MR. DAVID JOHN HORN
NPI 1255727947
Emergency Medicine in Albuquerque, NM

Active since April 09, 2015PECOS EnrolledAccepts Medicare Assignment
83.15/100
CMS Quality Rating
MSC 11 6025, UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-5062(505) 272-6503 Get Directions Write a Review

NPPES record last updated: January 24, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. David John Horn NPPES

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

MR. DAVID JOHN HORN (NPI 1255727947) is an individual emergency medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2017-0937) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Wilcox Memorial Hospital, and is a graduate of Medical College Of Wisconsin (2015).

NPPES Registry Identity

NPI1255727947
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMR. DAVID JOHN HORN
Location AddressMSC 11 6025, UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing AddressMsc 11 6025, University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-5062 · Fax (505) 272-6503
Fax(505) 272-6503
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2015
Enumeration DateApril 9, 2015
Last NPPES UpdateJanuary 24, 2018
NPI 1255727947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NM · MD2017-0937
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.
MSC 11 6025, Albuquerque, NM 87131

Accepted 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

Mr. David John Horn 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 ID7012221625
PECOS Enrollment IDI20220714002218
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 14

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.
239 services208 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.
172 services161 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
152 services73 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
110 services11 patients
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0002
This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.
95 services92 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
54 services54 patients

Hospital Affiliations CMS Care Compare

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

Wilcox Memorial Hospital

Acute Care Hospitals · Lihue, HI
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number120014
Location3-3420 Kuhio HighwayLihue, HI 96766 · Kauai County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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.

83.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.12
Promoting Interoperability100
Improvement Activities40
Cost69.73

Other Providers at the Same Location NPPES 10

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

Emergency Medicine
MSC 11 6025, UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
MSC 11 6025, UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
MSC 11 6025, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
MSC 11 6025, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
MSC 11 6025, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
MSC 11 6025, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
MSC 11 6025, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
MSC 11 6025, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131

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 David Horn's NPI number?

The NPI number for David Horn is 1255727947. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Where is David Horn located?

David Horn practices at Msc 11 6025 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-5062.

What is David Horn's specialty?

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

Is David Horn enrolled in Medicare?

Yes. David Horn 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 David Horn accept?

Health plans from Blue Cross Blue Shield of Arizona list David Horn 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 David Horn affiliated with any hospitals?

According to CMS data, David Horn is affiliated with Wilcox Memorial Hospital.

When was this NPI record last updated?

The NPPES record for David Horn was last updated on January 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.