PATRICIA KAPSNER MD
NPI 1710993464
Internal Medicine - Endocrinology, Diabetes & Metabolism in Albuquerque, NM

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
5TH AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE, ALBUQUERQUE, NM 87131(505) 272-3840 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patricia Kapsner Md NPPES

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

PATRICIA KAPSNER MD (NPI 1710993464) is an individual endocrinology, diabetes & metabolism provider in Albuquerque, New Mexico, licensed in New Mexico (86-257) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and maintains a secondary practice location in Roswell.

NPPES Registry Identity

NPI1710993464
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NamePATRICIA KAPSNERCredential: MD
Location Address5TH AMBULATORY CARE CTR, 2211 LOMAS BLVD. NEAlbuquerque, NM 87131-0001
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1980
Enumeration DateAugust 1, 2006
Last NPPES UpdateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
NPI 1710993464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in NM · 86-257
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
5TH AMBULATORY CARE CTR, Albuquerque, NM 87131

Secondary Practice Location 1

Location 1400 Military Heights PlRoswell, NM 88201-6407 · Phone (575) 624-3470 · Fax (575) 627-9535

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

Patricia Kapsner 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 ID6103903158
PECOS Enrollment IDI20080401000925, I20231013002853
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 3

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 services59 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.
41 services32 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Lake View Memorial Hospital

Critical Access Hospitals · Two Harbors, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241308
Location325 Eleventh AveTwo Harbors, MN 55616 · Lake County
Emergency services

North Shore Health

Critical Access Hospitals · Grand Marais, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241317
Location515 5th Ave WestGrand Marais, MN 55604 · Cook County
Emergency services

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers12 claims56 services$3.85 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers14 claims14 services$309.94 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
8 suppliers44 claims44 services$185.09 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 20

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

Internal Medicine
5TH AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131
Internal Medicine
5TH AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131
Internal Medicine (Infectious Disease)
5TH AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131
Registered Nurse (Gastroenterology)
5TH AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131
Internal Medicine (Cardiovascular Disease)
5TH AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131
Internal Medicine (Cardiovascular Disease)
5TH AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131
Internal Medicine (Infectious Disease)
5TH AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131
Internal Medicine (Nephrology)
5TH AMBULATORY CARE CTR, 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 Patricia Kapsner's NPI number?

The NPI number for Patricia Kapsner is 1710993464. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Patricia Kapsner located?

Patricia Kapsner practices at 5th Ambulatory Care Ctr 2211 Lomas Blvd. NE, Albuquerque, NM 87131. The listed phone number is (505) 272-3840.

What is Patricia Kapsner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Patricia Kapsner enrolled in Medicare?

Yes. Patricia Kapsner 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 Patricia Kapsner accept?

Health plans from HealthPartners, Medica and Security Health Plan list Patricia Kapsner 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 Patricia Kapsner affiliated with any hospitals?

According to CMS data, Patricia Kapsner is affiliated with St Lukes Hospital, Lake View Memorial Hospital, North Shore Health and Unm Hospital.

When was this NPI record last updated?

The NPPES record for Patricia Kapsner was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.