DR. BETTE C ALLEN M.D.
NPI 1255402558
Internal Medicine in Albuquerque, NM
NPI Status: Active since November 10, 2006
Contact Information
5901 HARPER DRIVE NE
PRESBYTERIAN WOUND CENTER
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 823-8870
Fax: (505) 823-8875
- Individual
- Female
- Internal Medicine
- PECOS Enrolled
- Medicare Quality Reporting
About BETTE ALLEN
This page provides the complete NPI Profile along with additional information for Bette Allen, an internist established in Albuquerque, New Mexico with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1255402558 assigned on November 2006. The practitioner's primary taxonomy code is 207R00000X with license number 97-179 (NM). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1255402558
- Provider Name
- DR. BETTE C ALLEN M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5901 HARPER DRIVE NE PRESBYTERIAN WOUND CENTER ALBUQUERQUE, NM 87109
- Location Phone
- (505) 823-8870
- Location Fax
- (505) 823-8875
- Mailing Address
- 9608 PERALTA RD NE ALBUQUERQUE, NM 87109
- Mailing Phone
- (505) 797-0286
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-10-2006
- Last Update Date
- 01-23-2012
- Code Navigator
An internist like Bette Allen is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 97-179
- License State
- NM
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | 97-179 (NM) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
E88042 | MEDICARE UPIN (02) | NM |
Medicare Participation & PECOS Enrollment Status
Bette Allen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up nursing facility visit per day, typically 35 minutes
Follow-up nursing facility visit per day, typically 35 minutes
Initial hospital inpatient care per day, typically 70 minutes
Nursing facility annual assessment, typically 30 minutes
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
This service was performed 55 times for 26 patientsA follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
This service was performed 306 times for 34 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 17 times for 17 patientsAn annual assessment at a nursing facility is a routine check-up that typically lasts about 30 minutes. It's a chance for healthcare professionals to evaluate your overall health and wellness, monitor any ongoing conditions, and adjust care plans as needed.
This service was performed 16 times for 16 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 87109 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.21
- Minimum New Patient Price $54.26
- Maximum New Patient Price $166.8
- Average New Patient Copayment $31.55
- Minimum New Patient Copayment $13.56
- Maximum New Patient Copayment $41.7
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.38
- Minimum Established Patient Price $17
- Maximum Established Patient Price $135.35
- Average Established Patient Copayment $24.09
- Minimum Established Patient Copayment $4.25
- Maximum Established Patient Copayment $33.83
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Consultation of the Prescription Drug Monitoring Program | Yes | N/A |
Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance. | ||
Depression screening | Yes | N/A |
Depression screening and follow-up plan: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including depression screening and follow-up plan (refer to NQF #0418) for patients with co-occurring conditions of behavioral or mental health conditions. | ||
Diabetes: Medical Attention for Nephropathy | 14% | 36 |
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period | ||
Patient-Specific Education | 1% | 300 |
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
Pneumococcal Vaccination Status for Older Adults | 3% | 118 |
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 23% | 275 |
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
Security Risk Analysis | Yes | N/A |
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
Use of High-Risk Medications in the Elderly | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 118 |
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 5 | 5 | 4 | 0 | 2 | 5 | 5 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 10 | 5 | 8 | 0 | 4 | 5 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 0 + 5 + 8 + 0 + 4 + 5 + 1 + 0 + 24 = 52 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 52 = 8 | 8 |
The NPI number 1255402558 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1285728923 | YVONNE MARIE ASHBAUGH NP Individual | Nurse Practitioner (Acute Care) | 5901 HARPER DRIVE NE PHS WOUND CENTER ALBUQUERQUE, NM 87109 (505) 823-8870 |
1942285473 | CARMELA C MONDRAGON CNP Individual | Nurse Practitioner | 5901 HARPER DRIVE NE PMG URGENT CARE ALBUQUERQUE, NM 87109 (505) 823-8519 |
1023682580 | LIZETTE ALEJANDRA SIDRANSKY-ULLOA CNP Individual | Nurse Practitioner | 5901 HARPER DRIVE NE ALBUQUERQUE, NM 87109 (505) 823-8870 |
1588773816 | VALDA L VIGIL-ST ARNOLD PA-C Individual | Physician Assistant | 5901 HARPER DRIVE NE PMG URGENT CARE ALBUQUERQUE, NM 87109 (505) 823-8519 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255402558, enumerated in the NPI registry as an "individual" on November 10, 2006
The provider is located at 5901 Harper Drive Ne Presbyterian Wound Center Albuquerque, Nm 87109 and the phone number is (505) 823-8870
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $126.21 with an average copayment of $31.55 for new patient appointments. Established patients should expect a typical charge of $96.38 and an average copayment of 24.09. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Follow-up nursing facility visit per day, typically 35 minutes, Follow-up nursing facility visit per day, typically 35 minutes, Initial hospital inpatient care per day, typically 70 minutes and Nursing facility annual assessment, typically 30 minutes.
This NPI record was last updated on November 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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