Carlos J Esparza, MD - Medicare Physical Medicine And Rehabilitation in Albuquerque, NM

Carlos J Esparza, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Albuquerque, New Mexico. He went to Un Of California, Irvine, College Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Carlos J Esparza Md Pc and his current practice location is 3846 Masthead St Ne, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 242-1711.

Carlos J Esparza is licensed to practice in New Mexico (license number 97227) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255399630.

Contact Information

Carlos J Esparza, MD
3846 Masthead St Ne,
Albuquerque, NM 87109-4479
(505) 242-1711
(505) 242-0291

Map and Direction




Physician's Profile

Full NameCarlos J Esparza
GenderMale
SpecialityPhysical Medicine And Rehabilitation
Experience32 Years
Location3846 Masthead St Ne, Albuquerque, New Mexico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carlos J Esparza attended and graduated from Un Of California, Irvine, College Of Medicine in 1992
  NPI Data:
  • NPI Number: 1255399630
  • Provider Enumeration Date: 05/03/2006
  • Last Update Date: 12/01/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2062489172
  • Enrollment ID: I20080122000151

Medical Identifiers

Medical identifiers for Carlos J Esparza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255399630NPI-NPPES
000Q2804MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 97227 (New Mexico)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carlos J Esparza Md Pc66088437012

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carlos J Esparza allows following entities to bill medicare on his behalf.
Entity NameCarlos J Esparza Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366469314
PECOS PAC ID: 6608843701
Enrollment ID: O20040916000443

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carlos J Esparza is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carlos J Esparza, MD
3846 Masthead St Ne,
Albuquerque, NM 87109-4479

Ph: (505) 242-1711
Carlos J Esparza, MD
3846 Masthead St Ne,
Albuquerque, NM 87109-4479

Ph: (505) 242-1711

Reviews and Comments


Physical Medicine & Rehabilitation Doctors in Albuquerque, NM

Mark A Gould, PA
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 1524 Eubank Blvd Ne Ste 6, Albuquerque, NM 87112
Phone: 505-503-8806    Fax: 888-503-8511
Dr. Julie A Muche, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106
Phone: 541-342-2134    Fax: 541-242-4227
Clifford R Stoller, M.D.
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 6100 Seagull St Ne, Suite 106, Albuquerque, NM 87109
Phone: 505-883-4395    Fax: 505-883-4397
Joy Iris Schoenherr, P.T., D.P.T.
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 818 Menaul Blvd Nw, Albuquerque, NM 87107
Phone: 505-242-4079    Fax: 505-242-2094
Ms. Debra Green, MSN, C-FNP
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 1524 Eubank Blvd Ne Ste 6, Albuquerque, NM 87112
Phone: 505-503-8600    Fax: 888-503-8511
Pranamya Suri, MD
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 2100 Louisiana Blvd Ne Ste 410, Albuquerque, NM 87110
Phone: 505-724-4300    Fax: 505-724-4384
Dr. Joshu Alan Raiten, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 500 Walter St Ne, Albuquerque, NM 87102
Phone: 505-727-7177    Fax: 505-727-3778

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.