Gustavo Barrazueta, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Carlsbad, NM
NPI 1154701670 · NPPES record last updated Jun 7, 2024
Key facts
- NPI
- 1154701670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- MD2024-0466 (NM)
- Practice address
- 2402 W Pierce St Ste 6E
Carlsbad, NM 88220-3566 - Phone
- (575) 628-0312
- Fax
- (575) 628-8015
- NPI assigned
- Jun 1, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vicksburg Clinic LLC
Pecos Valley of New Mexico LLC
Practice addresses (Care Compare)
2200 Hwy 61 N
Suite 1400
Vicksburg, MS 39183-8246
Phone (601) 883-3391
2402 W Pierce St
Carlsbad, NM 88220-3566
2420 W Pierce St
Carlsbad, NM 88220-3518
2430 W Pierce St
Carlsbad, NM 88220-3553
Phone (575) 885-0995
Hospital & facility affiliations
- Carlsbad Medical Center
- Merit Health River Region
- Nor-Lea Hospital District
- Artesia General Hospital
- Eastern New Mexico Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.53 of 100
- Quality
- 79.07
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 27 |
| Removal of tissue | 11 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AZ, NM, MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231116001118 | AZ | Practitioner - Orthopedic Surgery | 7012212756 | |
| I20240521000921 | NM | Practitioner - Orthopedic Surgery | 7012212756 | Reassigns benefits to 1 organization |
| I20260120001391 | MS | Practitioner - Orthopedic Surgery | 7012212756 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vicksburg Clinic LLC | Current |
Accepting new patients | |
| Pecos Valley of New Mexico, LLC | Current |
Accepting new patients |
Locations
104 McAuley Dr
Vicksburg, MS 39183
Phone (601) 638-7271
2200 Highway 61 N
Ste 1400
Vicksburg, MS 39183
Phone (601) 883-3391
2420 W Pierce St
Ste 200
Carlsbad, NM 88220
Phone (505) 885-0600
2402 W Pierce St
Ste 6E
Carlsbad, NM 88220
Phone (505) 885-0995
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 264108 | MA | |
| Orthopaedic Surgery Physician | 207X00000X | 35.142413 | OH | |
| Orthopaedic Surgery Physician | 207X00000X | MD2024-0466 | NM | Yes |
Addresses
Primary practice location
2402 W Pierce St Ste 6E
Carlsbad, NM 88220-3566
Mailing address
2402 W Pierce St Ste 6E
Carlsbad, NM 88220-3566
Phone (575) 628-0312
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gustavo.barrazueta.1@1739.direct.athenahealth.com |
Other providers in Carlsbad, NM
- Darla Ann Bannister
- Taylor Alexis Barela
- Sherrie Barlow
- Jonathan Wayne Barnett
- Lason Jay Barney
- Raymond Alan Bedgood
- Sonja D Bedinger
- Sylvia Beeman
- Savita Francis Bell
- Tracy Bellah
All providers in Carlsbad, NM · Orthopaedic Surgery Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.