Doctor profile · Federal record
Dr. Carla Rudolph, DO
General Practice Physician · Edgewood, NM
- NPI 1104182328
- MIPS 80.3 / 100 · 2023
- 14 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1851 Old US 66
Edgewood, NM 870157200
(505) 286-2396
Credentials & registration
- NPI registered
- April 2012 — 14 yrs on file
- Profile last updated
- May 4, 2020
- Specialty taxonomy
- 208D00000X — NUCC code
- State license (1)
- New Mexico #A-1770-13
- Medicaid
- NC #1104182328
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104182328. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
194
Distinct HCPCS
7
Medicare allowed
$14,654
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 63 | 61 | $117 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 34 | 34 | $157 | |
87426 |
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 25 | 25 | $35 | |
87804 |
Detection test by immunoassay with direct visual observation for influenza virus | 25 | 14 | $16 | |
81003 |
Automated urinalysis test | 17 | 17 | $2 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 16 | 16 | $14 | |
71046 |
X-ray of chest, 2 views | 14 | 14 | $31 |
In context: peer comparison
Among 1 peers in Edgewood General Practice Physician, average services per provider: 27. This provider delivers 7.2× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
520
Patients
213
Total drug cost
$6,915
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 94 | 47 | $1,397 |
| Lisinopril | Generic | 71 | 34 | $821 |
| Losartan Potassium | Generic | 55 | 25 | $962 |
| Levothyroxine Sodium | Generic | 50 | 27 | $640 |
| Sertraline Hcl | Generic | 33 | 11 | $310 |
| Amlodipine Besylate | Generic | 25 | 11 | $101 |
| Metoprolol Succinate | Generic | 25 | 0 | $409 |
| Omeprazole | Generic | 24 | 0 | $364 |
| Famotidine | Generic | 23 | 0 | $402 |
| Hydrochlorothiazide | Generic | 23 | 12 | $123 |
Frequently asked questions
What is Dr. Carla Rudolph's medical specialty?
Dr. Carla Rudolph practices General Practice Physician in Edgewood, NM.
Where does Dr. Carla Rudolph practice?
Dr. Carla Rudolph practices at 1851 Old US 66, Edgewood, NM 870157200. Office phone: 5052862396.
What is Dr. Carla Rudolph's NPI?
Dr. Carla Rudolph's National Provider Identifier (NPI) is 1104182328, issued by NPPES.
What procedures does Dr. Carla Rudolph commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204); Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS 87426). Source: CMS Medicare Physician & Other Practitioners file.