SANTIAGO R. MACIAS MD
NPI 1154328094
Family Medicine in Albuquerque, NM

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
2001 EL CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 87105(505) 873-7400 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Santiago R. Macias Md NPPES

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

SANTIAGO R. MACIAS MD (NPI 1154328094) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2004-0045) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of University Of New Mexico School Of Medicine (2002).

NPPES Registry Identity

NPI1154328094
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSANTIAGO R. MACIASCredential: MD
Location Address2001 EL CENTRO FAMILIAR BLVD SWAlbuquerque, NM 87105-4592
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2002
Enumeration DateJuly 7, 2005
Last NPPES UpdateMay 7, 2018
NPI 1154328094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NM · MD2004-0045
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.

2001 EL CENTRO FAMILIAR BLVD SW, Albuquerque, NM 87105

Other Identifiers 1

Medicaid17808014NM

Accepted Insurance

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

Santiago R. Macias 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.

PECOS PAC ID7911952940
PECOS Enrollment IDI20050503000986
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 2

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 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.
377 services173 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.
70 services53 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 87105 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

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers17 claims42 services$5.16 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
3 suppliers27 claims27 services$13.23 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
4 suppliers37 claims37 services$67.21 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 17

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

Dental Hygienist
2001 EL CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM 87105
Dentist
2001 EL CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM 87105
Family Medicine
2001 EL CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM 87105
Physician Assistant
2001 EL CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM 87105
Rehabilitation Practitioner
2001 EL CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM 87105
Social Worker
2001 EL CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM 87105
Family Medicine
2001 EL CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM 87105
Social Worker (Clinical)
2001 EL CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM 87105

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 Santiago Macias's NPI number?

The NPI number for Santiago Macias is 1154328094. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Santiago Macias located?

Santiago Macias practices at 2001 El Centro Familiar Blvd SW, Albuquerque, NM 87105. The listed phone number is (505) 873-7400.

What is Santiago Macias's specialty?

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

Is Santiago Macias enrolled in Medicare?

Yes. Santiago Macias 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.

What insurance does Santiago Macias accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Santiago Macias 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 Santiago Macias affiliated with any hospitals?

According to CMS data, Santiago Macias is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Santiago Macias was last updated on May 7, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.