HOLLY NICOLE SAUTER PA-C
NPI 1063152999
Physician Assistant in Albuquerque, NM

Active since March 30, 2022PECOS EnrolledAccepts Medicare Assignment
93.54/100
CMS Quality Rating
1101 MEDICAL ARTS AVE NE BLDG 2, ALBUQUERQUE, NM 87102(505) 272-6110 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Holly Nicole Sauter Pa-c NPPES

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

HOLLY NICOLE SAUTER PA-C (NPI 1063152999) is an individual physician assistant in Albuquerque, New Mexico, licensed in New Mexico (PA2022-0012) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of University Of New Mexico School Of Medicine (2021).

NPPES Registry Identity

NPI1063152999
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHOLLY NICOLE SAUTERCredential: PA-C
Location Address1101 MEDICAL ARTS AVE NE BLDG 2Albuquerque, NM 87102-2723
Mailing Address5836 Academy Ct NeAlbuquerque, NM 87109-3877 · (505) 301-8563
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2021
Enumeration DateMarch 30, 2022
Last NPPES UpdateJune 22, 2023
NPPES CertifiedJune 22, 2023
NPI 1063152999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NM · PA2022-0012
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.
1101 MEDICAL ARTS AVE NE BLDG 2, Albuquerque, NM 87102

Other Names 1

Former Name (1)Holly Nicole Baca

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

Holly Nicole Sauter Pa-c 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 ID4284012220
PECOS Enrollment IDI20220603002045
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 4

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 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.
131 services102 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.
97 services88 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
28 services25 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87102 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.

93.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.21
Promoting Interoperability100
Improvement Activities40
Cost63.83

Referred Medical Equipment & Supplies CMS DME claims

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
5 suppliers16 claims16 services$39.34 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 3

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

Internal Medicine (Pulmonary Disease)
1101 MEDICAL ARTS AVE NE BLDG 2, UNM SLEEP DISORDERS CENTER
ALBUQUERQUE, NM 87102
Psychiatry & Neurology (Psychiatry)
1101 MEDICAL ARTS AVE NE BLDG 2
ALBUQUERQUE, NM 87102
Psychiatry & Neurology (Sleep Medicine)
1101 MEDICAL ARTS AVE NE BLDG 2
ALBUQUERQUE, NM 87102

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 Holly Sauter's NPI number?

The NPI number for Holly Sauter is 1063152999. It was assigned to this individual provider in the NPPES registry on March 30, 2022. The provider is also known as Holly Nicole Baca.

Where is Holly Sauter located?

Holly Sauter practices at 1101 Medical Arts Ave NE Bldg 2, Albuquerque, NM 87102. The listed phone number is (505) 272-6110.

What is Holly Sauter's specialty?

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

Is Holly Sauter enrolled in Medicare?

Yes. Holly Sauter 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.

Is Holly Sauter affiliated with any hospitals?

According to CMS data, Holly Sauter is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Holly Sauter was last updated on June 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.