EDGAR R CORDIVIN MD
NPI 1992760250
Radiology - Diagnostic Radiology in Gallup, NM

Active since April 19, 2006PECOS Enrolled
70.58/100
CMS Quality Rating
516 EAST NIZHONI BLVD., GALLUP, NM 87301(505) 722-1000(505) 722-1192 Get Directions Write a Review

NPPES record last updated: April 9, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgar R Cordivin Md NPPES

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

EDGAR R CORDIVIN MD (NPI 1992760250) is an individual diagnostic radiology provider in Gallup, New Mexico, licensed in Arizona (16830) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992760250
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameEDGAR R CORDIVINCredential: MD
Location Address516 EAST NIZHONI BLVD.Gallup, NM 87301-1337
Mailing Address1441 N 12th StPhoenix, AZ 85006-2837
Fax(505) 722-1192
Sole ProprietorNo
Enumeration DateApril 19, 2006
Last NPPES UpdateApril 9, 2014
NPI 1992760250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in AZ · 16830
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
516 EAST NIZHONI BLVD., Gallup, NM 87301

Other Identifiers 4

Medicare PINZ116272
Medicare UPINF06685
Medicaid182767AZ
Medicare ID-Type Unspecified73738

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Edgar R Cordivin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
17 services17 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
17 services11 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
15 services13 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
15 services15 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
12 services11 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87301 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.

70.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality39.68
Promoting Interoperability79
Improvement Activities40
Cost63.1

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.

Pediatrics
516 EAST NIZHONI BLVD.
GALLUP, NM 87301
Anesthesiology
516 EAST NIZHONI BLVD.
GALLUP, NM 87301
Nurse Anesthetist, Certified Registered
516 EAST NIZHONI BLVD.
GALLUP, NM 87301
Advanced Practice Midwife
516 EAST NIZHONI BLVD.
GALLUP, NM 87301
Surgery (Trauma Surgery)
516 EAST NIZHONI BLVD.
GALLUP, NM 87301
Dentist (Oral and Maxillofacial Surgery)
516 EAST NIZHONI BLVD.
GALLUP, NM 87301
Orthopaedic Surgery
516 EAST NIZHONI BLVD.
GALLUP, NM 87301
Nurse Practitioner
516 EAST NIZHONI BLVD.
GALLUP, NM 87301

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 Edgar Cordivin's NPI number?

The NPI number for Edgar Cordivin is 1992760250. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Edgar Cordivin located?

Edgar Cordivin practices at 516 East Nizhoni Blvd., Gallup, NM 87301. The listed phone number is (505) 722-1000.

What is Edgar Cordivin's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Edgar Cordivin enrolled in Medicare?

Yes. Edgar Cordivin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edgar Cordivin was last updated on April 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.