PHILIP CALL
NPI 1255788568
Family Medicine in Rio Rancho, NM

Active since May 17, 2016PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
4005 HIGH RESORT BLVD SE, RIO RANCHO, NM 87124(505) 462-6000 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 17, 2020, May 17, 2016 (2 updates tracked since 2016).

About Philip Call NPPES

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

PHILIP CALL (NPI 1255788568) is an individual family medicine provider in Rio Rancho, New Mexico, licensed in New Mexico (A-2247-19) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2016).

NPPES Registry Identity

NPI1255788568
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePHILIP CALL
Location Address4005 HIGH RESORT BLVD SERio Rancho, NM 87124-5906
Mailing Address4005 High Resort Blvd SeRio Rancho, NM 87124-5906 · (520) 874-2778 · Fax (505) 462-6000
Sole ProprietorYes
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2016
Enumeration DateMay 17, 2016
Last NPPES UpdateJuly 1, 20222 updates tracked since enumeration
NPPES CertifiedJuly 1, 2022
NPI 1255788568 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 · A-2247-19
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.

4005 HIGH RESORT BLVD SE, Rio Rancho, NM 87124

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

Philip Call 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 ID5991090557
PECOS Enrollment IDI20190815001055
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 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.
168 services103 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.
45 services32 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87124 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.

83.84/100
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

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$5.28 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.

Registered Nurse (Ambulatory Care)
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Family Medicine (Geriatric Medicine)
4005 HIGH RESORT BLVD SE, INTERNAL MEDICINE
RIO RANCHO, NM 87124
Physician Assistant
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Registered Nurse (Ambulatory Care)
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Nurse Practitioner
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Pediatrics
4005 HIGH RESORT BLVD SE, PEDIATRICS
RIO RANCHO, NM 87124
Nurse Practitioner (Family)
4005 HIGH RESORT BLVD SE, PMG HIGH RESORT 4005
RIO RANCHO, NM 87124
Family Medicine
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124

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 Philip Call's NPI number?

The NPI number for Philip Call is 1255788568. It was assigned to this individual provider in the NPPES registry on May 17, 2016.

Where is Philip Call located?

Philip Call practices at 4005 High Resort Blvd SE, Rio Rancho, NM 87124. The listed phone number is (505) 462-6000.

What is Philip Call's specialty?

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

Is Philip Call enrolled in Medicare?

Yes. Philip Call 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.

Is Philip Call affiliated with any hospitals?

According to CMS data, Philip Call is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Philip Call was last updated on July 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.