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DR. JOSE V SANTOS PICO MD
NPI 1528043783
Neurological Surgery in Las Cruces, NM

Active since December 09, 2005PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
4351 E LOHMAN AVE STE 409, LAS CRUCES, NM 88011(575) 522-4433(575) 522-4950 Get Directions Write a Review

NPPES record last updated: February 9, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jose V Santos Pico Md NPPES

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

DR. JOSE V SANTOS PICO MD (NPI 1528043783) is an individual neurological surgery provider in Las Cruces, New Mexico, licensed in New Mexico (MD2015-0001) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1528043783
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. JOSE V SANTOS PICOCredential: MD
Location Address4351 E LOHMAN AVE STE 409Las Cruces, NM 88011-8263
Mailing Address4351 E Lohman Ave Ste 409Las Cruces, NM 88011-8263 · (575) 522-4433 · Fax (575) 522-4950
Phone(575) 522-4433
Fax(575) 522-4950
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateDecember 9, 2005
Last NPPES UpdateFebruary 9, 2018
✔ NPI 1528043783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in NM · MD2015-0001
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
4351 E LOHMAN AVE STE 409, Las Cruces, NM 88011
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Other Identifiers 1

Medicaid30327814NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jose V Santos Pico 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 ID9830272079
PECOS Enrollment IDI20150430000324
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 Reassignments

2

Medicare enrollment records show Jose Santos Pico reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Presbyterian Healthcare Services
94 mi
Critical Access
211 SUDDERTH DR
Ruidoso, NM 88345
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1558347708 (505) 257-7381
Centro Medico Del Turabo Inc
2,706 mi
Multi-Specialty
HIMA SAN PABLO CAGUAS, URB MARIOLGA #100 AVE LUIS MUNOZ MARIN
Caguas, PR 00725
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 428 clinicians in this Medicare group
NPI 1710107883 (787) 653-3434

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

Areas of Expertise CMS Part B claims 4

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.
42 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services28 patients
Removal of skull bone for aspiration of blood accumulation in upper brain outside or below brain membrane 61312
This procedure involves removing a section of the skull to access and remove accumulated blood in the upper brain. This blood could be either outside or beneath the brain membrane. The goal is to alleviate pressure and promote brain health.
12 services12 patients
Computer-assisted procedure inside brain 61781
A computer-assisted brain procedure uses advanced technology for precise navigation within the brain. A computer creates a 3D model of your brain to help the surgeon accurately target the area needing treatment, improving safety and effectiveness.
12 services12 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

Presbyterian Santa Fe Medical Center

Acute Care Hospitals · Santa Fe, NM
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320090
Location4801 Beckner RoadSanta Fe, NM 87507 · Santa Fe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88011 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
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
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

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
11%122 patients1/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
15%219 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
15%39 patients1/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
74%39 patients3/55-star benchmark: 99%
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%709 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…
34%451 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 144 patients
81%144 patients4/55-star benchmark: 98%
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.

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 Jose Santos Pico's NPI number?

The NPI number for Jose Santos Pico is 1528043783. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Where is Jose Santos Pico located?

Jose Santos Pico practices at 4351 E Lohman Ave Ste 409, Las Cruces, NM 88011. The listed phone number is (575) 522-4433.

What is Jose Santos Pico's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Jose Santos Pico enrolled in Medicare?

Yes. Jose Santos Pico 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.

Which organizations bill Medicare for Jose Santos Pico's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Santos Pico reassigns Medicare benefits to 2 organizations: Presbyterian Healthcare Services (Ruidoso, NM) and Centro Medico Del Turabo Inc (Caguas, PR). Each 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 Jose Santos Pico's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Santos Pico accept?

Health plans from Blue Cross and Blue Shield of Texas list Jose Santos Pico 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 Jose Santos Pico affiliated with any hospitals?

According to CMS data, Jose Santos Pico is affiliated with Presbyterian Hospital and Presbyterian Santa Fe Medical Center.

When was this NPI record last updated?

The NPPES record for Jose Santos Pico was last updated on February 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.