CARLA MARISA BASADRE QUIROZ M.D.
NPI 1245612605
Family Medicine - Sports Medicine in Methuen, MA

Q: What is Carla Basadre Quiroz's NPI number?

The NPI number for Carla Basadre Quiroz is 1245612605. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Q: What is Carla Basadre Quiroz's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since June 22, 2015PECOS EnrolledAccepts Medicare Assignment

147 PELHAM ST, METHUEN, MA 01844(978) 683-3491(978) 683-3058 Get Directions Write a Review

NPPES record last updated: September 3, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2019, Aug 28, 2019 (2 updates tracked since 2019).

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About Carla Marisa Basadre Quiroz M.d. NPPES

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

CARLA MARISA BASADRE QUIROZ M.D. (NPI 1245612605) is an individual sports medicine provider in Methuen, Massachusetts, licensed in Massachusetts (277313) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1245612605

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameCARLA MARISA BASADRE QUIROZCredential: M.D.

Location Address147 PELHAM STMethuen, MA 01844-2060

Mailing Address147 Pelham StMethuen, MA 01844-2060 · (978) 683-3491 · Fax (978) 683-3058

Phone(978) 683-3491

Fax(978) 683-3058

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 22, 2015

Last NPPES UpdateSeptember 3, 20192 updates tracked since enumeration

✔ NPI 1245612605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in MA · 277313

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

147 PELHAM ST, Methuen, MA 01844

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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

Carla Marisa Basadre Quiroz M.d. 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 ID8729373204

PECOS Enrollment IDI20221120000001, I20221121000495

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 Reassignment

Medicare enrollment records show Carla Basadre Quiroz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christiana Care Health Services Inc

301 mi

Nuclear Medicine

161 WILMINGTON W CHESTER PIKE, CONCORD HEALTH CENTER
Chadds Ford, PA 19317

Reassigned Medicare billing, Pennsylvania and Delaware enrollments
Also billed through NPI 1619951068 (Delaware)
186 clinicians in this Medicare group

NPI 1023445889 (610) 361-1150

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 5

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.

73 services44 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

51 services51 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

38 services24 patients

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.

35 services27 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

34 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01844 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

Male external catheter, with or without adhesive, disposable, each A4349

DME-Medical/Surgical Supplies · category DA000N

1 supplier12 claims420 services$1.62 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$5.90 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 20

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

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