DR. KAREN STERLING SANTACRUZ M.D.
NPI 1689769762
Pathology - Neuropathology in Albuquerque, NM

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
2211 LOMAS BLVD NE, PATHOLOGY MSC 08 4640 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-5001(505) 272-2963 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Karen Sterling Santacruz M.d. NPPES

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

DR. KAREN STERLING SANTACRUZ M.D. (NPI 1689769762) is an individual neuropathology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2012-0417) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of University Of Arizona College Of Medicine (1993).

NPPES Registry Identity

NPI1689769762
Entity TypeIndividualFemale
Primary Taxonomy207ZN0500X
Provider Legal NameDR. KAREN STERLING SANTACRUZCredential: M.D.
Location Address2211 LOMAS BLVD NE, PATHOLOGY MSC 08 4640 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476 · Fax (505) 272-2963
Fax(505) 272-2963
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 1993
Enumeration DateOctober 4, 2006
Last NPPES UpdateOctober 21, 2024
NPPES CertifiedOctober 21, 2024
NPI 1689769762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · NeuropathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZN0500X
License Licensed in NM · MD2012-0417
Definition

A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature.

2211 LOMAS BLVD NE, Albuquerque, NM 87131

Accepted 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. Karen Sterling Santacruz 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 ID1658276951
PECOS Enrollment IDI20120910000180
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 5

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.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
53 services18 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
52 services31 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
30 services28 patients
Pathology examination of specimen during surgery, first tissue block 88331
A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.
12 services12 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

Other Providers at the Same Location NPPES 11

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

Pharmacist
2211 LOMAS BLVD NE, UNIVERSITY OF NEW MEXICO HOSPITAL
ALBUQUERQUE, NM 87131
Pediatrics
2211 LOMAS BLVD NE, ACC THIRD FLOOR
ALBUQUERQUE, NM 87131
Emergency Medicine
2211 LOMAS BLVD NE, MSC07 4210
ALBUQUERQUE, NM 87131
Nurse Practitioner
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87131
Pediatrics (Adolescent Medicine)
2211 LOMAS BLVD NE, MSC10 5590
ALBUQUERQUE, NM 87131
Emergency Medicine
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87131
Pediatrics (Pediatric Emergency Medicine)
2211 LOMAS BLVD NE, MSC11 6025
ALBUQUERQUE, NM 87131
Radiology (Pediatric Radiology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87131

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 Karen Santacruz's NPI number?

The NPI number for Karen Santacruz is 1689769762. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Karen Santacruz located?

Karen Santacruz practices at 2211 Lomas Blvd NE Pathology Msc 08 4640 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-5001.

What is Karen Santacruz's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Neuropathology, with taxonomy code 207ZN0500X.

Is Karen Santacruz enrolled in Medicare?

Yes. Karen Santacruz 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 Karen Santacruz accept?

Health plans from Blue Cross and Blue Shield of Texas list Karen Santacruz 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 Karen Santacruz affiliated with any hospitals?

According to CMS data, Karen Santacruz is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Karen Santacruz was last updated on October 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.