CHRISTOPHER MCILWAIN DO
NPI 1063528719
Family Medicine in Albuquerque, NM

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
PMG URGENT CARE, 5901 HARPER DRIVE NE, ALBUQUERQUE, NM 87109(505) 823-8519(505) 823-8355 Get Directions Write a Review

NPPES record last updated: November 24, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Christopher Mcilwain Do NPPES

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

CHRISTOPHER MCILWAIN DO (NPI 1063528719) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (A-1425-07) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1063528719
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHRISTOPHER MCILWAINCredential: DO
Location AddressPMG URGENT CARE, 5901 HARPER DRIVE NEAlbuquerque, NM 87109
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-5356 · Fax (505) 923-5354
Fax(505) 823-8355
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 22, 2006
Last NPPES UpdateNovember 24, 2009
NPI 1063528719 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 · A-1425-07
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.
PMG URGENT CARE, Albuquerque, NM 87109

Other Identifiers 4

Medicare UPINI38830
Medicaid39188761NM
Medicare PINNM302617NM
Medicare PIN345734002

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

Christopher Mcilwain Do 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 ID941232805
PECOS Enrollment IDI20071221000272
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 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.
72 services56 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.
66 services50 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
30 services27 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.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

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

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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers16 claims45 services$6.06 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims7,075 services$0.24 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers16 claims16 services$16.21 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers18 claims18 services$4.65 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers58 claims58 services$67.99 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier22 claims22 services$201.74 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 16

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

Nurse Practitioner (Family)
PMG URGENT CARE, 5901 HARPER DRIVE NE
ALBUQUERQUE, NM 87109
Family Medicine
PMG URGENT CARE, 5901 HARPER DRIVE NE
ALBUQUERQUE, NM 87109
Family Medicine
PMG URGENT CARE, 5901 HARPER DRIVE NE
ALBUQUERQUE, NM 87109
Family Medicine
PMG URGENT CARE, 5901 HARPER DRIVE NE
ALBUQUERQUE, NM 87109
Family Medicine
PMG URGENT CARE, 5901 HARPER DRIVE NE
ALBUQUERQUE, NM 87109
Family Medicine
PMG URGENT CARE, 5901 HARPER DRIVE NE
ALBUQUERQUE, NM 87109
Internal Medicine
PMG URGENT CARE, 5901 HARPER DRIVE NE
ALBUQUERQUE, NM 87109
Family Medicine
PMG URGENT CARE, 5901 HARPER DRIVE NE
ALBUQUERQUE, NM 87109

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 Christopher Mcilwain's NPI number?

The NPI number for Christopher Mcilwain is 1063528719. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Christopher Mcilwain located?

Christopher Mcilwain practices at Pmg Urgent Care 5901 Harper Drive NE, Albuquerque, NM 87109. The listed phone number is (505) 823-8519.

What is Christopher Mcilwain's specialty?

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

Is Christopher Mcilwain enrolled in Medicare?

Yes. Christopher Mcilwain 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 Christopher Mcilwain accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and UnitedHealthcare list Christopher Mcilwain 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.

Is Christopher Mcilwain affiliated with any hospitals?

According to CMS data, Christopher Mcilwain is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Christopher Mcilwain was last updated on November 24, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.