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HEATHER S APPLEWHITE MD
NPI 1164834248
Family Medicine in Albuquerque, NM

Active since May 23, 2014PECOS Enrolled
83.84/100
CMS Quality Rating
300 CORNELL DR SE BLDG 73, ALBUQUERQUE, NM 87131(505) 277-3136(505) 277-2020 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2024, May 10, 2021, Feb 1, 2019 and 2 more (5 updates tracked since 2017).

About Heather S Applewhite Md NPPES

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

HEATHER S APPLEWHITE MD (NPI 1164834248) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2021-0283) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164834248
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHEATHER S APPLEWHITECredential: MD
Location Address300 CORNELL DR SE BLDG 73Albuquerque, NM 87131-5072
Mailing Address300 Cornell Dr Se Bldg 73Albuquerque, NM 87131-0001 · (505) 277-3136 · Fax (505) 277-2020
Phone(505) 277-3136
Fax(505) 277-2020
Sole ProprietorNo
Enumeration DateMay 23, 2014
Last NPPES UpdateOctober 9, 20245 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1164834248 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 · MD2021-0283
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.
300 CORNELL DR SE BLDG 73, Albuquerque, NM 87131
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather S Applewhite Md 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.

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.
36 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

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
$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

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.

BRIANNA KATELYN ALLEN LPC, LPCC, CAADC
Counselor (Professional)
300 CORNELL DR SE BLDG 73
ALBUQUERQUE, NM 87131
Bernalillo County (505) 277-3136
THERESA CHRISTINE URIAS LMT
Massage Therapist
300 CORNELL DR SE BLDG 73
ALBUQUERQUE, NM 87131
Bernalillo County (505) 277-3136

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 Heather Applewhite's NPI number?

The NPI number for Heather Applewhite is 1164834248. It was assigned to this individual provider in the NPPES registry on May 23, 2014.

Where is Heather Applewhite located?

Heather Applewhite practices at 300 Cornell Dr SE Bldg 73, Albuquerque, NM 87131. The listed phone number is (505) 277-3136.

What is Heather Applewhite's specialty?

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

Is Heather Applewhite enrolled in Medicare?

Yes. Heather Applewhite is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Heather Applewhite was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.