendly

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150089

Location2401 University AveMuncie, IN 47303 · Delaware County

Emergency services Birthing friendly

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 87120 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

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

Quality

84.59

Promoting Interoperability

100

Improvement Activities

Cost

58.63

Other Providers at the Same Location NPPES 8

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

MARIA MAGDALENA SANCHEZ NP

Nurse Practitioner (Family)