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ETHAN BENJAMIN DECKERT MD
NPI 1326568080
Emergency Medicine in Albuquerque, NM

Active since June 23, 2017PECOS Enrolled
98.31/100
CMS Quality Rating
700 CAMINO DE SALUD, ALBUQUERQUE, NM 87106(505) 272-5062 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 31, 2020, Jun 23, 2017 (3 updates tracked since 2017).

About Ethan Benjamin Deckert Md NPPES

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

ETHAN BENJAMIN DECKERT MD (NPI 1326568080) is an individual emergency medicine provider in Albuquerque, New Mexico, licensed in Nebraska (7977) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Omaha.

NPPES Registry Identity

NPI1326568080
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameETHAN BENJAMIN DECKERTCredential: MD
Location Address700 CAMINO DE SALUDAlbuquerque, NM 87106-3740
Mailing Address981150 Nebraska Medical CtrOmaha, NE 68198-1150 · (402) 559-6802
Phone(505) 272-5062
Sole ProprietorNo
Enumeration DateJune 23, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedMarch 31, 2020
✔ NPI 1326568080 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 NE · 7977
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.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 7977 (NM)
700 CAMINO DE SALUD, Albuquerque, NM 87106
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Secondary Practice Location 1

Location 1981150 Nebraska Medical CtrOmaha, NE 68198-1150 · Phone (402) 559-6802

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Benjamin Deckert 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 Reassignment

Medicare enrollment records show Ethan Deckert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Health & Services - Washington
1,093 mi
Critical Access
982 E COLUMBIA AVE
Colville, WA 99114
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1003067679 (Washington)
  • 44 clinicians in this Medicare group
NPI 1841442332 (509) 684-2561

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 87106 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.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.94
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

SCIENTIFIC LABORATORY DIVISION NMDOH
Clinical Medical Laboratory
700 CAMINO DE SALUD
ALBUQUERQUE, NM 87106
Bernalillo County (505) 841-2500

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 Ethan Deckert's NPI number?

The NPI number for Ethan Deckert is 1326568080. It was assigned to this individual provider in the NPPES registry on June 23, 2017.

Where is Ethan Deckert located?

Ethan Deckert practices at 700 Camino De Salud, Albuquerque, NM 87106. The listed phone number is (505) 272-5062.

What is Ethan Deckert's specialty?

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

Is Ethan Deckert enrolled in Medicare?

Yes. Ethan Deckert is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ethan Deckert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Deckert reassigns Medicare benefits to Providence Health & Services - Washington (Colville, WA). The 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 Ethan Deckert'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 Ethan Deckert was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.