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RACHAEL A CUNNICK PA-C
NPI 1972697753
Physician Assistant in Albuquerque, NM

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
8300 CONSTITUTION AVE NE, PMG ENDOCRINOLOGY, ALBUQUERQUE, NM 87110(505) 559-6400(505) 559-6488 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2025, Jun 28, 2025 (2 updates tracked since 2025).

About Rachael A Cunnick Pa-c NPPES

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

RACHAEL A CUNNICK PA-C (NPI 1972697753) is an individual physician assistant in Albuquerque, New Mexico, licensed in New Mexico (PA2006-0031) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1972697753
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRACHAEL A CUNNICKCredential: PA-C
Location Address8300 CONSTITUTION AVE NE, PMG ENDOCRINOLOGYAlbuquerque, NM 87110
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-5356 · Fax (505) 923-5354
Phone(505) 559-6400
Fax(505) 559-6488
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 3, 2006
Last NPPES UpdateSeptember 23, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2025
✔ NPI 1972697753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NM · PA2006-0031
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8300 CONSTITUTION AVE NE, Albuquerque, NM 87110
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Other Identifiers 1

Medicaid62158520NM

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

Rachael A Cunnick Pa-c 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 ID4789681925
PECOS Enrollment IDI20061031000235
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 6

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.
89 services61 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
71 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
49 services27 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.
24 services24 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
18 services11 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
15 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Lovelace Women's Hospital

Acute Care Hospitals · Albuquerque, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320017
Location4701 Montgomery Boulevard NEAlbuquerque, NM 87109 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87110 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
$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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
9 suppliers43 claims506 services$18.28 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
9 suppliers42 claims1,260 services$2.37 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
38 suppliers119 claims358 services$6.10 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers16 claims25 services$1.08 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
4 suppliers31 claims31 services$311.26 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
5 suppliers12 claims1,220 services$7.27 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.

ANNE JONES MD
Family Medicine
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 272-2700
MRS. MEGHAN LYNNE WHEELER DPT
Physical Therapist
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 291-2372
SANDESH DEWAN MD
Internal Medicine
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 291-2000
MRS. KAREN SPIELBUSCH CFNP
Nurse Practitioner
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 559-6100
JOSEPH J SIEBENTHAL CNP
Nurse Practitioner
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 291-2200
AMBER R FRANCIA LCSW
Social Worker (Clinical)
8300 CONSTITUTION AVE NE, CLINICAL LIAISONS
ALBUQUERQUE, NM 87110
Bernalillo County (505) 291-2134
NEIL I KAMINSKY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
8300 CONSTITUTION AVE NE, PMG AT 8300 CONSTITUTION POB
ALBUQUERQUE, NM 87110
Bernalillo County (505) 559-6400
DR. MARIA KATHERINE SAMARAS PH.D.
Psychologist (Clinical Child & Adolescent)
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 559-6100

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 Rachael Cunnick's NPI number?

The NPI number for Rachael Cunnick is 1972697753. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Rachael Cunnick located?

Rachael Cunnick practices at 8300 Constitution Ave NE Pmg Endocrinology, Albuquerque, NM 87110. The listed phone number is (505) 559-6400.

What is Rachael Cunnick's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Rachael Cunnick enrolled in Medicare?

Yes. Rachael Cunnick 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.

Is Rachael Cunnick affiliated with any hospitals?

According to CMS data, Rachael Cunnick is affiliated with Unm Hospital and Lovelace Women's Hospital.

When was this NPI record last updated?

The NPPES record for Rachael Cunnick was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.