DHHS,PHS,Naihs, Gallup Indian Medical Center

A Medicare group practice based in Gallup, NM: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 3173436409), with 620 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3173436409The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Indian Health Services Facility, Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
Enrolled in
NM, TX
Enrollments
3
Group size
179 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20031111000840 TX Part B Supplier - Clinic/Group Practice 1225002322
O20071220000593 TX Part B Supplier - Ambulatory Surgical Center 1184890899
O20080912000330 NM Part A Provider - Indian Health Services Facility 1225002322

NPIs in this group 7

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
78.18 of 100Reported as group, on the record of 154 clinicians in this group
Quality
61.12
Improvement activities
40
Cost
81.87

Clinicians 620

Page 1 of 7

Clinicians who reassign their Medicare benefits to this group (617) or whom Care Compare lists as members (179).

Sources for this page