Individual provider Active NPI

William Francis Palko-Schraa, DO

  • Family Medicine Physician
  • Farmington, NM
National Provider Identifier
1487674818
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A-1394-07 Issued in NM
Practice address
4820 E Main St
Farmington, NM 87402-8660
Phone
(505) 326-0459
Fax
(505) 324-0504
NPI assigned
Jul 20, 2006
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A-1394-07 NM Primary
Family Medicine Physician 207Q00000X 31653 CO

Addresses

Primary practice location

4820 E Main St
Farmington, NM 87402-8660

Mailing address

PO Box 844088
Dallas, TX 75284-4088
Phone (505) 609-2258

Other identifiers 1

IdentifierTypeStateIssuer
01316538MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070625000343 NM Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 9537268024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
College of Osteo Med of the Pacific at Pomona, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4820 E Main St
Farmington, NM 87402-8660

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
79.73
Promoting interoperability
100
Improvement activities
40
Cost
78.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31653COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Regional Medical Center Inc CurrentSince Jan 19, 2007 Accepting new patients
San Juan Regional Medical Center Inc Current Accepting new patients
San Juan Regional Medical Center Inc Family Medicine CurrentSince Jan 19, 2007 Accepting new patients
San Juan Regional Medical Center Inc Past Accepting new patients
San Juan Regional Medical Center, Inc. Past Accepting new patients

Locations

120 Llano St
Aztec, NM 87410
Phone (505) 334-3404

407 S Schwartz Ave
Ste 202
Farmington, NM 87401
Phone (505) 609-6595

4251 English Rd
Farmington, NM 87402
Phone (505) 609-6610

4820 E Main St
Farmington, NM 87402
Phone (505) 326-0459

4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1487674818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844088",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844088",
            "telephone_number": "505-609-2258",
            "fax_number": "505-609-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 E MAIN ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874028660",
            "telephone_number": "505-326-0459",
            "fax_number": "505-324-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALKO-SCHRAA",
        "first_name": "WILLIAM",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A-1394-07",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "31653",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01316538",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.