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HERBERT V RACHELSON MD
NPI 1104971886
Orthopaedic Surgery in Espanola, NM

Active since January 24, 2007PECOS Enrolled
ESPANOLA MULTI-SPECIALTY CLINIC, 1010 SPRUCE ST, ESPANOLA, NM 87532(505) 367-0340(505) 367-0346 Get Directions Write a Review

NPPES record last updated: April 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Herbert V Rachelson Md NPPES

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

HERBERT V RACHELSON MD (NPI 1104971886) is an individual orthopaedic surgery provider in Espanola, New Mexico, licensed in New Mexico (76-249) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104971886
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameHERBERT V RACHELSONCredential: MD
Location AddressESPANOLA MULTI-SPECIALTY CLINIC, 1010 SPRUCE STEspanola, NM 87532
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-5356 · Fax (505) 923-5354
Phone(505) 367-0340
Fax(505) 367-0346
Sole ProprietorNo
Enumeration DateJanuary 24, 2007
Last NPPES UpdateApril 6, 2017
✔ NPI 1104971886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NM · 76-249
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.
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 76-249 (NM)
ESPANOLA MULTI-SPECIALTY CLINIC, Espanola, NM 87532
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Other Identifiers 3

Medicare UPINC98040
Medicaid22384NM
Medicare PIN346732302

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 (PECOS)

Herbert V Rachelson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

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.
30 services25 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.
20 services20 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.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87532 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.

Other Providers at the Same Location NPPES 2

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

GAYLORD V SWAN MD
Obstetrics & Gynecology (Obstetrics)
ESPANOLA MULTI-SPECIALTY CLINIC, 1010 SPRUCE ST
ESPANOLA, NM 87532
Rio Arriba County (505) 367-0340
MARSHALL C JORDAN MD
Surgery
ESPANOLA MULTI-SPECIALTY CLINIC, 1010 SPRUCE ST
ESPANOLA, NM 87532
Rio Arriba County (505) 367-0340

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 Herbert Rachelson's NPI number?

The NPI number for Herbert Rachelson is 1104971886. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Herbert Rachelson located?

Herbert Rachelson practices at Espanola Multi-Specialty Clinic 1010 Spruce St, Espanola, NM 87532. The listed phone number is (505) 367-0340.

What is Herbert Rachelson's specialty?

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

Is Herbert Rachelson enrolled in Medicare?

Yes. Herbert Rachelson is registered in the Medicare PECOS enrollment system.

What insurance does Herbert Rachelson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and UnitedHealthcare list Herbert Rachelson 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 Herbert Rachelson was last updated on April 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.