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DR. BIANCA ANTONIA MCDERMOTT PH.D.
NPI 1811348667
Psychologist - Clinical in Kewa, NM

Active since June 23, 2016PECOS Enrolled
97.58/100
CMS Quality Rating
10 TESUQUE ST, KEWA, NM 87052(505) 221-4061(505) 465-0433 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bianca Antonia Mcdermott Ph.d. NPPES

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

DR. BIANCA ANTONIA MCDERMOTT PH.D. (NPI 1811348667) is an individual clinical provider in Kewa, New Mexico, licensed in New Mexico (745) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811348667
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BIANCA ANTONIA MCDERMOTTCredential: PH.D.
Location Address10 TESUQUE STKewa, NM 87052-9998
Mailing Address10 Duende RoadSanta Fe, NM 87508 · (505) 221-4061 · Fax (505) 465-0433
Phone(505) 221-4061
Fax(505) 465-0433
Sole ProprietorNo
Enumeration DateJune 23, 2016
✔ NPI 1811348667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NM · 745
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
10 TESUQUE ST, Kewa, NM 87052
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bianca Antonia Mcdermott Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

Exam of neurobehavioral status, each additional hour 96121
This procedure involves a thorough evaluation of your neurobehavioral status, focusing on brain functions that affect behavior and cognition. It's extended for an additional hour to gather more detailed information about your neurological health.
16 services11 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87052 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
$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.

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 3

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

MR. LUCIANO CALABAZA LADAC
Counselor (Addiction (Substance Use Disorder))
10 TESUQUE ST
SANTO DOMINGO PUEBLO, NM 87052
Sandoval County (505) 465-2733
MR. LEON ARAGON LCSW
Social Worker (Clinical)
10 TESUQUE ST
KEWA, NM 87052
Sandoval County (505) 328-2737
JOSEPH SABAQUIE LSAA
Counselor (Addiction (Substance Use Disorder))
10 TESUQUE ST
KEWA, NM 87052
Sandoval County (505) 465-2733

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 Bianca Mcdermott's NPI number?

The NPI number for Bianca Mcdermott is 1811348667. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Bianca Mcdermott located?

Bianca Mcdermott practices at 10 Tesuque St, Kewa, NM 87052. The listed phone number is (505) 221-4061.

What is Bianca Mcdermott's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Bianca Mcdermott enrolled in Medicare?

Yes. Bianca Mcdermott is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bianca Mcdermott was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.