MIGUEL CUAUHTEMOC GOMEZ MD
NPI 1790197721
Family Medicine in Albuquerque, NM

Active since May 26, 2014PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108(505) 262-2481(505) 265-7045 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2025, Oct 18, 2023, Sep 6, 2019 and 1 more (4 updates tracked since 2018).

About Miguel Cuauhtemoc Gomez Md NPPES

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

MIGUEL CUAUHTEMOC GOMEZ MD (NPI 1790197721) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2019-0802) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and maintains a secondary practice location in Shiprock.

NPPES Registry Identity

NPI1790197721
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMIGUEL CUAUHTEMOC GOMEZCredential: MD
Location Address5608 ZUNI RD SEAlbuquerque, NM 87108-2926
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Fax(505) 265-7045
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2014
Enumeration DateMay 26, 2014
Last NPPES UpdateMarch 10, 20254 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
NPI 1790197721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NM · MD2019-0802 Licensed in CA · A143066
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5608 ZUNI RD SE, Albuquerque, NM 87108

Secondary Practice Location 1

Location 1US Hwy 491 NorthShiprock, NM 87420 · Phone (505) 368-6001 · Fax (505) 368-7011

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

Miguel Cuauhtemoc Gomez 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 ID143580837
PECOS Enrollment IDI20210105000568
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
176 services81 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
77 services46 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
68 services64 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
15 services15 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 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.

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

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers35 claims35 services$16.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers35 claims35 services$85.25 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.

Psychologist (Counseling)
5608 ZUNI RD SE, FIRST NATIONS
ALBUQUERQUE, NM 87108
Counselor (Addiction (Substance Use Disorder))
5608 ZUNI RD SE
ALBUQUERQUE, NM 87108
Social Worker
5608 ZUNI RD SE
ALBUQUERQUE, NM 87108
Social Worker
5608 ZUNI RD SE
ALBUQUERQUE, NM 87108
Counselor
5608 ZUNI RD SE
ALBUQUERQUE, NM 87108
Registered Nurse
5608 ZUNI RD SE
ALBUQUERQUE, NM 87108
Registered Nurse (General Practice)
5608 ZUNI RD SE
ALBUQUERQUE, NM 87108
Registered Nurse (Diabetes Educator)
5608 ZUNI RD 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 Miguel Gomez's NPI number?

The NPI number for Miguel Gomez is 1790197721. It was assigned to this individual provider in the NPPES registry on May 26, 2014.

Where is Miguel Gomez located?

Miguel Gomez practices at 5608 Zuni Rd SE, Albuquerque, NM 87108. The listed phone number is (505) 262-2481.

What is Miguel Gomez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Miguel Gomez enrolled in Medicare?

Yes. Miguel Gomez 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 Miguel Gomez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Miguel Gomez 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 Miguel Gomez affiliated with any hospitals?

According to CMS data, Miguel Gomez is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Miguel Gomez was last updated on March 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.