ELAINE EDMONDS MD
NPI 1164437620
Psychiatry & Neurology - Neurology in Albuquerque, NM

Active since July 30, 2006PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
2ND AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE, ALBUQUERQUE, NM 87131(505) 272-3160 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elaine Edmonds Md NPPES

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

ELAINE EDMONDS MD (NPI 1164437620) is an individual neurology provider in Albuquerque, New Mexico, licensed in New Mexico (2004-0594) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Indiana University School Of Medicine (1987).

NPPES Registry Identity

NPI1164437620
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameELAINE EDMONDSCredential: MD
Location Address2ND AMBULATORY CARE CTR, 2211 LOMAS BLVD. NEAlbuquerque, NM 87131-0001
Mailing Address2211 Lomas Blvd Ne, Msc10 5620Albuquerque, NM 87131-0001 · (505) 272-3160
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1987
Enumeration DateJuly 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1164437620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NM · 2004-0594
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2ND AMBULATORY CARE CTR, Albuquerque, NM 87131

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

Elaine Edmonds 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 ID1658334800
PECOS Enrollment IDI20041109000109
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

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services16 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 87131 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
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

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.

Psychiatry & Neurology (Neurology)
2ND AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2ND AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131
Internal Medicine (Cardiovascular Disease)
2ND AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131
Internal Medicine (Cardiovascular Disease)
2ND AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2ND AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2ND AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131
Surgery (Surgery of the Hand)
2ND AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131
Otolaryngology
2ND AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131

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 Elaine Edmonds's NPI number?

The NPI number for Elaine Edmonds is 1164437620. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Where is Elaine Edmonds located?

Elaine Edmonds practices at 2nd Ambulatory Care Ctr 2211 Lomas Blvd. NE, Albuquerque, NM 87131. The listed phone number is (505) 272-3160.

What is Elaine Edmonds's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Elaine Edmonds enrolled in Medicare?

Yes. Elaine Edmonds 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 Elaine Edmonds accept?

Health plans from UnitedHealthcare list Elaine Edmonds 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 Elaine Edmonds affiliated with any hospitals?

According to CMS data, Elaine Edmonds is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Elaine Edmonds was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.