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MR. ADRIAN A MICHAEL M.D.
NPI 1992844989
Internal Medicine - Rheumatology in La Mesilla, NM

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1770 TIERRA DE MESILLA, LA MESILLA, NM 88046(575) 526-9189(575) 652-4064 Get Directions Write a Review

NPPES record last updated: May 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Adrian A Michael M.d. NPPES

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

MR. ADRIAN A MICHAEL M.D. (NPI 1992844989) is an individual rheumatology provider in La Mesilla, New Mexico, licensed in New Mexico (MD2006-0771) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Gerald Champion Regional Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1992844989
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameMR. ADRIAN A MICHAELCredential: M.D.
Location Address1770 TIERRA DE MESILLALa Mesilla, NM 88046
Mailing AddressPo Box 1268Mesilla, NM 88046-1268 · (575) 526-9189 · Fax (575) 652-4064
Phone(575) 526-9189
Fax(575) 652-4064
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 6, 2007
Last NPPES UpdateMay 7, 2014
✔ NPI 1992844989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in NM · MD2006-0771✔ Licensed in TX · N8041
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD2006-0771 (NM), 2004-0251 (NM)
1770 TIERRA DE MESILLA, La Mesilla, NM 88046
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Other Identifiers 2

Medicaid84576863NM
Medicare UPINNMA102663NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma 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

Mr. Adrian A Michael 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 ID2961555842
PECOS Enrollment IDI20090727000132
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 11

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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
60,800 services19 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
14,825 services25 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,800 services17 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
320 services33 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.
298 services176 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
278 services38 patients

Hospital Affiliations CMS Care Compare 5

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

Gerald Champion Regional Medical Center

Acute Care Hospitals · Alamogordo, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320004
Location2669 Scenic DriveAlamogordo, NM 88310 · Otero County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Las Cruces, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320018
Location2450 South Telshor BlvdLas Cruces, NM 88011 · Dona Ana County
Emergency services Birthing friendly

Mountain View Regional Medical Center

Acute Care Hospitals · Las Cruces, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320085
Location4311 East Lohman AvenueLas Cruces, NM 88011 · Dona Ana County
Emergency services Birthing friendly

Mimbres Memorial Hospital

Critical Access Hospitals · Deming, NM
OwnershipProprietary
CMS Certification Number321309
Location900 W AshDeming, NM 88030 · Luna County
Emergency services

Gila Regional Medical Center

Critical Access Hospitals · Silver City, NM
OwnershipGovernment - Local
CMS Certification Number321311
Location1313 E 32nd StSilver City, NM 88061 · Grant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88046 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
$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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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…
20%423 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,709 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
52%976 patients2/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
2%139 patients1/55-star benchmark: 98%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
3%596 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%596 patients4/55-star benchmark: 100%
Psoriasis: Tuberculosis (TB) Prevention for Patients with Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier
Percentage of patients whose providers are ensuring active tuberculosis prevention either through yearly negative standard tuberculosis screening tests or are reviewing the patient's history to determine if they have had appropriate management for a recent or…
90%239 patients
Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis
Percentage of patients aged 18 years and older with a diagnosis of rheumatoid arthritis (RA) who have an assessment and classification of disease prognosis at least once within 12 months
80%421 patients4/55-star benchmark: 100%
Rheumatoid Arthritis (RA): Glucocorticoid Management
Percentage of patients aged 18 years and older with a diagnosis of rheumatoid arthritis (RA) who have been assessed for glucocorticoid use and, for those on prolonged doses of prednisone >= 10 mg daily (or equivalent) with improvement or no change in disease…
80%417 patients4/55-star benchmark: 100%
Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity
Percentage of patients aged 18 years and older with a diagnosis of rheumatoid arthritis (RA) who have an assessment and classification of disease activity within 12 months
78%421 patients4/55-star benchmark: 100%
Rheumatoid Arthritis (RA): Tuberculosis Screening
Percentage of patients aged 18 years and older with a diagnosis of rheumatoid arthritis (RA) who have documentation of a tuberculosis (TB) screening performed and results interpreted within 6 months prior to receiving a first course of therapy using a…
33%64 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
44%596 patients3/55-star benchmark: 79%
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.

Other Providers at the Same Location NPPES

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

ARTHRITIS TREATMENT SPECIALISTS, LLC
Internal Medicine (Rheumatology)
1770 TIERRA DE MESILLA
LA MESILLA, NM 88046
Doña Ana County (575) 526-9189

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 Adrian Michael's NPI number?

The NPI number for Adrian Michael is 1992844989. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Adrian Michael located?

Adrian Michael practices at 1770 Tierra De Mesilla, La Mesilla, NM 88046. The listed phone number is (575) 526-9189.

What is Adrian Michael's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Adrian Michael enrolled in Medicare?

Yes. Adrian Michael 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 Adrian Michael accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Texas list Adrian Michael 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 Adrian Michael affiliated with any hospitals?

According to CMS data, Adrian Michael is affiliated with Gerald Champion Regional Medical Center, Memorial Medical Center, Mountain View Regional Medical Center, Mimbres Memorial Hospital and Gila Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Adrian Michael was last updated on May 7, 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.