What is Ethan Prairie's NPI number?

Ethan Prairie's National Provider Identifier (NPI) is 1134749195, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Prairie's specialty?

Ethan Prairie is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Ethan Prairie located?

Ethan Prairie's practice location on file with NPPES is 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906.

What is Ethan Prairie's phone number?

The practice phone number listed in the NPPES registry for Ethan Prairie is (505) 462-6000.

Does Ethan Prairie accept Medicare?

Ethan Prairie is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Ethan Prairie's NPI active?

Yes — Ethan Prairie's NPI (1134749195) is active in the NPPES registry as of the last update on 2023-12-29.

IndividualActiveAccepts Medicare

Ethan Prairie, MD

NPI 1134749195 · Family Medicine Physician · Rio Rancho, NM

Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Ethan Prairie, MD is a Family Medicine Physician provider in Rio Rancho, NM (NPI 1134749195).

Provider details

NPI number: 1134749195
Entity type: Individual
Primary specialty: Family Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: MD2023-0538 (NM)

Specialties & taxonomies

Family Medicine PhysicianPrimary207Q00000XLicense MD2023-0538 (NM)
Allopathic & Osteopathic Physicians

Profile Score

Established profile(52/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
6 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
1 documented practice location
Medicare service volume (vs. specialty peers)28% of score
449 Medicare services, 2024 (ranked within specialty)

Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214	364	$79
Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213	57	$55
Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439	17	$93
New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204	11	$120

Typical Medicare-allowed amounts for these services range $55–$120 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

What this provider prescribes (Medicare Part D)

Top drugs by Medicare Part D claim volume, 2024 · 86 distinct drugs on file.

Drug	Part D claims (2024)	Beneficiaries
Atorvastatin Calcium	359	113
Gabapentin	331	68
Levothyroxine Sodium	331	101
Losartan Potassium	223	70
Amlodipine Besylate	201	68
Lisinopril	173	63
Omeprazole

Practice location

4005 High Resort Blvd Se

Rio Rancho, NM 87124-5906

Phone: (505) 462-6000

Street-level locationGet directions

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Mailing address