Active NPI
Gustavo Barrazueta, M.D.
- Orthopaedic Surgery Physician
- Carlsbad, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD2024-0466
- 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
- Last updated
- Jun 7, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| 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 | Primary |
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 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gustavo.barrazueta.1@1739.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, NM, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 264108 | MA | MD | Orthopaedic Surgery Physician |
| MD2024-0466 | NM | MD | Orthopaedic Surgery Physician |
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
2402 W Pierce St
Ste 6E
Carlsbad, NM 88220
Phone (505) 885-0995
2420 W Pierce St
Ste 200
Carlsbad, NM 88220
Phone (505) 885-0600
Interoperability endpoints
- gustavo.barrazueta.1@1739.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Carlsbad, NM
- NPI 1972569820
-
- Family Medicine Physician
- Vicksburg, MS
- NPI 1790711158
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Artesia, NM
- NPI 1437286044
-
dba Carlsbad Medical Center - Rehab
- Rehabilitation Hospital Unit
- Carlsbad, NM
- NPI 1114949781
-
dba Carlsbad Medical Center
- General Acute Care Hospital
- Carlsbad, NM
- NPI 1790722346
-
- Critical Access Hospital
- Lovington, NM
- NPI 1881630036
-
dba Eastern New Mexico Medical Center
- General Acute Care Hospital
- Roswell, NM
- NPI 1447221742
-
dba Merit Health River Region
- General Acute Care Hospital
- Vicksburg, MS
- NPI 1215981303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1154701670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2402 W PIERCE ST STE 6E",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882203566",
"telephone_number": "575-628-0312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2402 W PIERCE ST STE 6E",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882203566",
"telephone_number": "575-628-0312",
"fax_number": "575-628-8015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRAZUETA",
"first_name": "GUSTAVO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-01",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MA",
"license": "264108",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "35.142413",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NM",
"license": "MD2024-0466",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gustavo.barrazueta.1@1739.direct.athenahealth.com",
"affiliation": "N",
"address_1": "2402 W Pierce St Ste 6E",
"city": "Carlsbad",
"state": "NM",
"country_code": "US",
"postal_code": "882203566",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carlsbad, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.