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NEAL HERBERT SEGOVIA CABALUNA M.D.
NPI 1871857359
Internal Medicine in Prescott, AZ

Active since June 28, 2012PECOS EnrolledAccepts Medicare Assignment
3773 CROSSINGS DR STE C, PRESCOTT, AZ 86305(928) 277-8316(928) 277-4849 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2021, Apr 1, 2021, Sep 18, 2019 and 1 more (4 updates tracked since 2019).

About Neal Herbert Segovia Cabaluna M.d. NPPES

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

NEAL HERBERT SEGOVIA CABALUNA M.D. (NPI 1871857359) is an individual internal medicine provider in Prescott, Arizona, licensed in Arizona (50274) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1871857359
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNEAL HERBERT SEGOVIA CABALUNACredential: M.D.
Location Address3773 CROSSINGS DR STE CPrescott, AZ 86305
Mailing Address2001 Excellence Way Ste 200Prescott, AZ 86301-8410 · (928) 460-7260 · Fax (928) 227-0255
Phone(928) 277-8316
Fax(928) 277-4849
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJune 28, 2012
Last NPPES UpdateJune 21, 20214 updates tracked since enumeration
NPPES CertifiedJune 21, 2021
✔ NPI 1871857359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 50274
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3773 CROSSINGS DR STE C, Prescott, AZ 86305
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Secondary Practice Locations 4

Location 113175 E State Route 169Dewey, AZ 86327-7416 · Phone (928) 632-1155
Location 23773 Crossings Dr Ste APrescott, AZ 86305 · Phone (928) 277-8316 · Fax (928) 277-4849
Location 33773 Crossings Dr Ste CPrescott, AZ 86305-7140 · Phone (928) 277-8316 · Fax (928) 277-4849
Location 42001 Excellence Way Ste 200Prescott, AZ 86301-8410 · Phone (928) 460-7260 · Fax (928) 227-0255

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., 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

Neal Herbert Segovia Cabaluna 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 ID8224251590
PECOS Enrollment IDI20151103001896
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 9

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.
582 services273 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.
264 services197 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
168 services168 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.
161 services161 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
160 services160 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.
68 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86305 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Reported Quality Measures

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.
88%3,879 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
89%8,604 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%361 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
26%1,267 patients2/55-star benchmark: 99%
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…
51%1,288 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 60% · 463 patients
81%1,019 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
43%1,267 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%1,267 patients1/55-star benchmark: 59%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
67%197 patients3/55-star benchmark: 89%
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 6

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
13 suppliers56 claims188 services$5.76 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers25 claims35 services$1.06 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers32 claims33 services$17.58 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
5 suppliers55 claims56 services$87.21 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers18 claims18 services$31.73 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers43 claims45 services$184.95 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 2

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

PUNEET DABAS M.D.
Psychiatry & Neurology (Neurology)
3773 CROSSINGS DR STE C
PRESCOTT, AZ 86305
Yavapai County (928) 277-8452
NATIONAL CARDIOVASCULAR ASSOCIATES, LLC
Internal Medicine (Cardiovascular Disease)
3773 CROSSINGS DR STE C
PRESCOTT, AZ 86305
Yavapai County (602) 698-7325

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 Neal Herbert Cabaluna's NPI number?

The NPI number for Neal Herbert Cabaluna is 1871857359. It was assigned to this individual provider in the NPPES registry on June 28, 2012.

Where is Neal Herbert Cabaluna located?

Neal Herbert Cabaluna practices at 3773 Crossings Dr Ste C, Prescott, AZ 86305. The listed phone number is (928) 277-8316.

What is Neal Herbert Cabaluna's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Neal Herbert Cabaluna enrolled in Medicare?

Yes. Neal Herbert Cabaluna 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 Neal Herbert Cabaluna accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Neal Herbert Cabaluna 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.

When was this NPI record last updated?

The NPPES record for Neal Herbert Cabaluna was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.