Melanie Baca, MD
NPI 1356608269 · Student in an Organized Health Care Education/Training Program · Albuquerque, NM
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Melanie Baca, MD is a Student in an Organized Health Care Education/Training Program provider in Albuquerque, NM (NPI 1356608269).
Provider details
- NPI number
- 1356608269
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD-2015-0082 (NM)
Specialties & taxonomies
Student, Health Care
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
101 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 35 | $80 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 20 | $68 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 18 | $96 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 17 | $53 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 11 | $176 |
Typical Medicare-allowed amounts for these services range $53–$176 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 11 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 23 |
| Levothyroxine Sodium | 20 |
| Oxycodone Hcl | 20 |
| Atorvastatin Calcium | 17 |
| Gabapentin | 17 |
| Tramadol Hcl | 14 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 14 |
| Losartan Potassium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$117 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-04-16
- Last updated
- 2024-12-30
- Certified
- 2024-12-30
Frequently asked questions
- What is Melanie Baca's NPI number?
- Melanie Baca's National Provider Identifier (NPI) is 1356608269, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Melanie Baca's specialty?
- Melanie Baca is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Melanie Baca located?
- Melanie Baca's practice location on file with NPPES is Msc 09 5040 1 University of New Mexico, Albuquerque, NM 87131-0001.
- What is Melanie Baca's phone number?
- The practice phone number listed in the NPPES registry for Melanie Baca is (505) 272-2111.
- Does Melanie Baca accept Medicare?
- Melanie Baca is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Melanie Baca's NPI active?
- Yes — Melanie Baca's NPI (1356608269) is active in the NPPES registry as of the last update on 2024-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.