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DR. DATHAN TSOSIE MD
NPI 1174151914
Family Medicine in To'hajiilee, NM

Active since March 28, 2020PECOS EnrolledAccepts Medicare Assignment
129 MEDICINE HORSE DRIVE, TO'HAJIILEE, NM 87026(505) 908-2571(505) 908-2310 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2023, Jun 15, 2023, Mar 28, 2020 (3 updates tracked since 2020).

About Dr. Dathan Tsosie Md NPPES

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

DR. DATHAN TSOSIE MD (NPI 1174151914) is an individual family medicine provider in To'hajiilee, New Mexico, licensed in New Mexico (MD2022-1471) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (2020).

NPPES Registry Identity

NPI1174151914
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DATHAN TSOSIECredential: MD
Location Address129 MEDICINE HORSE DRIVETo'hajiilee, NM 87026
Mailing AddressPo Box 3338Canoncito, NM 87026-3338 · (505) 908-2571 · Fax (505) 908-2310
Phone(505) 908-2571
Fax(505) 908-2310
Sole ProprietorYes
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2020
Enumeration DateMarch 28, 2020
Last NPPES UpdateJuly 14, 20233 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1174151914 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 · MD2022-1471
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.
129 MEDICINE HORSE DRIVE, To'hajiilee, NM 87026
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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 and accepts Medicare assignment

Dr. Dathan Tsosie 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 ID9931526423
PECOS Enrollment IDI20231114001874
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 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.

Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
29 services18 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
19 services14 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
14 services12 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87026 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$14.81 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
2 suppliers18 claims18 services$71.96 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 4

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

SHERYL ANN O'SHEA M.D.
Family Medicine
129 MEDICINE HORSE DRIVE
TO'HAJIILEE, NM 87026
Cibola County (505) 908-2307
ALFRED B BENALLI
Counselor (Addiction (Substance Use Disorder))
129 MEDICINE HORSE DRIVE
TOHAJIILEE, NM 87026
Cibola County (505) 908-2307
CANONCITO BAND OF NAVAJOS HEALTH CENTER, INC.
Clinic/Center (Rural Health)
129 MEDICINE HORSE DRIVE
TOHAJIILEE, NM 87026
Cibola County (505) 908-2307
CANONCITO BAND OF NAVAJOS HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
129 MEDICINE HORSE DRIVE
TO'HAJIILEE, NM 87026
Cibola County (505) 908-2307

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 Dathan Tsosie's NPI number?

The NPI number for Dathan Tsosie is 1174151914. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Where is Dathan Tsosie located?

Dathan Tsosie practices at 129 Medicine Horse Drive, To'hajiilee, NM 87026. The listed phone number is (505) 908-2571.

What is Dathan Tsosie's specialty?

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

Is Dathan Tsosie enrolled in Medicare?

Yes. Dathan Tsosie 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.

When was this NPI record last updated?

The NPPES record for Dathan Tsosie was last updated on July 14, 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.