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ALYSSA BRIANA MIRABAL MD
NPI 1043773005
Family Medicine in Edgewood, NM

Active since April 08, 2019PECOS EnrolledAccepts Medicare Assignment
80.33/100
CMS Quality Rating
1851 OLD US 66, EDGEWOOD, NM 87015(505) 286-2396(505) 272-8045 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2023, Feb 3, 2023, May 1, 2019 and 1 more (4 updates tracked since 2019).

About Alyssa Briana Mirabal Md NPPES

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

ALYSSA BRIANA MIRABAL MD (NPI 1043773005) is an individual family medicine provider in Edgewood, New Mexico, licensed in New Mexico (MD2023-0130) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albuquerque, and is a graduate of University Of New Mexico School Of Medicine (2019).

NPPES Registry Identity

NPI1043773005
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameALYSSA BRIANA MIRABALCredential: MD
Location Address1851 OLD US 66Edgewood, NM 87015-7200
Mailing Address1851 Old Us 66Edgewood, NM 87015-7200 · (505) 286-2396
Phone(505) 286-2396
Fax(505) 272-8045
Sole ProprietorYes
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2019
Enumeration DateApril 8, 2019
Last NPPES UpdateJuly 27, 20234 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
✔ NPI 1043773005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NM · MD2023-0130
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.
1851 OLD US 66, Edgewood, NM 87015
Open in Google Maps ↗

Secondary Practice Location 1

Location 111501 Montgomery Blvd NEAlbuquerque, NM 87111-2796 · Phone (505) 814-1333

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

Alyssa Briana Mirabal 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 ID9234466228
PECOS Enrollment IDI20230508002225
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 10

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.
214 services104 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
107 services27 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.
34 services29 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
28 services28 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
28 services28 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.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87015 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.

80.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.79
Promoting Interoperability100
Improvement Activities40
Cost72.64

Other Providers at the Same Location NPPES 9

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

CARLA RUDOLPH DO
General Practice
1851 OLD US 66
EDGEWOOD, NM 87015
Santa Fe County (505) 286-2396
HARRY SCHNEE MESSEC MD
Family Medicine
1851 OLD US 66
EDGEWOOD, NM 87015
Santa Fe County (505) 286-2396
SANDIA MOUNTAIN MEDICAL, INC.
Family Medicine
1851 OLD US 66, UNIT 1
EDGEWOOD, NM 87015
Santa Fe County (505) 286-2396
DR. SANFORD LEE YANKOW MD
Family Medicine
1851 OLD US 66
EDGEWOOD, NM 87015
Santa Fe County (505) 286-2396
MRS. KRISTAL LEANN WALLACE FNP-BC
Nurse Practitioner (Family)
1851 OLD US 66
EDGEWOOD, NM 87015
Santa Fe County (505) 286-2396
BEBE MAKENA OTR/L
Occupational Therapist
1851 OLD US 66
EDGEWOOD, NM 87015
Santa Fe County (505) 281-8463
DR. LARISA MAUREEN HART VASQUEZ DPT
Physical Therapist
1851 OLD US 66
EDGEWOOD, NM 87015
Santa Fe County (505) 281-8463
JOSHUA JONES PA-C
Physician Assistant
1851 OLD US 66
EDGEWOOD, NM 87015
Santa Fe County (505) 286-2396

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 Alyssa Mirabal's NPI number?

The NPI number for Alyssa Mirabal is 1043773005. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Alyssa Mirabal located?

Alyssa Mirabal practices at 1851 Old Us 66, Edgewood, NM 87015. The listed phone number is (505) 286-2396.

What is Alyssa Mirabal's specialty?

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

Is Alyssa Mirabal enrolled in Medicare?

Yes. Alyssa Mirabal 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.

When was this NPI record last updated?

The NPPES record for Alyssa Mirabal was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.