CAROL RED MD
NPI 1568495158
Family Medicine in Albuquerque, NM

Active since July 08, 2006PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
9109 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111(505) 275-4288(505) 275-4203 Get Directions Write a Review

NPPES record last updated: August 10, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carol Red Md NPPES

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

CAROL RED MD (NPI 1568495158) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (97129) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of University Of New Mexico School Of Medicine (1994).

NPPES Registry Identity

NPI1568495158
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCAROL REDCredential: MD
Location Address9109 MONTGOMERY BLVD NEAlbuquerque, NM 87111
Mailing AddressPo Box 27829Albuquerque, NM 87125 · (505) 232-1920 · Fax (505) 727-9276
Fax(505) 275-4203
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1994
Enumeration DateJuly 8, 2006
Last NPPES UpdateAugust 10, 2011
NPI 1568495158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NM · 97129
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.
9109 MONTGOMERY BLVD NE, Albuquerque, NM 87111

Other Identifiers 2

MedicaidQ4904NM
Medicare UPING59923

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

Carol Red 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 ID6103834627
PECOS Enrollment IDI20060324000507
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.

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 87111 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

Other Providers at the Same Location NPPES 2

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

Family Medicine
9109 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87111
Nurse Practitioner (Family)
9109 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87111

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 Carol Red's NPI number?

The NPI number for Carol Red is 1568495158. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Where is Carol Red located?

Carol Red practices at 9109 Montgomery Blvd NE, Albuquerque, NM 87111. The listed phone number is (505) 275-4288.

What is Carol Red's specialty?

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

Is Carol Red enrolled in Medicare?

Yes. Carol Red 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 Carol Red affiliated with any hospitals?

According to CMS data, Carol Red is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Carol Red was last updated on August 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.