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BIATRIS BARRERA MD
NPI 1245556513
Obstetrics & Gynecology in Espanola, NM

Active since April 12, 2010PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
1010 SPRUCE STREET, PRESBYTERIAN ESPANOLA HOSPITAL, ESPANOLA, NM 87532(505) 367-0365(505) 367-0362 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Biatris Barrera Md NPPES

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

BIATRIS BARRERA MD (NPI 1245556513) is an individual obstetrics & gynecology provider in Espanola, New Mexico, licensed in New Mexico (MD2014-0074) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Espanola Hospital, and maintains a secondary practice location in Farmington.

NPPES Registry Identity

NPI1245556513
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameBIATRIS BARRERACredential: MD
Location Address1010 SPRUCE STREET, PRESBYTERIAN ESPANOLA HOSPITALEspanola, NM 87532-2746
Mailing Address1010 Spruce Street, Presbyterian Espanola HospitalEspanola, NM 87532-2746 · (505) 367-0365 · Fax (505) 367-0362
Phone(505) 367-0365
Fax(505) 367-0362
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2010
Enumeration DateApril 12, 2010
Last NPPES UpdateMay 23, 2023
NPPES CertifiedMay 23, 2023
✔ NPI 1245556513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NM · MD2014-0074
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1010 SPRUCE STREET, Espanola, NM 87532
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Secondary Practice Location 1

Location 1634 W Pinon StFarmington, NM 87401-5915 · Phone (505) 609-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and more.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

Biatris Barrera 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 ID1254557226
PECOS Enrollment IDI20140728002042
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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
77 services41 patients
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.
39 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Espanola Hospital

Acute Care Hospitals · Espanola, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320011
Location1010 Spruce StreetEspanola, NM 87532 · Rio Arriba County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87532 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
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
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.

RONNIE JAMES FLORES CPSW
Peer Specialist
1010 SPRUCE STREET, EMERGENCY MEDICINE
ESPANOLA, NM 87532
Rio Arriba County (505) 288-0673
MELISSA DIANE SUGAR M.D.
Internal Medicine
1010 SPRUCE STREET, HOSPITALIST-ESPANOLA
ESPANOLA, NM 87532
Rio Arriba County (505) 753-7111

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 Biatris Barrera's NPI number?

The NPI number for Biatris Barrera is 1245556513. It was assigned to this individual provider in the NPPES registry on April 12, 2010.

Where is Biatris Barrera located?

Biatris Barrera practices at 1010 Spruce Street Presbyterian Espanola Hospital, Espanola, NM 87532. The listed phone number is (505) 367-0365.

What is Biatris Barrera's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Biatris Barrera enrolled in Medicare?

Yes. Biatris Barrera 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 Biatris Barrera accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and UnitedHealthcare list Biatris Barrera 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 Biatris Barrera affiliated with any hospitals?

According to CMS data, Biatris Barrera is affiliated with Presbyterian Espanola Hospital.

When was this NPI record last updated?

The NPPES record for Biatris Barrera was last updated on May 23, 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.