Gilberto Heredia, M.D.
Family Medicine Physician · Albuquerque, NM
Gilberto Heredia, M.D. is a family medicine physician with a practice address in Albuquerque, New Mexico, and NPI 1649299942, issued on Jul 18, 2006. Check the license (New Mexico 98288, as entered in NPPES) on the New Mexico Medical Board; the Medicare figures below come from public CMS files.
- Name
- Gilberto Heredia
- Credential
- M.D.
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 98288 NM
Self-reported in NPPES; status is on the state search - Practice location
- 4901 Lang Ave NE, Albuquerque, NM 87109
- Phone
- (505) 842-8171
- Enumerated
- Jul 18, 2006
- Record last updated
- Jun 12, 2025
- Fax
- (505) 246-0684
- Medicaid ID
- S8635 NM
- Medicare enrollment
- Enrolled (PECOS I20051107000646); accepts Medicare assignment
- Medical or professional school
- Baylor College Of Medicine, 1995
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 1,287 in New Mexico → Look up another NPI →
Also registered at 4901 Lang Ave NE
A shared address usually means a shared clinic or building; it does not show who employs whom.
- James Adair, D.O.Internal Medicine Physician1578524906
- Amyn Alidina, MDMedical Oncology Physician1821088063
- Jose Avitia, MDHematology & Oncology Physician1669511663
- Eddie Benge, MDRheumatology Physician1609982453
- Tyler Booth, FNP-BCFamily Nurse Practitioner1245800986
- Lee BrownSleep Medicine (Internal Medicine) Physician1932293917
Verify Gilberto Heredia in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Mexico Medical Board
Search for license 98288Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3.1 times the Medicare Part D claims of the average family medicine physician in 2024
10,887 Medicare Part D claims for 1,045 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 10% of claims. 688 claims were for opioids.
Most prescribed
- Atorvastatin Calcium522 claims
- Levothyroxine Sodium452 claims
- Lisinopril380 claims
- Gabapentin309 claims
- Amlodipine Besylate293 claims
- Tamsulosin Hcl288 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $722.75
8 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- New Mexico Oncology Hematology Consultants LtdAlbuquerque, NM
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Gilberto Heredia among 1,287 family medicine physician records in New Mexico
Gilberto Heredia, M.D. is one of 1,287 family medicine physician records with a practice address in New Mexico. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 12% of them.
- NPI issued2006 · 12% of these records are older, 51% newer
- In a Medicare fileYes · 72% of these records are
- In the CMS Doctors and Clinicians fileYes · 56% of these records are
- Graduated1995 · median 2008 among the 727 with a school on file
- Record last updated2025 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a New Mexico practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
484 family medicine physician records list a practice address in Albuquerque
They are 484 of the 24,162 NPPES records with a practice address in Albuquerque, and 1,287 family medicine physician records in New Mexico.
All 1,287 in New Mexico → Every provider in Albuquerque → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Charles Chavez, MDAlbuquerque, NM 871091932168713
- Marianne Goshy, MDAlbuquerque, NM 871091588615769
- Thomas Gross, MDAlbuquerque, NM 871091538129879
- Marcus Higi, MDAlbuquerque, NM 871091437125200
- Caleb Lauber, MDAlbuquerque, NM 871091205802642
- Gregory Manoff, MDAlbuquerque, NM 871091386695583
- Charles NorthAlbuquerque, NM 871091598748980
- David Phelps, MDAlbuquerque, NM 871091336127836
Common questions
What is Gilberto Heredia, M.D.'s NPI number?
Gilberto Heredia, M.D.'s National Provider Identifier (NPI) is 1649299942, issued on Jul 18, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Gilberto Heredia, M.D. located?
The NPPES record lists a practice address at 4901 Lang Ave NE, Albuquerque, NM, 87109. Phone: (505) 842-8171. Providers update this record themselves, so call before visiting.
How can I verify Gilberto Heredia, M.D.'s license?
NPPES lists New Mexico license number 98288, as entered by the provider. Search the New Mexico Medical Board at https://www.nmmb.state.nm.us/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Gilberto Heredia, M.D. prescribe under Medicare Part D?
In 2024, Gilberto Heredia, M.D. had 10,887 Medicare Part D claims for 1,045 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.