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DR. RANDOLPH P BACA JR. MD
NPI 1790982643
Psychiatry & Neurology - Psychiatry in Albuquerque, NM

Active since July 02, 2007PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1003 LUNA CIR NW, ALBUQUERQUE, NM 87102(505) 504-5505(505) 214-5614 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 29, 2023, Apr 16, 2021, Nov 16, 2015 (3 updates tracked since 2015).

About Dr. Randolph P Baca Jr. Md NPPES

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

DR. RANDOLPH P BACA JR. MD (NPI 1790982643) is an individual psychiatry provider in Albuquerque, New Mexico, licensed in New Mexico (AG3361893-B416) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1790982643
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. RANDOLPH P BACA JR.Credential: MD
Location Address1003 LUNA CIR NWAlbuquerque, NM 87102-1973
Mailing AddressPo Box 95602Albuquerque, NM 87199 · (505) 504-5505 · Fax (505) 214-5614
Phone(505) 504-5505
Fax(505) 214-5614
Sole ProprietorYes
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2007
Enumeration DateJuly 2, 2007
Last NPPES UpdateAugust 29, 20233 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1790982643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NM · AG3361893-B416
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1003 LUNA CIR NW, Albuquerque, NM 87102
Open in Google Maps ↗

Secondary Practice Location 1

Location 15801 Osuna Rd NE, Suite A106Albuquerque, NM 87109 · Phone (505) 504-5505 · Fax (505) 214-5614

Other Identifiers 1

Medicaid13558242NM

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. Randolph P Baca Jr. 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 ID9931335320
PECOS Enrollment IDI20131114000150
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.

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.
116 services14 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.
20 services16 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
19 services15 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87102 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
$166.80 typical visit price
range $54.26 – $166.80
Typical copayment $41.70 (range $13.56 – $41.70)
Most-billed visit code 99205
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

LINDSAY MEADE LINDSAY MEADE
Acupuncturist
1003 LUNA CIR NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 681-8756
MARGOT M FELDVEBEL LCSW
Social Worker (Clinical)
1003 LUNA CIR NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 328-9448
MARGOT M FELDVEBEL LCSW
Social Worker (Clinical)
1003 LUNA CIR NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 328-9448
FOUR CORNERS MENTAL AND BEHAVIORAL HEALTH PC
Psychiatry & Neurology (Psychiatry)
1003 LUNA CIR NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 504-5505

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 Randolph Baca's NPI number?

The NPI number for Randolph Baca is 1790982643. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Randolph Baca located?

Randolph Baca practices at 1003 Luna Cir NW, Albuquerque, NM 87102. The listed phone number is (505) 504-5505.

What is Randolph Baca's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Randolph Baca enrolled in Medicare?

Yes. Randolph Baca 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.

Is Randolph Baca affiliated with any hospitals?

According to CMS data, Randolph Baca is affiliated with Lovelace Medical Center.

When was this NPI record last updated?

The NPPES record for Randolph Baca was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.