DARRYL MACIAS MD
NPI 1194797779
Emergency Medicine in Gallup, NM

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, 1901 RED ROCK DRIVE, GALLUP, NM 87301(505) 863-7000 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2024, Jul 15, 2024 (2 updates tracked since 2024).

About Darryl Macias Md NPPES

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

DARRYL MACIAS MD (NPI 1194797779) is an individual emergency medicine provider in Gallup, New Mexico, licensed in New Mexico (93-319) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of University Of California, Geffen School Of Medicine (1991).

NPPES Registry Identity

NPI1194797779
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDARRYL MACIASCredential: MD
Location AddressREHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, 1901 RED ROCK DRIVEGallup, NM 87301
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1991
Enumeration DateFebruary 7, 2006
Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1194797779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NM · 93-319
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, Gallup, NM 87301

Other Identifiers 7

Other201006171NM · Presbyterian Health/salud
OtherP00200863Railroad Medicare
OtherPROVP14220NM · Molina
OtherNM007580NM · Bcbs
Medicaid16592NM
Other10001036NM · Lovelace Health/salud
Medicaid176207AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Darryl Macias 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 ID5294786638
PECOS Enrollment IDI20050203000112
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 Darryl Macias reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
Urgent Care
5 FIREHOUSE RD
Taos Ski Valley, NM 87525
  • Reassigned Medicare billing, New Mexico enrollment
  • 13 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

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.

Emergency Medicine
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, 1901 RED ROCK DRIVE
GALLUP, NM 87301
Internal Medicine
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, 2111 COLLEGE DRIVE
GALLUP, NM 87301
Internal Medicine (Nephrology)
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, 1901 RED ROCK DRIVE
GALLUP, NM 87301
Internal Medicine (Medical Oncology)
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, 2111 COLLEGE DRIVE
GALLUP, NM 87301

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 Darryl Macias's NPI number?

The NPI number for Darryl Macias is 1194797779. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Darryl Macias located?

Darryl Macias practices at Rehoboth Mckinley Christian Health Care Services 1901 Red Rock Drive, Gallup, NM 87301. The listed phone number is (505) 863-7000.

What is Darryl Macias's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Darryl Macias enrolled in Medicare?

Yes. Darryl Macias 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.

Which organizations bill Medicare for Darryl Macias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Darryl Macias reassigns Medicare benefits to 2 organizations: Unm Medical Group Inc (Albuquerque, NM) and Timothy D Peterson, MD PC (Taos Ski Valley, 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 Darryl Macias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Darryl Macias affiliated with any hospitals?

According to CMS data, Darryl Macias is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Darryl Macias was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.