MILA BERDECIA MD
NPI 1972549970
Family Medicine in Albuquerque, NM

Q: What is Mila Berdecia's NPI number?

The NPI number for Mila Berdecia is 1972549970. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Q: What is Mila Berdecia'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 Mila Berdecia was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment

601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102(407) 754-8195 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2023, Jan 23, 2020, May 6, 2019 (3 updates tracked since 2019).

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About Mila Berdecia Md NPPES

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

MILA BERDECIA MD (NPI 1972549970) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2011-0759) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Haywood Regional Medical Center, and maintains a secondary practice location in Goldsboro.

NPPES Registry Identity

NPI1972549970

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMILA BERDECIACredential: MD

Location Address601 DR MARTIN LUTHER KING JR AVE NEAlbuquerque, NM 87102-3619

Mailing Address601 Dr Martin Luther King Jr Ave NeAlbuquerque, NM 87102-3619 · (505) 727-5144

Phone(407) 754-8195

Sole ProprietorYes

Medical School CMSPonce School Of MedicineGraduated 1991

Enumeration DateJune 20, 2006

Last NPPES UpdateAugust 26, 20243 updates tracked since enumeration

NPPES CertifiedAugust 26, 2024

✔ NPI 1972549970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NM · MD2011-0759✔ Licensed in SC · MD16115✔ Licensed in NC · 9701248

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.

601 DR MARTIN LUTHER KING JR AVE NE, Albuquerque, NM 87102

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Secondary Practice Location 1

Location 12700 Wayne Memorial DrGoldsboro, NC 27534-9494 · Phone (919) 587-4394 · Fax (919) 587-2998

Other Identifiers 2

Medicaid161158SC

Medicaid1972549970NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Medica, Oscar Health Maintenance Organization of Florida and more.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

Mila Berdecia 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 ID4981684206

PECOS Enrollment IDI20041006000077, I20150330001138

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

105 services102 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.

70 services35 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

39 services17 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

21 services21 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Haywood Regional Medical Center

Acute Care Hospitals · Clyde, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340184

Location262 Leroy George DriveClyde, NC 28721 · Haywood County

Emergency services Birthing friendly

Musc Medical Center

Acute Care Hospitals · Charleston, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420004

Location169 Ashley AveCharleston, SC 29425 · Charleston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87102 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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

85%97 patients4/55-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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers35 claims35 services$15.16 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

3 suppliers35 claims35 services$73.40 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 20

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

KRISTEN D FAITH MD

Internal Medicine

601 DR MARTIN LUTHER KING JR AVE NE, HOSPITALIST DEPARTMENT
ALBUQUERQUE, NM 87102

Bernalillo County (505) 727-8000

JASON MICHAEL ROTONDA

Nurse Practitioner (Acute Care)