PATRICIA WILSON CARBAJO MD
NPI 1467457648
Internal Medicine in Albuquerque, NM

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
504 ELM ST NE, ALBUQUERQUE, NM 87102(505) 724-2005(505) 843-2931 Get Directions Write a Review

NPPES record last updated: February 13, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Patricia Wilson Carbajo Md NPPES

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

PATRICIA WILSON CARBAJO MD (NPI 1467457648) is an individual internal medicine provider in Albuquerque, New Mexico, licensed in New Mexico (2000-154) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Wayne State University School Of Medicine (1997).

NPPES Registry Identity

NPI1467457648
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePATRICIA WILSON CARBAJOCredential: MD
Location Address504 ELM ST NEAlbuquerque, NM 87102-2512
Mailing Address314 W Houghton StSanta Fe, NM 87505-8849 · (505) 577-8282 · Fax (505) 843-2931
Fax(505) 843-2931
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 1997
Enumeration DateJune 15, 2005
Last NPPES UpdateFebruary 13, 2012
NPI 1467457648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NM · 2000-154
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 ListedHospitalistTaxonomy 208M00000X · License 2000-154 (NM)
504 ELM ST NE, Albuquerque, NM 87102

Other Identifiers 3

Medicare UPINH23469
Medicare ID-Type Unspecified341431004NM · Nm Medicare #
Medicaid68282NM

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

Patricia Wilson Carbajo 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 ID4587567359
PECOS Enrollment IDI20040129000359
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
172 services66 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
58 services39 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
41 services40 patients

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 87102 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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers19 claims19 services$16.16 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$40.05 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers19 claims19 services$74.22 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.

Hospitalist
504 ELM ST NE
ALBUQUERQUE, NM 87102
Emergency Medicine
504 ELM ST NE
ALBUQUERQUE, NM 87102
Internal Medicine
504 ELM ST NE
ALBUQUERQUE, NM 87102
Nurse Practitioner (Acute Care)
504 ELM ST NE
ALBUQUERQUE, NM 87102
Nurse Practitioner (Acute Care)
504 ELM ST NE
ALBUQUERQUE, NM 87102
Nurse Practitioner (Acute Care)
504 ELM ST NE
ALBUQUERQUE, NM 87102
Anesthesiology
504 ELM ST NE
ALBUQUERQUE, NM 87102
Nurse Practitioner (Acute Care)
504 ELM ST NE
ALBUQUERQUE, NM 87102

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 Patricia Carbajo's NPI number?

The NPI number for Patricia Carbajo is 1467457648. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Patricia Carbajo located?

Patricia Carbajo practices at 504 Elm St NE, Albuquerque, NM 87102. The listed phone number is (505) 724-2005.

What is Patricia Carbajo's specialty?

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

Is Patricia Carbajo enrolled in Medicare?

Yes. Patricia Carbajo 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 Patricia Carbajo affiliated with any hospitals?

According to CMS data, Patricia Carbajo is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Patricia Carbajo was last updated on February 13, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.