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NICHOLAS Y EISENBERG MD
NPI 1457981649
Internal Medicine in Cannon Afb, NM

Active since January 16, 2020PECOS EnrolledAccepts Medicare Assignment
224 W D.L. INGRAM AVE, BLDG 1408, CANNON AFB, NM 88103(575) 681-3917 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, Aug 8, 2023, Feb 24, 2020 and 1 more (4 updates tracked since 2020).

About Nicholas Y Eisenberg Md NPPES

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

NICHOLAS Y EISENBERG MD (NPI 1457981649) is an individual internal medicine provider in Cannon Afb, New Mexico, licensed in Ohio (35.146152) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Plains Regional Medical Center, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2020).

NPPES Registry Identity

NPI1457981649
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNICHOLAS Y EISENBERGCredential: MD
Location Address224 W D.L. INGRAM AVE, BLDG 1408Cannon Afb, NM 88103-5103
Mailing Address224 W D.l. Ingram Ave, Bldg 1408Cannon Afb, NM 88103-5103
Phone(575) 681-3917
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2020
Enumeration DateJanuary 16, 2020
Last NPPES UpdateJune 17, 20254 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1457981649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OH · 35.146152✔ Licensed in NM · MD2024-0097
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
224 W D.L. INGRAM AVE, Cannon Afb, NM 88103
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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

Nicholas Y Eisenberg Md 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 ID5597196188
PECOS Enrollment IDI20250625004327
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.

Hospital Affiliations CMS Care Compare

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

Plains Regional Medical Center

Acute Care Hospitals · Clovis, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320022
Location2100 N Martin Luther King, Jr, BlvdClovis, NM 88101 · Curry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88103 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.

Other Providers at the Same Location NPPES 3

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

ANTHONY ZIZZO
Behavior Technician
224 W D.L. INGRAM AVE
CANNON AIR FORCE BASE, NM 88103
Curry County (575) 784-1108
ALEXA SHAE PEREZ
Behavior Technician
224 W D.L. INGRAM AVE
CANNON AIR FORCE BASE, NM 88103
Curry County (575) 904-3616
DR. PRISCILLA PHAN PSYD
Psychologist (Clinical)
224 W D.L. INGRAM AVE, BLDG. 1408
CANNON AFB, NM 88103
Curry County (575) 784-1108

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 Nicholas Eisenberg's NPI number?

The NPI number for Nicholas Eisenberg is 1457981649. It was assigned to this individual provider in the NPPES registry on January 16, 2020.

Where is Nicholas Eisenberg located?

Nicholas Eisenberg practices at 224 W D.L. Ingram Ave Bldg 1408, Cannon Afb, NM 88103. The listed phone number is (575) 681-3917.

What is Nicholas Eisenberg's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicholas Eisenberg enrolled in Medicare?

Yes. Nicholas Eisenberg 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.

Is Nicholas Eisenberg affiliated with any hospitals?

According to CMS data, Nicholas Eisenberg is affiliated with Plains Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Eisenberg was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.