MARIO ERNESTO HENRIQUEZ ALVARENGA M.D.
NPI 1972941813
Family Medicine in Albuquerque, NM

Active since June 13, 2013PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
3630 LAS ESTANCIAS DR SW, ALBUQUERQUE, NM 87121(505) 462-7777 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2021, Feb 3, 2021, Aug 16, 2016 (3 updates tracked since 2016).

About Mario Ernesto Henriquez Alvarenga M.d. NPPES

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

MARIO ERNESTO HENRIQUEZ ALVARENGA M.D. (NPI 1972941813) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD20160227) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1972941813
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARIO ERNESTO HENRIQUEZ ALVARENGACredential: M.D.
Location Address3630 LAS ESTANCIAS DR SWAlbuquerque, NM 87121-5504
Mailing AddressPo Box 26666, Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (806) 723-6532
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 13, 2013
Last NPPES UpdateApril 27, 20213 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
NPI 1972941813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NM · MD20160227
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.
3630 LAS ESTANCIAS DR SW, Albuquerque, NM 87121

Other Identifiers 3

Other1972941813NM · Bcbs
Medicaid1972941813NM
Other1K8582NM · Medicare

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

Mario Ernesto Henriquez Alvarenga M.d. 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 ID941596175
PECOS Enrollment IDI20160914000733
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

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.
261 services99 patients

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, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87121 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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
36%131 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
30%290 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
5%129 patients1/55-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 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers27 claims67 services$5.83 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers13 claims21 services$1.19 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers19 claims19 services$17.96 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
4 suppliers56 claims56 services$101.09 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$26.02 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 15

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

Pediatrics
3630 LAS ESTANCIAS DR SW
ALBUQUERQUE, NM 87121
Family Medicine
3630 LAS ESTANCIAS DR SW
ALBUQUERQUE, NM 87121
Advanced Practice Midwife
3630 LAS ESTANCIAS DR SW, OBSTETRICS AND GYNECOLOGY
ALBUQUERQUE, NM 87121
Nurse Practitioner (Family)
3630 LAS ESTANCIAS DR SW
ALBUQUERQUE, NM 87121
Community Health Worker
3630 LAS ESTANCIAS DR SW
ALBUQUERQUE, NM 87121
Nurse Practitioner (Pediatrics)
3630 LAS ESTANCIAS DR SW
ALBUQUERQUE, NM 87121
Physical Therapist
3630 LAS ESTANCIAS DR SW
ALBUQUERQUE, NM 87121
Pediatrics
3630 LAS ESTANCIAS DR SW
ALBUQUERQUE, NM 87121

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 Mario Ernesto Henriquez Alvarenga's NPI number?

The NPI number for Mario Ernesto Henriquez Alvarenga is 1972941813. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Where is Mario Ernesto Henriquez Alvarenga located?

Mario Ernesto Henriquez Alvarenga practices at 3630 Las Estancias Dr SW, Albuquerque, NM 87121. The listed phone number is (505) 462-7777.

What is Mario Ernesto Henriquez Alvarenga's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mario Ernesto Henriquez Alvarenga enrolled in Medicare?

Yes. Mario Ernesto Henriquez Alvarenga 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 Mario Ernesto Henriquez Alvarenga accept?

Health plans from UnitedHealthcare list Mario Ernesto Henriquez Alvarenga 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 Mario Ernesto Henriquez Alvarenga affiliated with any hospitals?

According to CMS data, Mario Ernesto Henriquez Alvarenga is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Mario Ernesto Henriquez Alvarenga was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.