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JEFFREY W RACCA M.D.
NPI 1083641807
Orthopaedic Surgery in Albuquerque, NM

Active since June 27, 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 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey W Racca M.d. NPPES

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

JEFFREY W RACCA M.D. (NPI 1083641807) is an individual orthopaedic surgery provider in Albuquerque, New Mexico, licensed in New Mexico (2000-94) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of University Of New Mexico School Of Medicine (1995).

NPPES Registry Identity

NPI1083641807
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJEFFREY W RACCACredential: 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 CMSUniversity Of New Mexico School Of MedicineGraduated 1995
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 12, 2013
✔ NPI 1083641807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NM · 2000-94
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
201 CEDAR ST SE, Albuquerque, NM 87106
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Other Identifiers 3

Medicaid66405NM
Medicare UPINH13535
Medicare PIN346633903NM

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

Jeffrey W Racca 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 ID7618985243
PECOS Enrollment IDI20060323000537
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 15

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.
2,041 services192 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.
374 services199 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.
361 services253 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.
222 services170 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
118 services88 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.
112 services104 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 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
$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.

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%231 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
71%75 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.
13%1,756 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…
32%1,826 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…
71%1,756 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%1,756 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
3 suppliers13 claims13 services$38.19 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
2 suppliers16 claims16 services$15.00 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
KARI M BABINSKI M.D.
Orthopaedic Surgery (Sports Medicine)
201 CEDAR ST SE, SUITE 6600
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-4300
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

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 Jeffrey Racca's NPI number?

The NPI number for Jeffrey Racca is 1083641807. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Jeffrey Racca located?

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

What is Jeffrey Racca's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jeffrey Racca enrolled in Medicare?

Yes. Jeffrey Racca 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 Jeffrey Racca affiliated with any hospitals?

According to CMS data, Jeffrey Racca is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Racca was last updated on July 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.