ROBERT F. MELENDEZ M.D.
NPI 1316932742
Ophthalmology in Albuquerque, NM

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
8801 HORIZON BLVD, STE 130, ALBUQUERQUE, NM 87113(505) 355-2020 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Robert F. Melendez M.d. NPPES

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

ROBERT F. MELENDEZ M.D. (NPI 1316932742) is an individual ophthalmology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2004-0086) and active in the NPI registry since September 2005. 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 (2000).

NPPES Registry Identity

NPI1316932742
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameROBERT F. MELENDEZCredential: M.D.
Location Address8801 HORIZON BLVD, STE 130Albuquerque, NM 87113
Mailing Address8801 Horizon Blvd, Ste 130Albuquerque, NM 87113 · (505) 355-2020
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2000
Enumeration DateSeptember 12, 2005
Last NPPES UpdateOctober 11, 2023
NPPES CertifiedOctober 11, 2023
✔ NPI 1316932742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NM · MD2004-0086
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
8801 HORIZON BLVD, Albuquerque, NM 87113

Secondary Practice Location 1

Location 16401 Holly Ave NEAlbuquerque, NM 87113-2474 · Phone (505) 355-2020

Other Identifiers 4

Medicaid857419AZ
Medicaid71570080NM
OtherNM009M97NM · Bc Bs Of Nm
OtherP00135700NM · Rrb Medicare Railroad

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert F. Melendez M.d. 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 ID7911997671
PECOS Enrollment IDI20040514000427
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

2

Medicare enrollment records show Robert Melendez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
8801 HORIZON BLVD, STE 130
Albuquerque, NM 87113
  • Reassigned Medicare billing, New Mexico enrollment
Ophthalmology
5757 HARPER DR NE
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 88 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 15

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.

Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
364 services182 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
275 services275 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
271 services175 patients
Release of arm or leg nerve 64708
A release of an arm or leg nerve is a surgical procedure aimed at relieving pressure on the nerve. This pressure can cause pain, numbness, or weakness. During the procedure, the surgeon makes a small incision and gently moves tissues away from the nerve. This can help restore normal function and alleviate discomfort.
232 services137 patients
Release of nerve using operating microscope 64727
This procedure, called a microsurgical nerve release, involves using a special microscope to enhance precision while freeing a trapped nerve. It can help alleviate pain and improve nerve function. It's a safe and effective method often used for conditions like carpal tunnel syndrome.
230 services137 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
224 services134 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87113 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
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
0%447 patients
Diabetes: Eye Exam
100%67 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
98%2,288 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
91%822 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
93%74 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 834 patients
Patients screened: 99% · 834 patients
86%29 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
99%100 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 870 patients
Patients totalRate: 0% · 870 patients
0%870 patients5/55-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 2

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

Clinic/Center (Ambulatory Surgical)
8801 HORIZON BLVD, STE 130
ALBUQUERQUE, NM 87113
Ophthalmology
8801 HORIZON BLVD, STE 130
ALBUQUERQUE, NM 87113

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 Robert Melendez's NPI number?

The NPI number for Robert Melendez is 1316932742. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Robert Melendez located?

Robert Melendez practices at 8801 Horizon Blvd Ste 130, Albuquerque, NM 87113. The listed phone number is (505) 355-2020.

What is Robert Melendez's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Robert Melendez enrolled in Medicare?

Yes. Robert Melendez 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.

Which organizations bill Medicare for Robert Melendez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Melendez reassigns Medicare benefits to 2 organizations: Juliette Eye Institute LLC (Albuquerque, NM) and Eye Associates Of New Mexico Ltd (Albuquerque, NM). 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 Robert Melendez'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 Robert Melendez was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.