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ANDREA DEMETER MD
NPI 1265469191
Internal Medicine in Albuquerque, NM

Active since June 27, 2006PECOS Enrolled
83.84/100
CMS Quality Rating
PMG PROVIDER RESOURCE GROUP, 2501 BUENA VISTA, ALBUQUERQUE, NM 87125(505) 923-5327(505) 923-5305 Get Directions Write a Review

NPPES record last updated: August 14, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrea Demeter Md NPPES

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

ANDREA DEMETER MD (NPI 1265469191) is an individual internal medicine provider in Albuquerque, New Mexico, licensed in New Mexico (2000-24) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265469191
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameANDREA DEMETERCredential: MD
Location AddressPMG PROVIDER RESOURCE GROUP, 2501 BUENA VISTAAlbuquerque, NM 87125
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-5356 · Fax (505) 923-5354
Phone(505) 923-5327
Fax(505) 923-5305
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateAugust 14, 2008
✔ NPI 1265469191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NM · 2000-24
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
PMG PROVIDER RESOURCE GROUP, Albuquerque, NM 87125
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Other Identifiers 3

Medicare PIN343624202
Medicare UPINH12130
Medicaid78078NM

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Demeter Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

3

Medicare enrollment records show Andrea Demeter reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Presbyterian Healthcare Services
3.4 mi
General Acute Care Hospital
1100 CENTRAL SE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1215913470 (505) 841-1234
Unm Medical Group Inc
4.4 mi
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
NPI 1831218627 (505) 272-3303
Hospitalist Medicine Physicians Of Texas, PLLC
750 mi
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, New Mexico enrollment
  • 251 clinicians in this Medicare group
NPI 1629307095 (281) 540-7700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87125 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
$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

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
74%23 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

JOO-HEE G PARK DO
Emergency Medicine
PMG PROVIDER RESOURCE GROUP, 2501 BUENA VISTA
ALBUQUERQUE, NM 87125
Bernalillo County (505) 923-5327

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 Andrea Demeter's NPI number?

The NPI number for Andrea Demeter is 1265469191. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Andrea Demeter located?

Andrea Demeter practices at Pmg Provider Resource Group 2501 Buena Vista, Albuquerque, NM 87125. The listed phone number is (505) 923-5327.

What is Andrea Demeter's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andrea Demeter enrolled in Medicare?

Yes. Andrea Demeter is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrea Demeter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Demeter reassigns Medicare benefits to 3 organizations: Presbyterian Healthcare Services (Albuquerque, NM), Unm Medical Group Inc (Albuquerque, NM) and Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Demeter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Demeter was last updated on August 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.