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KARI M BABINSKI M.D.
NPI 1063490589
Orthopaedic Surgery - Sports Medicine in Albuquerque, NM

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
201 CEDAR ST SE, SUITE 6600, ALBUQUERQUE, NM 87106(505) 724-4300(505) 724-4384 Get Directions Write a Review

NPPES record last updated: July 26, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kari M Babinski M.d. NPPES

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

KARI M BABINSKI M.D. (NPI 1063490589) is an individual sports medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2003-0776) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Lovelace Women's Hospital, and is a graduate of Baylor College Of Medicine (1992).

NPPES Registry Identity

NPI1063490589
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameKARI M BABINSKICredential: M.D.
Location Address201 CEDAR ST SE, SUITE 6600Albuquerque, NM 87106-4917
Mailing Address201 Cedar St Se, Suite 6600Albuquerque, NM 87106-4917 · (505) 724-4300 · Fax (505) 724-4384
Phone(505) 724-4300
Fax(505) 724-4384
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1992
Enumeration DateJanuary 4, 2006
Last NPPES UpdateJuly 26, 2013
✔ NPI 1063490589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in NM · MD2003-0776
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD2003-0776 (NM)
201 CEDAR ST SE, Albuquerque, NM 87106
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Other Identifiers 3

Medicaid46235388NM
Medicare UPING73685NM
Medicare ID-Type Unspecified342407600

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

Kari M Babinski 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 ID2567352446
PECOS Enrollment IDI20040316000601
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 16

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
2,378 services172 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
261 services177 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.
214 services175 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
141 services105 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
117 services80 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.
89 services82 patients

Hospital Affiliations CMS Care Compare 2

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

Lovelace Women's Hospital

Acute Care Hospitals · Albuquerque, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320017
Location4701 Montgomery Boulevard NEAlbuquerque, NM 87109 · Bernalillo 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

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
90%271 patients4/55-star benchmark: 100%
Falls: Plan of Care
Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months
70%50 patients3/55-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.
16%1,978 patients1/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
29%1,845 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
70%1,978 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%1,978 patients1/55-star benchmark: 59%
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 2

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
4 suppliers14 claims14 services$36.07 avg. paid by Medicare
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
1 supplier35 claims39 services$89.28 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 20

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

SHELBY EDWARD JARRELL III MD
Orthopaedic Surgery (Sports Medicine)
201 CEDAR ST SE, SUITE 6600
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-4300
GEOFFREY D STEFFENS CNP
Nurse Practitioner
201 CEDAR ST SE, SUITE 6600
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-4300
CLAYTON B CONRAD MD
Orthopaedic Surgery (Sports Medicine)
201 CEDAR ST SE, SUITE 6600
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-4300
DR. DIANA LYNN GABALDON PHARMD, PHC
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
201 CEDAR ST SE, SUITE 4620
ALBUQUERQUE, NM 87106
Bernalillo County (505) 563-1319
ROBERT E. FEDERICI MD
Internal Medicine (Interventional Cardiology)
201 CEDAR ST SE, SUITE 7600
ALBUQUERQUE, NM 87106
Bernalillo County (505) 563-2624
MICHAEL E MCCUTCHEON M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
201 CEDAR ST SE, SUITE 6600
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-4300
DR. ALAN STEVEN BRENNER M.D.
Otolaryngology (Facial Plastic Surgery)
201 CEDAR ST SE, SUITE 4600
ALBUQUERQUE, NM 87106
Bernalillo County (505) 563-6450
DR. ALAN STEVEN BRENNER M.D.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
201 CEDAR ST SE, SUITE 4600
ALBUQUERQUE, NM 87106
Bernalillo County (505) 563-6450

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 Kari Babinski's NPI number?

The NPI number for Kari Babinski is 1063490589. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Kari Babinski located?

Kari Babinski practices at 201 Cedar St SE Suite 6600, Albuquerque, NM 87106. The listed phone number is (505) 724-4300.

What is Kari Babinski's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Kari Babinski enrolled in Medicare?

Yes. Kari Babinski 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 Kari Babinski affiliated with any hospitals?

According to CMS data, Kari Babinski is affiliated with Lovelace Women's Hospital and Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Kari Babinski was last updated on July 26, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.