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PILAIPORN PALAKAWONG NA AYUDHYA M.D.
NPI 1487966461
Internal Medicine - Endocrinology, Diabetes & Metabolism in Rio Rancho, NM

Active since July 08, 2010PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
4100 HIGH RESORT BLVD SE, PRESBYTERIAN MEDICAL GROUP, ENDOCRINOLOGY, RIO RANCHO, NM 87124(505) 462-8888 Get Directions Write a Review

NPPES record last updated: October 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pilaiporn Palakawong Na Ayudhya M.d. NPPES

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

PILAIPORN PALAKAWONG NA AYUDHYA M.D. (NPI 1487966461) is an individual endocrinology, diabetes & metabolism provider in Rio Rancho, New Mexico, licensed in New Mexico (MD2015-0761) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1487966461
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NamePILAIPORN PALAKAWONG NA AYUDHYACredential: M.D.
Location Address4100 HIGH RESORT BLVD SE, PRESBYTERIAN MEDICAL GROUP, ENDOCRINOLOGYRio Rancho, NM 87124-5901
Mailing Address4100 High Resort Blvd Se, Presbyterian Medical Group, EndocrinologyRio Rancho, NM 87124-5901 · (505) 462-8888
Phone(505) 462-8888
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 8, 2010
Last NPPES UpdateOctober 28, 2015
✔ NPI 1487966461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NM · MD2015-0761
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD2015-0761 (NM)
4100 HIGH RESORT BLVD SE, Rio Rancho, NM 87124
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Accepted Insurance

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

Pilaiporn Palakawong Na Ayudhya 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 ID4284877069
PECOS Enrollment IDI20151113000947
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 6

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
192 services130 patients
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.
135 services97 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
30 services20 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.
29 services29 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Lincoln County Medical Center

Critical Access Hospitals · Ruidoso, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321306
Location211 Sudderth DriveRuidoso, NM 88345 · Lincoln 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
$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 4

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers13 claims165 services$17.62 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers12 claims358 services$2.17 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers51 claims245 services$5.43 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
6 suppliers90 claims90 services$186.84 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 18

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

LANA K WAGNER MD
Family Medicine (Sleep Medicine)
4100 HIGH RESORT BLVD SE, PMG RIO RANCHO HIGH RESORT 4100
RIO RANCHO, NM 87124
Sandoval County (505) 462-8520
SHAWNA PATRICE MARION CNP
Nurse Practitioner
4100 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 291-2222
ALYSHA GALLEGOS PA-C
Physician Assistant (Medical)
4100 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 462-8520
BRITTANY HANLON CNP
Nurse Practitioner
4100 HIGH RESORT BLVD SE
ALBUQUERQUE, NM 87124
Sandoval County (505) 462-8520
MAHDIS SOLHJOO MD
Internal Medicine
4100 HIGH RESORT BLVD SE, RHEUMATOLOGY
RIO RANCHO, NM 87124
Sandoval County (505) 291-2222
DAVID A FLEISHMAN TECH
Technician, Other
4100 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 462-8855
DR. WEIWEI DAI D.O.
Psychiatry & Neurology (Neurology)
4100 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 291-2730
MS. JUDITH L. GILLUM R.N., C.N.P.
Nurse Practitioner
4100 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 462-8517

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 Pilaiporn Palakawong Na Ayudhya's NPI number?

The NPI number for Pilaiporn Palakawong Na Ayudhya is 1487966461. It was assigned to this individual provider in the NPPES registry on July 8, 2010.

Where is Pilaiporn Palakawong Na Ayudhya located?

Pilaiporn Palakawong Na Ayudhya practices at 4100 High Resort Blvd SE Presbyterian Medical Group, Endocrinology, Rio Rancho, NM 87124. The listed phone number is (505) 462-8888.

What is Pilaiporn Palakawong Na Ayudhya's specialty?

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

Is Pilaiporn Palakawong Na Ayudhya enrolled in Medicare?

Yes. Pilaiporn Palakawong Na Ayudhya 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 Pilaiporn Palakawong Na Ayudhya accept?

Health plans from UnitedHealthcare list Pilaiporn Palakawong Na Ayudhya 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 Pilaiporn Palakawong Na Ayudhya affiliated with any hospitals?

According to CMS data, Pilaiporn Palakawong Na Ayudhya is affiliated with Presbyterian Hospital and Lincoln County Medical Center.

When was this NPI record last updated?

The NPPES record for Pilaiporn Palakawong Na Ayudhya was last updated on October 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.