NPIMap

Individual provider Active NPI

Christine Isabel Clavell, MD

  • Ophthalmology Physician
  • Albuquerque, NM
National Provider Identifier
1124382056
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD2017-0899 Issued in NM
Practice address
4411 The 25 Way NE Ste 325
Albuquerque, NM 87109-5853
Phone
(505) 823-4411
Fax
(505) 343-6085
NPI assigned
Jun 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X MD2017-0899 NM
Ophthalmology Physician 207W00000X MD2017-0899 NM Primary

Addresses

Primary practice location

4411 The 25 Way NE Ste 325
Albuquerque, NM 87109-5853

Mailing address

1 Medical Center Dr
Morgantown, WV 26506-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171128003130 NM Practitioner - Ophthalmology 1759672827 Reassigns benefits to 1 organization
I20220705000575 WV Practitioner - Ophthalmology 1759672827

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of New Mexico LTDGroup PAC ID 4486643616, 66 clinicians

Practice addresses (Care Compare)

4411 The 25 Way NE
Suite 325
Albuquerque, NM 87109-5853
Phone (505) 983-6613

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Quality
87.66
Promoting interoperability
100
Improvement activities
40
Cost
69.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2017-0899NMMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of New Mexico LTD Ophthalmology CurrentSince Jul 2, 2024 Accepting new patients
Eye Associates of New Mexico LTD Ophthalmology CurrentSince Jul 2, 2024 Accepting new patients

Locations

4411 The 25 Way NE
Ste 325
Albuquerque, NM 87109
Phone (505) 823-4411

8801 Horizon Blvd NE
Ste 360
Albuquerque, NM 87113
Phone (505) 246-2622

1740 Grande Blvd SE
Ste B
Rio Rancho, NM 87124
Phone (505) 892-3434

1606 SE Main St
Roswell, NM 88203
Phone (575) 624-0370

2947 Rodeo Park Dr E
Santa Fe, NM 87505
Phone (505) 474-9880

Interoperability endpoints

  • Direct secure messaging: christine.clavell.p1@direct.eyenm.nextgenshare.com
  • Direct secure messaging: cclavell321296@direct.wvuhsdirect.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1124382056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265061200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 THE 25 WAY NE STE 325",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095853",
            "telephone_number": "505-823-4411",
            "fax_number": "505-343-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAVELL",
        "first_name": "CHRISTINE",
        "middle_name": "ISABEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NM",
            "license": "MD2017-0899",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "MD2017-0899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.