NPPES file of Aug 9, 2026

Justin Thomas Baca, MD, PHD

Emergency Medicine Physician · Albuquerque, NM

Justin Thomas Baca, MD, PHD is an emergency medicine physician with a practice address in Albuquerque, New Mexico, and NPI 1932341500, issued on Mar 29, 2009. Check the license (New Mexico MD2013-0577, as entered in NPPES) on the New Mexico Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1932341500
Name
Justin Thomas Baca
Credential
MD, PHD
Primary taxonomy
Emergency Medicine Physician 207P00000X
License number
MD2013-0577 NM
Self-reported in NPPES; status is on the state search
Practice location
1 University OF New Mexico # 116025, Albuquerque, NM 87131
Phone
(505) 272-5062
Enumerated
Mar 29, 2009
Record last updated
Dec 30, 2024
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 1 University OF New Mexico # 116025

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Marcus Baca, MDStudent in an Organized Health Care Education/Training Program1386062503
  2. Patrick Carr, PA-CPhysician Assistant1427714336
  3. Sarah Ellsworth, MDStudent in an Organized Health Care Education/Training Program1477305787
  4. Peter HimmelEmergency Medicine Physician1922077346
  5. Valentina RodriguezStudent in an Organized Health Care Education/Training Program1710781836
  6. Brandon WarrickEmergency Medicine Physician1407052921

Verify Justin Thomas Baca in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNew Mexico Medical Board
    Search for license MD2013-0577
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New Mexico license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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87% fewer Medicare Part D claims than the average emergency medicine physician in 2024

29 Medicare Part D claims for 23 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D.

  1. Justin Baca29
  2. Specialty average226

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.

The practice group's MIPS final score for 2023 (Medicare payment program): 65.1 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score34.2
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Justin Thomas Baca among 517 emergency medicine physician records in New Mexico

Justin Thomas Baca, MD, PHD is one of 517 emergency medicine physician records with a practice address in New Mexico. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 55% of them.

  • NPI issued2009 · 55% of these records are older, 42% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileNo · 51% of these records are
  • Record last updated2024 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a New Mexico practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

302 emergency medicine physician records list a practice address in Albuquerque

They are 302 of the 24,162 NPPES records with a practice address in Albuquerque, and 517 emergency medicine physician records in New Mexico.

The 8 emergency medicine physician records with the nearest ZIP codes

  1. Judith Brillman, MDAlbuquerque, NM 871311306851860
  2. Cameron CrandallAlbuquerque, NM 871311902811466
  3. David Doezema, MDAlbuquerque, NM 871311437164993
  4. Katherine Gnauck, MDAlbuquerque, NM 871311134134687
  5. David Gummin, M.D.Albuquerque, NM 871311497702898
  6. Peter HimmelAlbuquerque, NM 871311922077346
  7. Frank Huyler, MDAlbuquerque, NM 871311174538631
  8. Joan Marine, PA-CAlbuquerque, NM 871311487669958

Common questions

What is Justin Thomas Baca, MD, PHD's NPI number?

Justin Thomas Baca, MD, PHD's National Provider Identifier (NPI) is 1932341500, issued on Mar 29, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Justin Thomas Baca, MD, PHD located?

The NPPES record lists a practice address at 1 University OF New Mexico # 116025, Albuquerque, NM, 87131. Phone: (505) 272-5062. Providers update this record themselves, so call before visiting.

How can I verify Justin Thomas Baca, MD, PHD's license?

NPPES lists New Mexico license number MD2013-0577, 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 Justin Thomas Baca, MD, PHD prescribe under Medicare Part D?

In 2024, Justin Thomas Baca, MD, PHD had 29 Medicare Part D claims for 23 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.

What is Justin Thomas Baca, MD, PHD's MIPS final score?

The 2023 MIPS final score is 65.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

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.