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MARCUS BACA MD
NPI 1386062503
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since April 04, 2014PECOS Enrolled
1 UNIVERSITY OF NEW MEXICO # 116025, ALBUQUERQUE, NM 87131(505) 272-5062(505) 272-6503 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 2, 2025, Jun 8, 2023, Oct 6, 2021 and 1 more (4 updates tracked since 2017).

About Marcus Baca Md NPPES

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

MARCUS BACA MD (NPI 1386062503) is an individual student in an organized health care education/training program in Albuquerque, New Mexico, licensed in New Mexico (MD2023-0285) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386062503
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARCUS BACACredential: MD
Location Address1 UNIVERSITY OF NEW MEXICO # 116025Albuquerque, NM 87131-0001
Mailing Address1 University Of New Mexico # 116025Albuquerque, NM 87131-0001 · (505) 272-5062 · Fax (505) 272-6503
Phone(505) 272-5062
Fax(505) 272-6503
Sole ProprietorNo
Enumeration DateApril 4, 2014
Last NPPES UpdateApril 2, 20254 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1386062503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NM · MD2023-0285
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPediatricsTaxonomy 208000000X · License MD60758073 (WA)
1 UNIVERSITY OF NEW MEXICO # 116025, Albuquerque, NM 87131
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marcus Baca 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 Marcus Baca reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Presbyterian Healthcare Services
3.4 mi
General Acute Care Hospital
1100 CENTRAL SE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1215913470 (505) 841-1234

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

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

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
32%383 patients2/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%24 patients5/55-star benchmark: 100%
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…
88%25 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
62%288 patients3/55-star benchmark: 96%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 72% · 782 patients
Patients physicalActivity: 71% · 782 patients
100%782 patients
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 6

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

BRANDON JAY WARRICK
Emergency Medicine
1 UNIVERSITY OF NEW MEXICO # 116025, UNM EMERGENCY MEDICINE
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5062
PATRICK EDWARD CARR PA-C
Physician Assistant
1 UNIVERSITY OF NEW MEXICO # 116025
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5062
DR. SARAH JANE ELLSWORTH MD
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO # 116025
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5062
VALENTINA RODRIGUEZ
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO # 116025
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5062
PETER HIMMEL
Emergency Medicine
1 UNIVERSITY OF NEW MEXICO # 116025
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5062
DR. JUSTIN THOMAS BACA MD, PHD
Emergency Medicine
1 UNIVERSITY OF NEW MEXICO # 116025, DEPARTMENT OF EMERGENCY MEDICINE
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5062

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 Marcus Baca's NPI number?

The NPI number for Marcus Baca is 1386062503. It was assigned to this individual provider in the NPPES registry on April 4, 2014.

Where is Marcus Baca located?

Marcus Baca practices at 1 University Of New Mexico # 116025, Albuquerque, NM 87131. The listed phone number is (505) 272-5062.

What is Marcus Baca's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Marcus Baca enrolled in Medicare?

Yes. Marcus Baca is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marcus Baca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcus Baca 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 Marcus Baca'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 Marcus Baca was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.