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MAX RUMBACH O.D.
NPI 1063861961
Optometrist in Albuquerque, NM

Active since June 10, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1646 ALAMEDA BLVD NW, ALBUQUERQUE, NM 87114(505) 452-2020 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2024, Jun 29, 2020 (2 updates tracked since 2020).

About Max Rumbach O.d. NPPES

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

MAX RUMBACH O.D. (NPI 1063861961) is an individual optometrist in Albuquerque, New Mexico, licensed in New Mexico (OPT20240004) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Indiana University - School Of Optometry (2015).

NPPES Registry Identity

NPI1063861961
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMAX RUMBACHCredential: O.D.
Location Address1646 ALAMEDA BLVD NWAlbuquerque, NM 87114-8807
Mailing Address1646 Alameda Blvd NwAlbuquerque, NM 87114-8807
Phone(505) 452-2020
Sole ProprietorYes
Medical School CMSIndiana University - School Of OptometryGraduated 2015
Enumeration DateJune 10, 2016
Last NPPES UpdateAugust 2, 20242 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
✔ NPI 1063861961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NM · OPT20240004✔ Licensed in IN · 18003954A
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1646 ALAMEDA BLVD NW, Albuquerque, NM 87114
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Secondary Practice Location 1

Location 16038 Rosslyn AveIndianapolis, IN 46220-2077 · Phone (812) 630-8646

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and more.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

Max Rumbach O.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 ID1052604923
PECOS Enrollment IDI20240524002187
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

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87114 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

DR. SEAN CARLILE O.D.
Optometrist
1646 ALAMEDA BLVD NW
ALBUQUERQUE, NM 87114
Bernalillo County (505) 792-3937
DR. ROBERT LEE JARRELL III OD
Optometrist
1646 ALAMEDA BLVD NW
ALBUQUERQUE, NM 87114
Bernalillo County (505) 792-3500
COTTONWOOD VISION CARE LLC
Optometrist
1646 ALAMEDA BLVD NW
ALBUQUERQUE, NM 87114
Bernalillo County (505) 792-3500

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 Max Rumbach's NPI number?

The NPI number for Max Rumbach is 1063861961. It was assigned to this individual provider in the NPPES registry on June 10, 2016.

Where is Max Rumbach located?

Max Rumbach practices at 1646 Alameda Blvd NW, Albuquerque, NM 87114. The listed phone number is (505) 452-2020.

What is Max Rumbach's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Max Rumbach enrolled in Medicare?

Yes. Max Rumbach 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 Max Rumbach accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Max Rumbach 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 Max Rumbach was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.