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DANIEL L. STULBERG MD
NPI 1013022995
Family Medicine in Albuquerque, NM

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5120 MASTHEAD ST NE, ALBUQUERQUE, NM 87109(505) 243-7546(505) 243-7547 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2026, Mar 25, 2026, Sep 13, 2022 (3 updates tracked since 2022).

About Daniel L. Stulberg Md NPPES

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

DANIEL L. STULBERG MD (NPI 1013022995) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (NM2007-0112) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1987).

NPPES Registry Identity

NPI1013022995
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDANIEL L. STULBERGCredential: MD
Location Address5120 MASTHEAD ST NEAlbuquerque, NM 87109-4366
Mailing Address5120 Masthead St NeAlbuquerque, NM 87109-4366 · (505) 243-7546 · Fax (505) 243-7547
Phone(505) 243-7546
Fax(505) 243-7547
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1987
Enumeration DateAugust 20, 2006
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1013022995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NM · NM2007-0112✔ Licensed in MI · 4301051647✔ Licensed in CO · 42532
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.
5120 MASTHEAD ST NE, Albuquerque, NM 87109
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Accepted Insurance

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

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

Daniel L. Stulberg Md 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 ID2668456351
PECOS Enrollment IDI20070705000564
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 2

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 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.
18 services13 patients
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.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.99
Promoting Interoperability100
Improvement Activities40
Cost86.02

Other Providers at the Same Location NPPES 10

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

DR. DAVID A. DAVIS M.D.
Dermatology (MOHS-Micrographic Surgery)
5120 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 243-7546
DERMATOLOGY & SKIN CANCER CENTER OF NM PC
Dermatology
5120 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 243-7546
EDUARDO BASUALDO
Behavior Analyst
5120 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Bernalillo County (248) 299-0030
MICHAEL BRIAN CHANG M.D.
Dermatology
5120 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Bernalillo County (301) 466-8150
DANIEL ALYN DAVIS MD
Dermatology (MOHS-Micrographic Surgery)
5120 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 948-8975
MARY HELMY HANNA
Behavior Analyst
5120 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Bernalillo County (248) 299-0030
NATALIE MILLS PA-C
Physician Assistant
5120 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 243-7546
AMYLLEN EVANS BCBA
Behavior Analyst
5120 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 453-8448

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 Daniel Stulberg's NPI number?

The NPI number for Daniel Stulberg is 1013022995. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Daniel Stulberg located?

Daniel Stulberg practices at 5120 Masthead St NE, Albuquerque, NM 87109. The listed phone number is (505) 243-7546.

What is Daniel Stulberg's specialty?

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

Is Daniel Stulberg enrolled in Medicare?

Yes. Daniel Stulberg 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.

What insurance does Daniel Stulberg accept?

Health plans from Priority Health list Daniel Stulberg 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.

When was this NPI record last updated?

The NPPES record for Daniel Stulberg was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.