DR. JAMES MICHAEL PROBASCO MD
NPI 1962467431
Family Medicine in Albuquerque, NM
About Dr. James Michael Probasco Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES MICHAEL PROBASCO MD (NPI 1962467431) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (2003-0571) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. James Michael Probasco 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.
Medicare Billing Reassignment
Medicare enrollment records show James Probasco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 2,331 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
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, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 James Probasco's NPI number?
The NPI number for James Probasco is 1962467431. It was assigned to this individual provider in the NPPES registry on April 19, 2006.
Where is James Probasco located?
James Probasco practices at 3901 Atrisco NW Presbyterian Medical Group, Albuquerque, NM 87120. The listed phone number is (505) 462-7575.
What is James Probasco's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is James Probasco enrolled in Medicare?
Yes. James Probasco 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.
Which organization bills Medicare for James Probasco's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Probasco reassigns Medicare benefits to Presbyterian Healthcare Services (Albuquerque, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Probasco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Probasco accept?
Health plans from UnitedHealthcare list James Probasco 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 James Probasco affiliated with any hospitals?
According to CMS data, James Probasco is affiliated with Presbyterian Hospital.
When was this NPI record last updated?
The NPPES record for James Probasco was last updated on October 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. James Michael Probasco, MD · NPI 1962467431
Family Medicine physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since April 19, 2006.
## Identity
- **NPI:** 1962467431 (Entity type: Individual)
- **Enumerated:** April 19, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2003-0571 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 3901 ATRISCO NW, PRESBYTERIAN MEDICAL GROUP, Albuquerque, NM 87120
- **Phone:** (505) 462-7575
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Presbyterian Healthcare Services (NPI 1215913470, Albuquerque, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** October 31, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1962467431) · Data from the CMS NPPES public registry.