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DR. ALFREDO NEVAREZ M.D.
NPI 1558711846
Family Medicine in Grants, NM

Active since June 16, 2016PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
1016 E ROOSEVELT AVE, GRANTS, NM 87020(505) 287-4446(505) 287-5343 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2021, Jan 29, 2020, Jun 16, 2016 (3 updates tracked since 2016).

About Dr. Alfredo Nevarez M.d. NPPES

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

DR. ALFREDO NEVAREZ M.D. (NPI 1558711846) is an individual family medicine provider in Grants, New Mexico, licensed in New Mexico (MD2019-0669) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Plains Regional Medical Center, and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1558711846
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALFREDO NEVAREZCredential: M.D.
Location Address1016 E ROOSEVELT AVEGrants, NM 87020-2118
Mailing Address1016 E Roosevelt AveGrants, NM 87020-2118 · (505) 287-4446 · Fax (505) 287-5343
Phone(505) 287-4446
Fax(505) 287-5343
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJune 16, 2016
Last NPPES UpdateAugust 16, 20213 updates tracked since enumeration
NPPES CertifiedAugust 16, 2021
✔ NPI 1558711846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NM · MD2019-0669✔ Licensed in AZ · 58019
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1016 E ROOSEVELT AVE, Grants, NM 87020
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Secondary Practice Location 1

Location 113350 N 94th Dr Ste A101Peoria, AZ 85381-4826 · Phone (623) 974-1500 · Fax (623) 933-3383

Other Identifiers 2

Medicaid30678501NM
OtherMD2019-0669NM · Nm License

Accepted Insurance

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

Dr. Alfredo Nevarez 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 ID4981990686
PECOS Enrollment IDI20190911000091
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 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.

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.
191 services72 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.
73 services71 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
46 services46 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.
41 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Cibola General Hospital

Critical Access Hospitals · Grants, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321308
Location1016 E Roosevelt AvenueGrants, NM 87020 · Cibola County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87020 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
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 2

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
2 suppliers40 claims40 services$19.13 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
2 suppliers40 claims40 services$108.59 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 13

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

MRS. HANNAH BETH WAHL DPT, PT
Physical Therapist
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-5339
CIBOLA GENERAL HOSPITAL PHCY
Pharmacy (Institutional Pharmacy)
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-5320
MR. EDWARD S SANSHU CRNA
Nurse Anesthetist, Certified Registered
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-4446
DR. CHANDER S BHATIA MD
Emergency Medicine
1016 E ROOSEVELT AVE, EMERGENCY DEPARTMENT
GRANTS, NM 87020
Cibola County (505) 287-5260
ALICIA RENEE BALOK RN, IBCLC
Registered Nurse (Lactation Consultant)
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-4446
ELLEN CASAVANTES LMSW
Social Worker
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-5211
EDWARD S. SANSHU CERTIFIED & REG
Nurse Anesthetist, Certified Registered
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-4446
MR. MERTON OLAI JOHNSON CRNA
Nurse Anesthetist, Certified Registered
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (406) 488-2295

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 Alfredo Nevarez's NPI number?

The NPI number for Alfredo Nevarez is 1558711846. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Where is Alfredo Nevarez located?

Alfredo Nevarez practices at 1016 E Roosevelt Ave, Grants, NM 87020. The listed phone number is (505) 287-4446.

What is Alfredo Nevarez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alfredo Nevarez enrolled in Medicare?

Yes. Alfredo Nevarez 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 Alfredo Nevarez accept?

Health plans from Blue Cross Blue Shield of Arizona list Alfredo Nevarez 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 Alfredo Nevarez affiliated with any hospitals?

According to CMS data, Alfredo Nevarez is affiliated with Plains Regional Medical Center and Cibola General Hospital.

When was this NPI record last updated?

The NPPES record for Alfredo Nevarez was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.