Active NPI
Byron Drake Erstine, D.O.
- Otolaryngology/Facial Plastic Surgery Physician
- Las Cruces, NM
National Provider Identifier
1487847174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- A-1900-15
- Practice address
- 2907 Hillrise Dr
Las Cruces, NM 88011-4701 - Phone
- (575) 449-8949
- NPI assigned
- Aug 25, 2007
- Last updated
- Feb 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | A-1900-15 | NM | Primary |
Addresses
Primary practice location
2907 Hillrise Dr
Las Cruces, NM 88011-4701
Mailing address
1620 N Main St
Spanish Fork, UT 84660-1008
Phone (801) 822-2234
Other practice location 1
6801 Rogers Ave
Fort Smith, AR 72903-4067
Phone (479) 274-3900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200245010A | Medicaid | OK | |
| 177624003 | Medicaid | AR | |
| 21423059 | Medicaid | NM |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Kansas City Homeopathic Medical College, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3917 W Rd
250 New Mexico Sinus Institute
Los Alamos, NM 87544-5302
Phone (505) 661-4147
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.88 of 100
- Quality
- 73.96
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 74.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-1900-15 | NM | MD | Otolaryngology/Facial Plastic Surgery Physician |
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Los Alamos, NM
- NPI 1194968081
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mountainview Regional Medical Center
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1205882503
-
dba CHRISTUS Southern New Mexico
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
-
dba Memorial Medical Center of Las Cruces
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1487847174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 N MAIN ST",
"city": "SPANISH FORK",
"state": "UT",
"postal_code": "846601008",
"telephone_number": "801-822-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2907 HILLRISE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114701",
"telephone_number": "575-449-8949"
}
],
"practiceLocations": [
{
"address_1": "6801 Rogers Ave",
"address_purpose": "LOCATION",
"city": "Fort Smith",
"state": "AR",
"postal_code": "729034067",
"country_code": "US",
"telephone_number": "479-274-3900",
"fax_number": "479-274-3979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERSTINE",
"first_name": "BYRON",
"middle_name": "DRAKE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-25",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "NM",
"license": "A-1900-15",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200245010A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177624003",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21423059",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.