Doctor profile · Federal record
Dr. Gilberto Heredia, M.D.
Family Medicine Physician (CMS: Family Practice) · Albuquerque, NM
- NPI 1649299942
- Accepts Medicare
- 31 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4901 Lang Ave Ne
Albuquerque, NM 871094397
(505) 842-8171
fax (505) 246-0684
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- June 12, 2025
- Year of graduation
- 1995 — 31 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- New Mexico #98288
- Medicaid
- NM #S8635
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1649299942. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
136
Distinct HCPCS
3
Medicare allowed
$12,653
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 75 | 49 | $122 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 38 | 35 | $86 | |
83036 |
Hemoglobin a1c level | 23 | 16 | $10 |
In context: peer comparison
Among 104 peers in this city , average services per provider: 76. This provider delivers 1.8× the peer median.Open Payments
Industry payments received
All-time total
$723
Transactions
8
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 2 | $254.27 | |
| Phathom Pharmaceuticals, Inc. | 2 | $197.74 | |
| Amgen Inc. | 2 | $119.30 | |
| Novo Nordisk Inc | 1 | $118.44 | |
| Lilly USA, LLC | 1 | $33.00 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
3,777
Patients
1,335
Total drug cost
$62,688
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 422 | 151 | $6,854 |
| Levothyroxine Sodium | Generic | 377 | 120 | $7,335 |
| Lisinopril | Generic | 353 | 122 | $3,523 |
| Gabapentin | Generic | 311 | 117 | $7,524 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 280 | 84 | $5,493 |
| Amlodipine Besylate | Generic | 270 | 95 | $2,239 |
| Tamsulosin Hcl | Generic | 239 | 92 | $7,365 |
| Metformin Hcl | Generic | 222 | 83 | $2,238 |
| Rosuvastatin Calcium | Generic | 215 | 76 | $3,303 |
| Losartan Potassium | Generic | 208 | 77 | $3,277 |
Frequently asked questions
What is Dr. Gilberto Heredia's medical specialty?
Dr. Gilberto Heredia practices Family Medicine Physician in Albuquerque, NM.
Where does Dr. Gilberto Heredia practice?
Dr. Gilberto Heredia practices at 4901 Lang Ave Ne, Albuquerque, NM 871094397. Office phone: 5058428171.
What is Dr. Gilberto Heredia's NPI?
Dr. Gilberto Heredia's National Provider Identifier (NPI) is 1649299942, issued by NPPES.
Does Dr. Gilberto Heredia accept Medicare assignment?
Yes. Dr. Gilberto Heredia accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Gilberto Heredia commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Hemoglobin a1c level (HCPCS 83036). Source: CMS Medicare Physician & Other Practitioners file.