ETHAN A PRAIRIE MD
NPI 1134749195
Family Medicine in Rio Rancho, NM
About Ethan A Prairie Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN A PRAIRIE MD (NPI 1134749195) is an individual family medicine provider in Rio Rancho, New Mexico, licensed in New Mexico (MD2023-0538) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of University Of New Mexico School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
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
Ethan A Prairie Md 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.
Areas of Expertise CMS Part B claims 4
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.
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, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
RIO RANCHO, NM 87124
RIO RANCHO, NM 87124
RIO RANCHO, NM 87124
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 Ethan Prairie's NPI number?
The NPI number for Ethan Prairie is 1134749195. It was assigned to this individual provider in the NPPES registry on April 20, 2020.
Where is Ethan Prairie located?
Ethan Prairie practices at 4005 High Resort Blvd SE, Rio Rancho, NM 87124. The listed phone number is (505) 462-6000.
What is Ethan Prairie's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ethan Prairie enrolled in Medicare?
Yes. Ethan Prairie 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 Ethan Prairie affiliated with any hospitals?
According to CMS data, Ethan Prairie is affiliated with Presbyterian Hospital.
When was this NPI record last updated?
The NPPES record for Ethan Prairie was last updated on December 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.
