Individual provider Active NPI

Mark Cavaretta, MD

  • Surgery Physician
  • Las Cruces, NM
National Provider Identifier
1942400643
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD2024-0085 Issued in NM
Practice address
4351 E Lohman Ave Ste 320
Las Cruces, NM 88011-8262
Phone
(575) 522-4940
Fax
(575) 522-4932
NPI assigned
Jul 20, 2007
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD2024-0085 NM Primary

Addresses

Primary practice location

4351 E Lohman Ave Ste 320
Las Cruces, NM 88011-8262

Mailing address

251 N Roadrunner Pkwy Apt 203
Las Cruces, NM 88011-8097
Phone (716) 440-9669

Other names 1

  • Dr. Mark Cavaretta Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110803000125 NY Practitioner - General Surgery 8224182084 Reassigns benefits to 1 organization
I20240401001002 NM Practitioner - General Surgery 8224182084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Cruces Physician Services LLCGroup PAC ID 8224122759, 104 clinicians
Covenant Medical GroupGroup PAC ID 6901889393, 228 clinicians

Practice addresses (Care Compare)

1135 S Main St
Suite B
Las Cruces, NM 88005-2946
Phone (505) 525-4000

4301 E Lohman Ave
Las Cruces, NM 88011-8255

4311 E Lohman Ave
Las Cruces, NM 88011-8255

4351 E Lohman Ave
Las Cruces, NM 88011-8260

4371 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 522-7798

5419 N Lovington Hwy
Suite 4
Hobbs, NM 88240-9102
Phone (575) 392-3200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC CurrentSince Aug 1, 2020 Accepting new patients
Las Cruces Physician Services LLC CurrentSince Apr 1, 2024 Accepting new patients
Trinity Medical Wny PC Surgery CurrentSince Aug 1, 2020 Accepting new patients
Covenant Medical Group Surgery CurrentSince Jan 1, 2026 Accepting new patients
Covenant Medical Group CurrentSince Jan 1, 2026 Accepting new patients
Las Cruces Medical Center LLC Past Accepting new patients
Familycare Associates,PA Past Accepting new patients

Locations

2000 W 21st St
Ste W7
Clovis, NM 88101
Phone (575) 637-7000

5419 N Lovington Hwy
Ste 4
Hobbs, NM 88240
Phone (505) 392-7537

1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

4351 E Lohman Ave
Ste 320
Las Cruces, NM 88011
Phone (575) 522-0116

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

2625 Harlem Rd
Ste 240
Cheektowaga, NY 14225
Phone (716) 893-0333

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

Interoperability endpoints

  • Direct secure messaging: mark.cavaretta.1@1928.direct.athenahealth.com

Organizations & group practices 7

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1942400643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N ROADRUNNER PKWY APT 203",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118097",
            "telephone_number": "716-440-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE STE 320",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118262",
            "telephone_number": "575-522-4940",
            "fax_number": "575-522-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVARETTA",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "MD2024-0085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "CAVARETTA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.