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KRISTEN M. GONZALES M.D.
NPI 1386088433
Internal Medicine - Endocrinology, Diabetes & Metabolism in Albuquerque, NM

Active since April 19, 2013PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-4657 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2025, Oct 16, 2023, Jan 8, 2021 and 3 more (6 updates tracked since 2020).

About Kristen M. Gonzales M.d. NPPES

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

KRISTEN M. GONZALES M.D. (NPI 1386088433) is an individual endocrinology, diabetes & metabolism provider in Albuquerque, New Mexico, licensed in New Mexico (MD2016-0419) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1386088433
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameKRISTEN M. GONZALESCredential: M.D.
Location AddressMSC10 5550 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Phone(505) 272-4657
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2013
Enumeration DateApril 19, 2013
Last NPPES UpdateMarch 10, 20256 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1386088433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in NM · MD2016-0419✔ Licensed in MN · 61971
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

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

Kristen M. Gonzales 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 ID6305070459
PECOS Enrollment IDI20200817002207
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services56 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier11 claims11 services$275.75 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers16 claims16 services$187.25 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.

KISHAN N VANMALI DO
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661
ERIN FITZGERALD
Internal Medicine
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, PALLIATIVE CARE DEPARTMENT
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4868
AMIR MODARRES MD
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661
DR. AYUB ANSARI DO
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661
DR. AMIR JOSEPH MOGHADDAM MD
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-0407
ISHAN GARG MD
Internal Medicine
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661
WASIM ALSAMAH MD
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661
MEGHALI SINGHAL D.O.
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661

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 Kristen Gonzales's NPI number?

The NPI number for Kristen Gonzales is 1386088433. It was assigned to this individual provider in the NPPES registry on April 19, 2013.

Where is Kristen Gonzales located?

Kristen Gonzales practices at Msc10 5550 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-4657.

What is Kristen Gonzales's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Kristen Gonzales enrolled in Medicare?

Yes. Kristen Gonzales 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.

What insurance does Kristen Gonzales accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Kristen Gonzales 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 Kristen Gonzales affiliated with any hospitals?

According to CMS data, Kristen Gonzales is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Kristen Gonzales was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.