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HAROLD B SUNDERMAN MD
NPI 1831238856
Internal Medicine - Cardiovascular Disease in Albuquerque, NM

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
PRESBYTERIAN HEART GROUP (PHG), 201 CEDAR SE SUITE 7600, ALBUQUERQUE, NM 87106(505) 563-2500(505) 563-2603 Get Directions Write a Review

NPPES record last updated: January 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Harold B Sunderman Md NPPES

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

HAROLD B SUNDERMAN MD (NPI 1831238856) is an individual cardiovascular disease provider in Albuquerque, New Mexico, licensed in New Mexico (84-272) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Gerald Champion Regional Medical Center, and is a graduate of University Of Texas Medical Branch At Galveston (1983).

NPPES Registry Identity

NPI1831238856
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameHAROLD B SUNDERMANCredential: MD
Location AddressPRESBYTERIAN HEART GROUP (PHG), 201 CEDAR SE SUITE 7600Albuquerque, NM 87106
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-5356 · Fax (505) 923-5354
Phone(505) 563-2500
Fax(505) 563-2603
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1983
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJanuary 5, 2012
✔ NPI 1831238856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NM · 84-272
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

PRESBYTERIAN HEART GROUP (PHG), Albuquerque, NM 87106
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Other Identifiers 4

Medicaid2337NM
Medicare PINNMAAA1979NM
Medicare PINNMA101704NM
Medicare PINNMAAA1977NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Harold B Sunderman 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 ID244304616
PECOS Enrollment IDI20080801000577
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 5

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.

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.
270 services234 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
98 services96 patients
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244
A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.
61 services60 patients
Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227
An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.
40 services37 patients
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.
14 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Gerald Champion Regional Medical Center

Acute Care Hospitals · Alamogordo, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320004
Location2669 Scenic DriveAlamogordo, NM 88310 · Otero County
Emergency services Birthing friendly

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Lincoln County Medical Center

Critical Access Hospitals · Ruidoso, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321306
Location211 Sudderth DriveRuidoso, NM 88345 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Referred Medical Equipment & Supplies CMS DME claims

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

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 suppliers12 claims12 services$65.67 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

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

CHRISTOPHER GAVALDON PA-C
Physician Assistant
PRESBYTERIAN HEART GROUP (PHG), 201 CEDAR SE SUITE 7600
ALBUQUERQUE, NM 87106
Bernalillo County (505) 563-2500

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 Harold Sunderman's NPI number?

The NPI number for Harold Sunderman is 1831238856. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Harold Sunderman located?

Harold Sunderman practices at Presbyterian Heart Group (phg) 201 Cedar SE Suite 7600, Albuquerque, NM 87106. The listed phone number is (505) 563-2500.

What is Harold Sunderman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Harold Sunderman enrolled in Medicare?

Yes. Harold Sunderman 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 Harold Sunderman accept?

Health plans from UnitedHealthcare list Harold Sunderman 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 Harold Sunderman affiliated with any hospitals?

According to CMS data, Harold Sunderman is affiliated with Gerald Champion Regional Medical Center, Presbyterian Hospital and Lincoln County Medical Center.

When was this NPI record last updated?

The NPPES record for Harold Sunderman was last updated on January 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.