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CLAIRE J DETWEILER M.D.
NPI 1174941751
Pathology - Anatomic Pathology & Clinical Pathology in Albuquerque, NM

Active since April 01, 2014PECOS Enrolled
83.84/100
CMS Quality Rating
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106(505) 272-1111 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2024, Jul 13, 2023, Nov 15, 2021 and 2 more (5 updates tracked since 2019).

About Claire J Detweiler M.d. NPPES

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

CLAIRE J DETWEILER M.D. (NPI 1174941751) is an individual anatomic pathology & clinical pathology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2019-0101) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1174941751
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameCLAIRE J DETWEILERCredential: M.D.
Location Address2211 LOMAS BLVD NEAlbuquerque, NM 87106-2719
Mailing Address2301 Erwin RoadDurham, NC 27710 · (919) 684-8111
Phone(505) 272-1111
Sole ProprietorNo
Enumeration DateApril 1, 2014
Last NPPES UpdateNovember 21, 20245 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1174941751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in NM · MD2019-0101
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X · License MD2019-0101 (NM)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2211 LOMAS BLVD NE, Albuquerque, NM 87106
Open in Google Maps ↗

Secondary Practice Location 1

Location 12301 Erwin RoadDurham, NC 27710 · Phone (919) 684-8111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Claire J Detweiler M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Claire Detweiler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Unm Medical Group Inc
Same address
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
NPI 1831218627 (505) 272-3303
Presbyterian Healthcare Services
1.2 mi
General Acute Care Hospital
1100 CENTRAL SE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1215913470 (505) 841-1234

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
390 services216 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
138 services31 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
74 services68 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
43 services39 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
36 services28 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
27 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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.

GLYNNIS INGALL
Pathology (Anatomic Pathology & Clinical Pathology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-2445
DR. RACHEL ELIZABETH WEMHOFF MD
Obstetrics & Gynecology
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-2245
DR. JAMES MAXWELL DECKER AUD
Audiologist
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-3535
ISABELLA REITZ-PEREZ MD
Student in an Organized Health Care Education/Training Program
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-4161
LAURA MIGLIACCIO
Advanced Practice Midwife
2211 LOMAS BLVD NE, 4TH FLOOR AMBULATORY CARE CTR
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-2242
DR. KAREN RENEE CRAIG M.D.
Radiology (Diagnostic Radiology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-0011
DR. LESLIE ERIN STRICKLER DO
Pediatrics
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-5551
UNM MEDICAL GROUP INC
Pathology (Clinical Pathology/Laboratory Medicine)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-3200

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 Claire Detweiler's NPI number?

The NPI number for Claire Detweiler is 1174941751. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Claire Detweiler located?

Claire Detweiler practices at 2211 Lomas Blvd NE, Albuquerque, NM 87106. The listed phone number is (505) 272-1111.

What is Claire Detweiler's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Claire Detweiler enrolled in Medicare?

Yes. Claire Detweiler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Claire Detweiler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claire Detweiler reassigns Medicare benefits to 2 organizations: Unm Medical Group Inc (Albuquerque, NM) and Presbyterian Healthcare Services (Albuquerque, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Claire Detweiler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claire Detweiler accept?

Health plans from Blue Cross and Blue Shield of Texas list Claire Detweiler 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.

When was this NPI record last updated?

The NPPES record for Claire Detweiler was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.