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DONALD JOEL LEWIS-KRAITSIK M.D.
NPI 1124107776
Family Medicine in Gallup, NM

Active since November 03, 2006PECOS Enrolled
73.12/100
CMS Quality Rating
516 E. NIZHONI BLVD., GALLUP, NM 87301(505) 722-1000(505) 726-8740 Get Directions Write a Review

NPPES record last updated: March 1, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 1, 2017, Jan 11, 2016 (2 updates tracked since 2016).

About Donald Joel Lewis-kraitsik M.d. NPPES

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

DONALD JOEL LEWIS-KRAITSIK M.D. (NPI 1124107776) is an individual family medicine provider in Gallup, New Mexico, licensed in Arizona (15870) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124107776
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDONALD JOEL LEWIS-KRAITSIKCredential: M.D.
Location Address516 E. NIZHONI BLVD.Gallup, NM 87301-5748
Mailing AddressPo Box 1337Gallup, NM 87305-1337 · (505) 722-1000
Phone(505) 722-1000
Fax(505) 726-8740
Sole ProprietorNo
Enumeration DateNovember 3, 2006
Last NPPES UpdateMarch 1, 20172 updates tracked since enumeration
✔ NPI 1124107776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 15870
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.
516 E. NIZHONI BLVD., Gallup, NM 87301
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Other Identifiers 3

Medicare UPINE00225
Other252726AZ · Ahcccs
Medicaid000 Q6196NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donald Joel Lewis-kraitsik M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Donald Lewis-kraitsik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhhs,phs,naihs, Gallup Indian Medical Center
Same address
General Acute Care Hospital
516 E. NIZHONI BLVD.
Gallup, NM 87301
  • Reassigned Medicare billing, Texas enrollment
  • 618 clinicians in this Medicare group
NPI 1225002322 (505) 722-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87301 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.

73.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.63
Improvement Activities40
Cost49.43

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers28 claims28 services$20.50 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
2 suppliers17 claims17 services$119.07 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.

TIMOTHY L. AMBROSE DDS
Dentist
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
DR. CARLOS MANUEL DE SANCTIS M.D.
Pediatrics
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
DEVIN GLASSES PA-C
Physician Assistant
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
LILY HUGAR MA CCC-A
Audiologist
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
ALICIA SLIM RN
Registered Nurse
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
JOHN M GOSSARD M.D.
Orthopaedic Surgery
516 E. NIZHONI BLVD., BOX 1337
GALLUP, NM 87301
McKinley County (505) 722-1000
TARA A. WHITSON RDH
Dental Hygienist
516 E. NIZHONI BLVD., BOX 1337
GALLUP, NM 87301
McKinley County (505) 722-1000
JERITA LYNN HARKER
Registered Nurse
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000

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 Donald Lewis-kraitsik's NPI number?

The NPI number for Donald Lewis-kraitsik is 1124107776. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Donald Lewis-kraitsik located?

Donald Lewis-kraitsik practices at 516 E. Nizhoni Blvd., Gallup, NM 87301. The listed phone number is (505) 722-1000.

What is Donald Lewis-kraitsik's specialty?

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

Is Donald Lewis-kraitsik enrolled in Medicare?

Yes. Donald Lewis-kraitsik is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donald Lewis-kraitsik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Lewis-kraitsik reassigns Medicare benefits to Dhhs,phs,naihs, Gallup Indian Medical Center (Gallup, 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 Donald Lewis-kraitsik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Donald Lewis-kraitsik was last updated on March 1, 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.