KENNETH S HIMMEL MD
NPI 1972567154
Ophthalmology in Albuquerque, NM

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
96.75/100
CMS Quality Rating
5757 HARPER DRIVE NE, ALBUQUERQUE, NM 87109(505) 888-5757(505) 889-3589 Get Directions Write a Review

NPPES record last updated: April 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth S Himmel Md NPPES

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

KENNETH S HIMMEL MD (NPI 1972567154) is an individual ophthalmology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2006-0146) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1996).

NPPES Registry Identity

NPI1972567154
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKENNETH S HIMMELCredential: MD
Location Address5757 HARPER DRIVE NEAlbuquerque, NM 87109
Mailing Address8801 Horizon Blvd Ne, Suite 360Albuquerque, NM 87113-1533 · (505) 828-4923 · Fax (505) 213-0103
Fax(505) 889-3589
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1996
Enumeration DateApril 14, 2006
Last NPPES UpdateApril 25, 2008
NPI 1972567154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NM · MD2006-0146
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
5757 HARPER DRIVE NE, Albuquerque, NM 87109

Other Identifiers 6

Medicaid115638AZ
Medicaid70308233NM
OtherNM001H33NM · Bc Bs Of Nm
OtherP00343296NM · Rrb Medicare Railroad
Medicare UPINH47840
Medicare ID-Type Unspecified343619501NM

Accepted 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

Kenneth S Himmel 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 ID9436195294
PECOS Enrollment IDI20060714000087
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 10

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.
530 services308 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.
147 services117 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
138 services80 patients
Fitting of contact lens for treatment of eye surface disease 92071
Fitting of contact lenses for eye surface disease involves a specialist assessing your eye condition and prescribing special lenses. These lenses help protect the eye surface, promote healing, and improve vision. It's a safe, non-invasive treatment.
27 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients
Drainage of one eyelid glands using heat and pressure 0207T
This procedure involves using heat and pressure to clear blocked glands in your eyelid. Warm compresses are applied to the eyelid, softening the blockages. Gentle pressure is then used to help drain the glands. This can relieve discomfort and prevent infections.
23 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
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.

96.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability87
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 10

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

Ophthalmology
5757 HARPER DRIVE NE
ALBUQUERQUE, NM 87109
Ophthalmology
5757 HARPER DRIVE NE
ALBUQUERQUE, NM 87109
Ophthalmology
5757 HARPER DRIVE NE
ALBUQUERQUE, NM 87109
Ophthalmology
5757 HARPER DRIVE NE
ALBUQUERQUE, NM 87109
Ophthalmology
5757 HARPER DRIVE NE
ALBUQUERQUE, NM 87109
Ophthalmology
5757 HARPER DRIVE NE
ALBUQUERQUE, NM 87109
Ophthalmology
5757 HARPER DRIVE NE
ALBUQUERQUE, NM 87109
Ophthalmology
5757 HARPER DRIVE NE
ALBUQUERQUE, NM 87109

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 Kenneth Himmel's NPI number?

The NPI number for Kenneth Himmel is 1972567154. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Kenneth Himmel located?

Kenneth Himmel practices at 5757 Harper Drive NE, Albuquerque, NM 87109. The listed phone number is (505) 888-5757.

What is Kenneth Himmel's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kenneth Himmel enrolled in Medicare?

Yes. Kenneth Himmel 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 Kenneth Himmel accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kenneth Himmel 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 Kenneth Himmel was last updated on April 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.