DR. MICHAEL S RADETSKY M.D.
NPI 1306904545
Pediatrics in Albuquerque, NM

Active since December 04, 2006Opted out of Medicare · through Sep 12, 2026
11433 PINE TOP LN NE, ALBUQUERQUE, NM 87111(505) 292-3035 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael S Radetsky M.d. NPPES

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

DR. MICHAEL S RADETSKY M.D. (NPI 1306904545) is an individual pediatrics provider in Albuquerque, New Mexico, licensed in New Mexico (93-361) and active in the NPI registry since December 2006. He has opted out of Medicare through September 12, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306904545
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MICHAEL S RADETSKYCredential: M.D.
Location Address11433 PINE TOP LN NEAlbuquerque, NM 87111-6584
Mailing AddressPo Box 22040Albuquerque, NM 87154-2040 · (505) 292-3035
Sole ProprietorYes
Enumeration DateDecember 4, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1306904545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NM · 93-361
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Infectious DiseasesTaxonomy 2080P0208X · License 93-361 (NM)
11433 PINE TOP LN NE, Albuquerque, NM 87111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Michael S Radetsky M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 12, 2024 through September 12, 2026.

Opt-Out Effective DateSeptember 12, 2024
Opt-Out In Effect ThroughSeptember 12, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87111 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.

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 Michael Radetsky's NPI number?

The NPI number for Michael Radetsky is 1306904545. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Michael Radetsky located?

Michael Radetsky practices at 11433 Pine Top Ln NE, Albuquerque, NM 87111. The listed phone number is (505) 292-3035.

What is Michael Radetsky's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michael Radetsky enrolled in Medicare?

No. Michael Radetsky has opted out of Medicare through September 12, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Michael Radetsky was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.