DR. ANDRES PLAZA (MD) – Family Medicine Physician, NPI 1245893445
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
999 FAMILY PRACTICE in NM
Provider Addresses for DR. ANDRES PLAZA (MD)
MSC (FAMILY MEDICINE) 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 871310001
Phone: (505) 272-6607
Fax: (505) 272-1348
Type: Location
Msc (Family Medicine) 1 University Of New Mexico
Albuquerque, NM 871310001
Phone: (505) 272-6607
Fax: (505) 272-1348
Type: Location
500 WALTER ST NE STE 110
ALBUQUERQUE, NM 871022541
Phone: (505) 727-8360
Fax: (505) 727-8768
Type: Mailing
601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 871023619
Phone: (505) 727-8360
Fax: (505) 727-8768
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-07-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220722000577 | I | Family Practice | NM | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 353 | 148 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 196 | 94 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 98 | 95 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 35 | 35 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 87131)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Nurse Practitioner | NH | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | MD | |
| Hospitalist, Internal Medicine | NJ | |
| Physician Assistant | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | ME |
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