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DR. ALISON SINCLAIR MCGOUGH-MADUENA MD, MPH
NPI 1346730140
Obstetrics & Gynecology - Gynecologic Oncology in Rio Rancho, NM

Active since May 16, 2018PECOS EnrolledAccepts Medicare Assignment
2400 UNSER BLVD SE LOWR LEVEL, RIO RANCHO, NM 87124(505) 559-6100(505) 253-1201 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Alison Sinclair Mcgough-maduena Md, Mph NPPES

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

DR. ALISON SINCLAIR MCGOUGH-MADUENA MD, MPH (NPI 1346730140) is an individual gynecologic oncology provider in Rio Rancho, New Mexico, licensed in New Mexico (MD2025-0921) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of University Of New Mexico School Of Medicine (2018).

NPPES Registry Identity

NPI1346730140
Entity TypeIndividualFemale
Primary Taxonomy207VX0201X
Provider Legal NameDR. ALISON SINCLAIR MCGOUGH-MADUENACredential: MD, MPH
Location Address2400 UNSER BLVD SE LOWR LEVELRio Rancho, NM 87124-3392
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666
Phone(505) 559-6100
Fax(505) 253-1201
Sole ProprietorYes
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2018
Enumeration DateMay 16, 2018
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1346730140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in NM · MD2025-0921
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
2400 UNSER BLVD SE LOWR LEVEL, Rio Rancho, NM 87124
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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

Dr. Alison Sinclair Mcgough-maduena Md, Mph 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 ID2264780279
PECOS Enrollment IDI20251017000033
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 Alison Mcgough-maduena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Presbyterian Healthcare Services
7.6 mi
Internal Medicine
5901 HARPER DR NE
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1104802354 (505) 823-8556

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87124 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
$166.80 typical visit price
range $54.26 – $166.80
Typical copayment $41.70 (range $13.56 – $41.70)
Most-billed visit code 99205
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 Alison Mcgough-maduena's NPI number?

The NPI number for Alison Mcgough-maduena is 1346730140. It was assigned to this individual provider in the NPPES registry on May 16, 2018.

Where is Alison Mcgough-maduena located?

Alison Mcgough-maduena practices at 2400 Unser Blvd SE Lowr Level, Rio Rancho, NM 87124. The listed phone number is (505) 559-6100.

What is Alison Mcgough-maduena's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Alison Mcgough-maduena enrolled in Medicare?

Yes. Alison Mcgough-maduena 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 organization bills Medicare for Alison Mcgough-maduena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alison Mcgough-maduena reassigns Medicare benefits to Presbyterian Healthcare Services (Albuquerque, NM). 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 Alison Mcgough-maduena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alison Mcgough-maduena accept?

Health plans from UnitedHealthcare list Alison Mcgough-maduena as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alison Mcgough-maduena affiliated with any hospitals?

According to CMS data, Alison Mcgough-maduena is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Alison Mcgough-maduena was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.