MARKUS L HAMM MD
NPI 1730128430
Emergency Medicine in Albuquerque, NM

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108(904) 805-1300(904) 805-1302 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Markus L Hamm Md NPPES

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

MARKUS L HAMM MD (NPI 1730128430) is an individual emergency medicine provider in Albuquerque, New Mexico, licensed in Kentucky (34922) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730128430
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARKUS L HAMMCredential: MD
Location Address5400 GIBSON BLVD SEAlbuquerque, NM 87108-4729
Mailing AddressPo Box 676065Dallas, TX 75267-6065 · (904) 805-1300 · Fax (904) 805-1302
Fax(904) 805-1302
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1994
Enumeration DateJune 6, 2006
Last NPPES UpdateApril 18, 2025
NPPES CertifiedApril 18, 2025
NPI 1730128430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in KY · 34922 Licensed in NE · 30761 Licensed in NM · 2001-42
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5400 GIBSON BLVD SE, Albuquerque, NM 87108

Secondary Practice Locations 2

Location 11221 S BroadwayLexington, KY 40504-2701 · Phone (859) 258-4000 · Fax (859) 258-6203
Location 27500 Mercy RdOmaha, NE 68124-2319 · Phone (402) 398-6060

Other Identifiers 2

OtherA002NM · Tricare
Medicaid05777275NM

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

Markus L Hamm 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 ID4284627811
PECOS Enrollment IDI20040407001266, I20140203000178
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
106 services104 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
84 services83 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
50 services49 patients

Hospital Affiliations CMS Care Compare 4

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

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM
3/5 CMS rating
OwnershipProprietary
CMS Certification Number320009
Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County
Emergency services

Lovelace Westside Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipProprietary
CMS Certification Number320074
Location10501 Golf Course Road NWAlbuquerque, NM 87114 · Bernalillo County
Emergency services

Mountain View Regional Medical Center

Acute Care Hospitals · Las Cruces, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320085
Location4311 East Lohman AvenueLas Cruces, NM 88011 · Dona Ana County
Emergency services Birthing friendly

Corpus Christi Medical Center,the

Acute Care Hospitals · Corpus Christi, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450788
Location6629 Woodridge RoadCorpus Christi, TX 78414 · Nueces County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87108 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.

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Lower rates are better for this measure.
50%32 patients3/55-star benchmark: 100%
Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
8%61 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Pharmacist
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Nurse Practitioner
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Nurse Practitioner (Adult Health)
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Pediatrics
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Psychiatric Hospital
5400 GIBSON BLVD SE, 4TH FLOOR
ALBUQUERQUE, NM 87108
Substance Abuse Rehabilitation Facility
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Counselor (Addiction (Substance Use Disorder))
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108

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 Markus Hamm's NPI number?

The NPI number for Markus Hamm is 1730128430. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Markus Hamm located?

Markus Hamm practices at 5400 Gibson Blvd SE, Albuquerque, NM 87108. The listed phone number is (904) 805-1300.

What is Markus Hamm's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Markus Hamm enrolled in Medicare?

Yes. Markus Hamm 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 Markus Hamm accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Medica and Molina Healthcare and 2 other insurers list Markus Hamm 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 Markus Hamm affiliated with any hospitals?

According to CMS data, Markus Hamm is affiliated with Lovelace Medical Center, Lovelace Westside Hospital, Mountain View Regional Medical Center and Corpus Christi Medical Center,the.

When was this NPI record last updated?

The NPPES record for Markus Hamm was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.