Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DONALD EDWARD PICHLER M.D.
NPI 1861434342
Family Medicine in Albuquerque, NM

Q: What is Donald Pichler's NPI number?

The NPI number for Donald Pichler is 1861434342. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Q: What is Donald Pichler's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Donald Pichler was last updated on August 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.

Active since June 11, 2006PECOS Enrolled

32.16/100

CMS Quality Rating

3825 EUBANK BLVD NE, SUITE F, ALBUQUERQUE, NM 87111(505) 292-4080(505) 292-1839 Get Directions Write a Review

NPPES record last updated: August 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2026, May 7, 2024 (2 updates tracked since 2024).

On this page

About Dr. Donald Edward Pichler M.d. NPPES

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

DR. DONALD EDWARD PICHLER M.D. (NPI 1861434342) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (79-249) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of University Of New Mexico School Of Medicine (1976).

NPPES Registry Identity

NPI1861434342

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DONALD EDWARD PICHLERCredential: M.D.

Location Address3825 EUBANK BLVD NE, SUITE FAlbuquerque, NM 87111-3575

Mailing Address3825 Eubank Blvd Ne, Suite FAlbuquerque, NM 87111-3575 · (505) 292-4080 · Fax (505) 292-1839

Phone(505) 292-4080

Fax(505) 292-1839

Sole ProprietorNo

Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1976

Enumeration DateJune 11, 2006

Last NPPES UpdateAugust 2, 20262 updates tracked since enumeration

NPPES CertifiedMay 7, 2024

✔ NPI 1861434342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NM · 79-249

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.

3825 EUBANK BLVD NE, Albuquerque, NM 87111

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Other Identifiers 5

Other201007791NM · Php Provider Number

Other002400018NM · Cigna Provider Number

Other2135NM · Bcbs Of Nm Provider Numbe

Medicaid10900NM

Other4469233NM · Aetna Provider Number

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. Donald Edward Pichler M.d. 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 ID42464919

PECOS Enrollment IDI20130130000028

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 16

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

332 services135 patients

Manual urinalysis test with examination using microscope, non-automated 81000

A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.

244 services168 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

176 services34 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

169 services160 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

147 services147 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

125 services79 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

113 services64 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

88 services46 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

86 services41 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

80 services41 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

56 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

52 services38 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

47 services47 patients

Stool analysis for blood to screen for colon tumors 82270

A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.

32 services32 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

26 services21 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87111 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.

32.16/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

80.53

Reported Quality Measures

Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)

Percentage of patients aged 18 years and older with a diagnosis of acute bacterial sinusitis that were prescribed amoxicillin, with or without clavulanate, as a first line antibiotic at the time of diagnosis

16%64 patients1/55-star benchmark: 100%

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

28%402 patients2/55-star benchmark: 96%

Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation

Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented

100%49 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%4,696 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%1,720 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers16 claims30 services$6.17 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 13

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

MR. JONATHAN ASA CADE RN, MSN, FNP-C

Nurse Practitioner (Family)

3825 EUBANK BLVD NE, STE A
ALBUQUERQUE, NM 87111

Bernalillo County (505) 292-8575

WILLIAM G HENDERSON MD

Family Medicine

3825 EUBANK BLVD NE, SUITE A
ALBUQUERQUE, NM 87111

Bernalillo County (505) 292-8575

MS. HEATHER RENE ALTER

Nurse Practitioner (Family)

3825 EUBANK BLVD NE
ALBUQUERQUE, NM 87111

Bernalillo County (800) 640-3451

GENEVIEVE RAE CARDONA CNP

Nurse Practitioner (Family)

3825 EUBANK BLVD NE, #A
ALBUQUERQUE, NM 87111

Bernalillo County (505) 292-8575

STEVEN T LACKEY N.P.

Nurse Practitioner

3825 EUBANK BLVD NE
ALBUQUERQUE, NM 87111

Bernalillo County (800) 640-3451

EDWARD L CHILDERS DO

Family Medicine

3825 EUBANK BLVD NE, STE C
ALBUQUERQUE, NM 87111

Bernalillo County (505) 298-8020

MS. CANDACE L. PERCIFULL APN

Nurse Practitioner (Family)

3825 EUBANK BLVD NE
ALBUQUERQUE, NM 87111

Bernalillo County (505) 292-8575

MS. KIMBERLY G MURPHY FNP-BC

Nurse Practitioner (Family)

3825 EUBANK BLVD NE
ALBUQUERQUE, NM 87111

Bernalillo County (800) 640-3451

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 Donald Pichler's NPI number?

The NPI number for Donald Pichler is 1861434342. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Donald Pichler located?

Donald Pichler practices at 3825 Eubank Blvd NE Suite F, Albuquerque, NM 87111. The listed phone number is (505) 292-4080.

What is Donald Pichler's specialty?

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

Is Donald Pichler enrolled in Medicare?

Yes. Donald Pichler 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 Donald Pichler affiliated with any hospitals?

According to CMS data, Donald Pichler is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Donald Pichler was last updated on August 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.