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MARY LOUISE BODEWES PAC
NPI 1659476398
Physician Assistant in Farmington, NM

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
82.45/100
CMS Quality Rating
630 W MAPLE ST, FARMINGTON, NM 87401(505) 609-6349 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2024, May 7, 2024, Nov 10, 2022 and 1 more (4 updates tracked since 2022).

About Mary Louise Bodewes Pac NPPES

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

MARY LOUISE BODEWES PAC (NPI 1659476398) is an individual physician assistant in Farmington, New Mexico, licensed in New Mexico (PA2021-0130) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659476398
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY LOUISE BODEWESCredential: PAC
Location Address630 W MAPLE STFarmington, NM 87401-6113
Mailing AddressPo Box 844088Dallas, TX 75284-4088 · (505) 609-2258 · Fax (505) 609-2259
Phone(505) 609-6349
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 14, 2006
Last NPPES UpdateNovember 8, 20244 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
✔ NPI 1659476398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NM · PA2021-0130✔ Licensed in WI · 988✔ Licensed in CO · PA.005343
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
630 W MAPLE ST, Farmington, NM 87401
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12727 Plaza DriveWausau, WI 54401 · Phone (715) 358-1184
Location 21485 Florida Rd Ste 103ADurango, CO 81301-6873 · Phone (970) 444-0260

Other Identifiers 1

Medicaid42971200WI

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

Mary Louise Bodewes Pac 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 ID2062596505
PECOS Enrollment IDI20220224000455
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.

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.
91 services74 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.
38 services38 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320005
Location801 West Maple StreetFarmington, NM 87401 · San Juan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87401 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
$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.

82.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.08
Promoting Interoperability100
Improvement Activities40
Cost54.76

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.

LORI B GOLZAR CNP
Nurse Practitioner (Family)
630 W MAPLE ST
FARMINGTON, NM 87401
San Juan County (505) 609-6300
DWAYNE L GIBBS MD PC
Surgery
630 W MAPLE ST, SUITE A
FARMINGTON, NM 87401
San Juan County (505) 324-2098
DR. PETER C WITT MD
Internal Medicine (Gastroenterology)
630 W MAPLE ST
FARMINGTON, NM 87401
San Juan County (505) 609-6349
JAMES F. MARTIN MD
Internal Medicine (Gastroenterology)
630 W MAPLE ST
FARMINGTON, NM 87401
San Juan County (505) 609-6349
DR. DWAYNE L GIBBS M.D.
Surgery
630 W MAPLE ST
FARMINGTON, NM 87401
San Juan County (505) 609-6300
JASON GLASS M.D.
Internal Medicine (Gastroenterology)
630 W MAPLE ST
FARMINGTON, NM 87401
San Juan County (505) 609-6349
DR. ADEREMI A. JAIYEOLA MD
Internal Medicine (Gastroenterology)
630 W MAPLE ST
FARMINGTON, NM 87401
San Juan County (505) 609-6349
DAMON KALCICH D.O.
Surgery
630 W MAPLE ST
FARMINGTON, NM 87401
San Juan County (505) 609-6300

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 Mary Bodewes's NPI number?

The NPI number for Mary Bodewes is 1659476398. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Mary Bodewes located?

Mary Bodewes practices at 630 W Maple St, Farmington, NM 87401. The listed phone number is (505) 609-6349.

What is Mary Bodewes's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Bodewes enrolled in Medicare?

Yes. Mary Bodewes 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 Mary Bodewes affiliated with any hospitals?

According to CMS data, Mary Bodewes is affiliated with San Juan Regional Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Mary Bodewes was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.