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DR. JUSTIN THOMAS BACA MD, PHD
NPI 1932341500
Emergency Medicine in Albuquerque, NM

Active since March 29, 2009PECOS Enrolled
85.18/100
CMS Quality Rating
1 UNIVERSITY OF NEW MEXICO # 116025, DEPARTMENT OF EMERGENCY MEDICINE, ALBUQUERQUE, NM 87131(505) 272-5062 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Justin Thomas Baca Md, Phd NPPES

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

DR. JUSTIN THOMAS BACA MD, PHD (NPI 1932341500) is an individual emergency medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2013-0577) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932341500
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JUSTIN THOMAS BACACredential: MD, PHD
Location Address1 UNIVERSITY OF NEW MEXICO # 116025, DEPARTMENT OF EMERGENCY MEDICINEAlbuquerque, NM 87131-0001
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Phone(505) 272-5062
Sole ProprietorNo
Enumeration DateMarch 29, 2009
Last NPPES UpdateDecember 30, 2024
NPPES CertifiedDecember 30, 2024
✔ NPI 1932341500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NM · MD2013-0577
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 UNIVERSITY OF NEW MEXICO # 116025, Albuquerque, NM 87131
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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. Justin Thomas Baca Md, Phd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

Other Providers at the Same Location NPPES 6

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

MARCUS BACA MD
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO # 116025
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5062
BRANDON JAY WARRICK
Emergency Medicine
1 UNIVERSITY OF NEW MEXICO # 116025, UNM EMERGENCY MEDICINE
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5062
PATRICK EDWARD CARR PA-C
Physician Assistant
1 UNIVERSITY OF NEW MEXICO # 116025
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5062
DR. SARAH JANE ELLSWORTH MD
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO # 116025
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5062
VALENTINA RODRIGUEZ
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO # 116025
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5062
PETER HIMMEL
Emergency Medicine
1 UNIVERSITY OF NEW MEXICO # 116025
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5062

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 Justin Baca's NPI number?

The NPI number for Justin Baca is 1932341500. It was assigned to this individual provider in the NPPES registry on March 29, 2009.

Where is Justin Baca located?

Justin Baca practices at 1 University Of New Mexico # 116025 Department Of Emergency Medicine, Albuquerque, NM 87131. The listed phone number is (505) 272-5062.

What is Justin Baca's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Justin Baca enrolled in Medicare?

Yes. Justin Baca is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Baca was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.