DR. ANDRES PLAZA MD
NPI 1245893445
Family Medicine in Albuquerque, NM

Q: What is Andres Plaza's NPI number?

The NPI number for Andres Plaza is 1245893445. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Q: What is Andres Plaza's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andres Plaza was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 15, 2019PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102(505) 727-8360(505) 727-8768 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2022, Apr 15, 2019 (2 updates tracked since 2019).

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About Dr. Andres Plaza Md NPPES

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

DR. ANDRES PLAZA MD (NPI 1245893445) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2022-0597) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Albuquerque, and is a graduate of University Of New Mexico School Of Medicine (2019).

NPPES Registry Identity

NPI1245893445

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ANDRES PLAZACredential: MD

Location Address601 DR MARTIN LUTHER KING JR AVE NEAlbuquerque, NM 87102-3619

Mailing Address500 Walter St Ne Ste 110Albuquerque, NM 87102-2541 · (505) 727-8360 · Fax (505) 727-8768

Phone(505) 727-8360

Fax(505) 727-8768

Sole ProprietorYes

Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2019

Enumeration DateApril 15, 2019

Last NPPES UpdateJuly 5, 20222 updates tracked since enumeration

NPPES CertifiedJuly 5, 2022

✔ NPI 1245893445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NM · MD2022-0597

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

601 DR MARTIN LUTHER KING JR AVE NE, Albuquerque, NM 87102

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Secondary Practice Location 1

Location 1Msc (Family Medicine) 1 University Of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-6607 · Fax (505) 272-1348

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. Andres Plaza 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 ID1153658125

PECOS Enrollment IDI20220722000577

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

196 services99 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

109 services63 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

67 services67 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

23 services23 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87102 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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

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.

KRISTEN D FAITH MD

Internal Medicine

601 DR MARTIN LUTHER KING JR AVE NE, HOSPITALIST DEPARTMENT
ALBUQUERQUE, NM 87102

Bernalillo County (505) 727-8000

JASON MICHAEL ROTONDA

Nurse Practitioner (Acute Care)