1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Orthopaedic Surgery
  6. NPI Profile

DOUGLAS C ALLEN M.D.
NPI 1336175355
Orthopaedic Surgery - Sports Medicine in Albuquerque, NM

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
201 CEDAR ST SE, SUITE 6600, ALBUQUERQUE, NM 87106(505) 724-4300(505) 724-4384 Get Directions Write a Review

NPPES record last updated: July 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas C Allen M.d. NPPES

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

DOUGLAS C ALLEN M.D. (NPI 1336175355) is an individual sports medicine provider in Albuquerque, New Mexico, licensed in New Mexico (2003-0525) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (1997).

NPPES Registry Identity

NPI1336175355
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDOUGLAS C ALLENCredential: M.D.
Location Address201 CEDAR ST SE, SUITE 6600Albuquerque, NM 87106-4917
Mailing Address201 Cedar St Se, Suite 6600Albuquerque, NM 87106-4917 · (505) 724-4300 · Fax (505) 724-4384
Phone(505) 724-4300
Fax(505) 724-4384
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1997
Enumeration DateJune 23, 2006
Last NPPES UpdateJuly 25, 2013
✔ NPI 1336175355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in NM · 2003-0525
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
201 CEDAR ST SE, Albuquerque, NM 87106
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINH64080
Medicare PIN346633906NM
Medicaid48425362NM

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

Douglas C Allen 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 ID648266825
PECOS Enrollment IDI20040422001210
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 8

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,366 services131 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
245 services130 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.
157 services111 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
87 services71 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
66 services52 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
45 services45 patients

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
72%240 patients3/55-star benchmark: 100%
Falls: Plan of Care
Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months
78%58 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
15%2,569 patients1/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
32%2,284 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
73%2,569 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%2,569 patients1/55-star benchmark: 59%
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.

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.

Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
1 supplier11 claims11 services$101.80 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.

SHELBY EDWARD JARRELL III MD
Orthopaedic Surgery (Sports Medicine)
201 CEDAR ST SE, SUITE 6600
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-4300
GEOFFREY D STEFFENS CNP
Nurse Practitioner
201 CEDAR ST SE, SUITE 6600
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-4300
CLAYTON B CONRAD MD
Orthopaedic Surgery (Sports Medicine)
201 CEDAR ST SE, SUITE 6600
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-4300
DR. DIANA LYNN GABALDON PHARMD, PHC
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
201 CEDAR ST SE, SUITE 4620
ALBUQUERQUE, NM 87106
Bernalillo County (505) 563-1319
ROBERT E. FEDERICI MD
Internal Medicine (Interventional Cardiology)
201 CEDAR ST SE, SUITE 7600
ALBUQUERQUE, NM 87106
Bernalillo County (505) 563-2624
KARI M BABINSKI M.D.
Orthopaedic Surgery (Sports Medicine)
201 CEDAR ST SE, SUITE 6600
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-4300
MICHAEL E MCCUTCHEON M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
201 CEDAR ST SE, SUITE 6600
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-4300
DR. ALAN STEVEN BRENNER M.D.
Otolaryngology (Facial Plastic Surgery)
201 CEDAR ST SE, SUITE 4600
ALBUQUERQUE, NM 87106
Bernalillo County (505) 563-6450

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 Douglas Allen's NPI number?

The NPI number for Douglas Allen is 1336175355. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Douglas Allen located?

Douglas Allen practices at 201 Cedar St SE Suite 6600, Albuquerque, NM 87106. The listed phone number is (505) 724-4300.

What is Douglas Allen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Douglas Allen enrolled in Medicare?

Yes. Douglas Allen 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.

When was this NPI record last updated?

The NPPES record for Douglas Allen was last updated on July 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.