MARK A GOULD PA
NPI 1023278108
Physician Assistant in Albuquerque, NM

Active since June 12, 2008PECOS EnrolledAccepts Medicare Assignment
1524 EUBANK BLVD NE STE 6, ALBUQUERQUE, NM 87112(505) 503-8806(888) 503-8511 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark A Gould Pa NPPES

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

MARK A GOULD PA (NPI 1023278108) is an individual physician assistant in Albuquerque, New Mexico, licensed in New Mexico (PA2005-0029) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1023278108
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK A GOULDCredential: PA
Location Address1524 EUBANK BLVD NE STE 6Albuquerque, NM 87112-4160
Mailing AddressPo Box 95590Albuquerque, NM 87199-5590 · (505) 503-8806 · Fax (888) 503-8511
Fax(888) 503-8511
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 12, 2008
Last NPPES UpdateNovember 15, 2023
NPPES CertifiedNovember 15, 2023
NPI 1023278108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NM · PA2005-0029
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License PA2005-0029 (NM)
1524 EUBANK BLVD NE STE 6, Albuquerque, NM 87112

Accepted 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

Mark A Gould Pa 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 ID6608921473
PECOS Enrollment IDI20090831000192
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
72 services48 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
66 services60 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87112 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
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
0%1,536 patients1/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
0%758 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
0%812 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 474 patients
0%474 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Dry pressure mattress E0184
DME-Other DME · category DE000N
1 supplier14 claims14 services$13.40 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier16 claims16 services$48.48 avg. paid by Medicare
General use wheelchair seat cushion, width less than 22 inches, any depth E2601
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$31.98 avg. paid by Medicare
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware E2611
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$135.67 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier56 claims56 services$18.48 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier13 claims13 services$6.84 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 8

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

Family Medicine
1524 EUBANK BLVD NE STE 6
ALBUQUERQUE, NM 87112
Nurse Practitioner (Family)
1524 EUBANK BLVD NE STE 6
ALBUQUERQUE, NM 87112
Nurse Practitioner (Family)
1524 EUBANK BLVD NE STE 6
ALBUQUERQUE, NM 87112
Family Medicine
1524 EUBANK BLVD NE STE 6
ALBUQUERQUE, NM 87112
Internal Medicine
1524 EUBANK BLVD NE STE 6
ALBUQUERQUE, NM 87112
Physician Assistant (Medical)
1524 EUBANK BLVD NE STE 6
ALBUQUERQUE, NM 87112
Nurse Practitioner (Family)
1524 EUBANK BLVD NE STE 6
ALBUQUERQUE, NM 87112
Internal Medicine
1524 EUBANK BLVD NE STE 6
ALBUQUERQUE, NM 87112

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 Mark Gould's NPI number?

The NPI number for Mark Gould is 1023278108. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Mark Gould located?

Mark Gould practices at 1524 Eubank Blvd NE Ste 6, Albuquerque, NM 87112. The listed phone number is (505) 503-8806.

What is Mark Gould's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mark Gould enrolled in Medicare?

Yes. Mark Gould 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 Mark Gould accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Mark Gould 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 Mark Gould was last updated on November 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.