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TIMOTHY HUERENA M.D.
NPI 1073047692
Emergency Medicine in Albuquerque, NM

Active since April 20, 2017PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106(505) 841-1125 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2020, Apr 20, 2017 (2 updates tracked since 2017).

About Timothy Huerena M.d. NPPES

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

TIMOTHY HUERENA M.D. (NPI 1073047692) is an individual emergency medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2019-1031) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1073047692
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTIMOTHY HUERENACredential: M.D.
Location Address1100 CENTRAL AVE SEAlbuquerque, NM 87106-4930
Mailing AddressPo Box 26666, Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770
Phone(505) 841-1125
Sole ProprietorYes
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2017
Enumeration DateApril 20, 2017
Last NPPES UpdateSeptember 3, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2020
✔ NPI 1073047692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NM · MD2019-1031
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1100 CENTRAL AVE SE, Albuquerque, NM 87106
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Secondary Practice Location 1

Location 11 University Of New Mexico, MSC 11 6025Albuquerque, NM 87131-0001 · Phone (505) 272-5062 · Fax (505) 272-6503

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy Huerena 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 ID4183994163
PECOS Enrollment IDI20200630002978
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.

Medicare Billing Reassignment

Medicare enrollment records show Timothy Huerena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Presbyterian Healthcare Services
0.1 mi
General Acute Care Hospital
1100 CENTRAL SE
Albuquerque, NM 87106
NPI 1215913470 (505) 841-1234

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
135 services135 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
45 services43 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
32 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Lincoln County Medical Center

Critical Access Hospitals · Ruidoso, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321306
Location211 Sudderth DriveRuidoso, NM 88345 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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

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.

AUDRA DAWN CLEMENS PA-C
Physician Assistant
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-6124
STEFANIE LEIGH RAITT PHARMD, PHC
Pharmacist (Pharmacotherapy)
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 681-4154
SARAH VERTREES D.O.
Pediatrics
1100 CENTRAL AVE SE, PMG PEDIATRIC URGENT CARE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 841-1819
NICHOLAS WEISS D.O.
Emergency Medicine
1100 CENTRAL AVE SE, EMERGENCY MEDICINE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 841-1125
LUKE EZEKIEL GLAZENER PA-C
Physician Assistant
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 841-1125
SARAH LEW CRNA
Nurse Anesthetist, Certified Registered
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 841-1234
NATALEE TRUEBA CCHW
Community Health Worker
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 554-8161
PATRICIA MARY HERSON C.R.N.P.
Nurse Practitioner (Gerontology)
1100 CENTRAL AVE SE, PALLIATIVE CARE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 252-7393

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 Timothy Huerena's NPI number?

The NPI number for Timothy Huerena is 1073047692. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Where is Timothy Huerena located?

Timothy Huerena practices at 1100 Central Ave SE, Albuquerque, NM 87106. The listed phone number is (505) 841-1125.

What is Timothy Huerena's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Timothy Huerena enrolled in Medicare?

Yes. Timothy Huerena 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.

Which organization bills Medicare for Timothy Huerena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Huerena reassigns Medicare benefits to Presbyterian Healthcare Services (Albuquerque, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Huerena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Huerena accept?

Health plans from UnitedHealthcare list Timothy Huerena 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 Timothy Huerena affiliated with any hospitals?

According to CMS data, Timothy Huerena is affiliated with Presbyterian Hospital and Lincoln County Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Huerena was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.