DR. LUIS MARIANO CERDA MD
NPI 1780944702
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Albuquerque, NM
NPI Status: Active since May 23, 2012
Contact Information
502 ELM ST NE
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 843-2525
Fax: (505) 843-2819
- Individual
- Male
- Years of Experience 19
- Thoracic Surgery (Cardiothoracic Vascula...
- Accepts Medicare Approved Payment
- PECOS Enrolled
About LUIS CERDA
This page provides the complete NPI Profile along with additional information for Luis Cerda, a provider established in Albuquerque, New Mexico with a medical specialization in Thoracic Surgery (cardiothoracic Vascular Surgery) and more than 19 years of experience. The healthcare provider is registered in the NPI registry with number 1780944702 assigned on May 2012. The practitioner's primary taxonomy code is 208G00000X with license number MD2023-1195 (NM). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1780944702
- Provider Name
- DR. LUIS MARIANO CERDA MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 502 ELM ST NE ALBUQUERQUE, NM 87102
- Location Phone
- (505) 843-2525
- Location Fax
- (505) 843-2819
- Mailing Address
- 502 ELM ST NE ALBUQUERQUE, NM 87102
- Mailing Phone
- (505) 843-2525
- Mailing Fax
- (505) 843-2819
- Medical School Name
- OTHER
- Graduation Year
- 2007
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-23-2012
- Last Update Date
- 01-24-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
- Taxonomy Code
- 208G00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD2023-1195
- License State
- NM
- Taxonomy Description
- A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Medicare Participation & PECOS Enrollment Status
Luis Cerda is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Luis Cerda is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 5799021002
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230818001041
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Coronary artery bypass graft (CABG)
Coronary artery bypass using artery graft, 1 graft
Harvest of vein using an endoscope
Coronary artery bypass graft (CABG) is a surgery to improve blood flow to your heart. It involves taking a blood vessel from another part of your body and using it to reroute blood around a blocked or narrowed artery in your heart. This can help reduce chest pain and minimize the risk of heart attacks.
This service was performed for 1-10 patientsA coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
This service was performed 11 times for 11 patientsHarvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
This service was performed 11 times for 11 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $41.7 for a new patient copayment and $17 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 87102 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $166.8
- Minimum New Patient Price $54.26
- Maximum New Patient Price $166.8
- Average New Patient Copayment $41.7
- Minimum New Patient Copayment $13.56
- Maximum New Patient Copayment $41.7
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68
- Minimum Established Patient Price $17
- Maximum Established Patient Price $135.35
- Average Established Patient Copayment $17
- Minimum Established Patient Copayment $4.25
- Maximum Established Patient Copayment $33.83
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Luis Cerda is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| UNM HOSPITAL | 2211 LOMAS BOULEVARD NE ALBUQUERQUE, NM 87106 | (505) 272-2111 | Acute Care Hospitals | |
| LOVELACE MEDICAL CENTER | 601 DR MARTIN LUTHER KING JR AVE NE ALBUQUERQUE, NM 87102 | (505) 727-8000 | Acute Care Hospitals |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1780944702, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780944702, enumerated as an "individual" on May 23, 2012.
The provider is located at 502 ELM ST NE ALBUQUERQUE, NM 87102 and the phone number is (505) 843-2525.
Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Luis Cerda is affiliated with: UNM HOSPITAL and LOVELACE MEDICAL CENTER.
