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AEDRA D. ANDRADE MD
NPI 1164435673
Family Medicine in Gallup, NM

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
610 N 5TH ST, GALLUP, NM 87301(505) 863-3120(505) 863-2691 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Aedra D. Andrade Md NPPES

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

AEDRA D. ANDRADE MD (NPI 1164435673) is an individual family medicine provider in Gallup, New Mexico, licensed in New Mexico (NM2003-0155) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Carthage, and is a graduate of Indiana University School Of Medicine (2000).

NPPES Registry Identity

NPI1164435673
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAEDRA D. ANDRADECredential: MD
Location Address610 N 5TH STGallup, NM 87301-5306
Mailing Address1504 Fairway CirGallup, NM 87301-4937 · (505) 722-5008 · Fax (505) 722-5008
Phone(505) 863-3120
Fax(505) 863-2691
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2000
Enumeration DateAugust 14, 2006
Last NPPES UpdateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
✔ NPI 1164435673 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 · NM2003-0155
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.
610 N 5TH ST, Gallup, NM 87301
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Other Names 1

Former Name (1)Aedra Dawn Wenger Md

Other Identifiers 1

Medicaid16657055NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 and accepts Medicare assignment

Aedra D. Andrade 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 ID2163404658
PECOS Enrollment IDI20250924003749
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Carthage

Critical Access Hospitals · Carthage, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261338
Location3125 Dr Russell Smith WayCarthage, MO 64836 · Jasper County
Emergency services

Cibola General Hospital

Critical Access Hospitals · Grants, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321308
Location1016 E Roosevelt AvenueGrants, NM 87020 · Cibola County
Emergency services Birthing friendly

Rehoboth Mckinley Christian Health Care Services

Critical Access Hospitals · Gallup, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321313
Location1901 Red Rock DriveGallup, NM 87301 · Mckinley County
Emergency services

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
67%363 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
64%562 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
43%213 patients2/55-star benchmark: 100%
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.
99%6,167 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
37%696 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%233 patients4/55-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.
94%1,143 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
60%735 patients3/55-star benchmark: 88%
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…
87%1,143 patients4/55-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…
12%1,143 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
20%1,143 patients
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 12

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
6 suppliers59 claims137 services$6.05 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers12 claims12 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers18 claims27 services$1.01 avg. paid by Medicare
Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier52 claims1,716 services$11.16 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix B4189
Other-Enteral and Parenteral · category OB005N
1 supplier52 claims364 services$178.31 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier51 claims357 services$8.04 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 2

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

DR. MONIQUE GIBSON MD
Family Medicine
610 N 5TH ST
GALLUP, NM 87301
McKinley County (505) 863-3120
PRESBYTERIAN MEDICAL SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
610 N 5TH ST
GALLUP, NM 87301
McKinley County (505) 863-3120

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 Aedra Andrade's NPI number?

The NPI number for Aedra Andrade is 1164435673. It was assigned to this individual provider in the NPPES registry on August 14, 2006. The provider is also known as Aedra Dawn Wenger MD.

Where is Aedra Andrade located?

Aedra Andrade practices at 610 N 5th St, Gallup, NM 87301. The listed phone number is (505) 863-3120.

What is Aedra Andrade's specialty?

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

Is Aedra Andrade enrolled in Medicare?

Yes. Aedra Andrade 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 Aedra Andrade accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Aedra Andrade 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 Aedra Andrade affiliated with any hospitals?

According to CMS data, Aedra Andrade is affiliated with Mercy Hospital Carthage, Cibola General Hospital and Rehoboth Mckinley Christian Health Care Services.

When was this NPI record last updated?

The NPPES record for Aedra Andrade was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.