Steven John Petrakis

Home > Steven John Petrakis

NPI Number Detailed Information

Provider Information:

Name:	Steven John Petrakis
Gender:	M
Provider License Number If Given:	NM96-117

NPI Information:

NPI:	1265591606
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	12/8/2006
Last Update Date:	8/11/2011

Provider Business Mailing Address:

Address:	500 NORTH MUNDO Dulce, NM 87528
Phone Number:	5757593291
Fax Number:	5757597294

Provider Business Practice Location Address:

Address:	500 NORTH MUNDO Dulce, NM 87528
Phone Number:	5757593291
Fax Number:	5757597294

Provider Taxonomy:

Primary:	207Q00000X
Secondary (if any):
State:	NM

Top Doctors in NM

About Steven John Petrakis

Steven John Petrakis ( STEVEN JOHN PETRAKIS ) is Family Family Medicine Physician in Dulce, NM. The NPI Number for Steven John Petrakis is 1265591606.

The current location address for Steven John Petrakis is 500 NORTH MUNDO Dulce, NM 87528 and the contact number is 5757593291 and fax number is 5757597294. The mailing address for Steven John Petrakis is 500 NORTH MUNDO Dulce, NM 87528- 5757593291 (mailing address contact number - 5757593291).

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Steven John Petrakis ?

Answer: The NPI Number for Steven John Petrakis is 1265591606

Where is Steven John Petrakis located?

Answer: Steven John Petrakis is located at 500 NORTH MUNDO Dulce, NM 87528.

What is the specialty for Steven John Petrakis ?

Answer: The Specialty of Steven John Petrakis is Family Family Medicine Physician.

Are there any online reviews for Steven John Petrakis ?

Answer: Not yet!

Are there any other health care providers in Dulce, NM?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Steven John Petrakis

Number of HCPCS	17
Number of Medicare Beneficiaries	64
Number of Services	179
Total Submitted Charge Amount	9398.28
Total Medicare Allowed Amount	9290.39
Total Medicare Payment Amount	6111.91
Total Medicare Standardized Payment Amount	6150.87
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	17
Number of Medicare Beneficiaries With Medical	64
Number of Medical Services	179
Total Medical Submitted Charge Amount	9398.28
Total Medical Medicare Allowed Amount	9290.39
Total Medical Medicare Payment Amount	6111.91
Total Medical Medicare Standardized Payment Amount	6150.87
Average Age of Beneficiaries	70
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	35
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	34
Number of Male Beneficiaries	30
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.25
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes	0.41
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension	0.33
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis	0
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.27
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.0094

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	240
Number of Standardized 30-Day Fills	256
Aggregate Cost Paid for All Claims	47699.23
Number of Day's Supply for All Claims	5932
Number of Medicare Beneficiaries	34
Number of Claims, Including Refills, for Beneficiaries Age 65+	93
Including Refills, for Beneficiaries Age 65+	95
Beneficiaries Age 65+	37957.77
Number of Day's Supply for All Claims for Beneficaries Age 65+	2050
Number of Medicare Beneficiaries Age 65+	21
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst	#
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	173
Aggregate Cost Paid for Generic Drugs	1455.43
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst	*
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	93
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	3749.51
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	147
Aggregate Cost Paid for Claims Filled by	43949.72
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	179
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	14340.14
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	61
by Low-Income Subsidy	33359.09
Total Claims of Opioid Drugs, Including	0
Aggregate Cost Paid for Opioid Drugs	0
Opioid Claims	0
Opioid_Tot_Clms divided by the Tot_Clms	0
Total Claims of Long-Acting Opioid Drugs	0
Aggregate Cost Paid for Long-Acting Opioid	0
Number of Day's Supply of All Long-Acting	0
Long-Acting Opioid Claims	0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including	15
Aggregate Cost Paid for Antibiotic Drugs	136.87
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	0
Average Age of Beneficiaries	66.529411765
Number of Beneficiaries Age Less Than 65	13
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	21
Number of Male Beneficiaries	13
Number of Non-Hispanic White
Number of Black or African American	0
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	29
Number of Beneficiaries with Race Not	0
Only Entitlement
Average Hierarchical Condition Category	1.4567870558

More Providers in Dulce , NM

Patrick S Hogan
Pharmacist
NPI Number: 1881642296
Address: 12000 STONE LAKE ROAD JICARILLA SERVICE UNIT Dulce, NM 87528 , Phone: 5757597250

Eric J Polczynski
Pharmacist
NPI Number: 1982653036
Address: JICARILLA SERVICE UNIT 12000 STONE LAKE ROAD Dulce, NM 87528 , Phone: 5057593291

Dr. Joan E Kandel
Family Medicine Physician
NPI Number: 1235172842
Address: 90 MEDICINE WAY Dulce, NM 87528 , Phone: 5053605995

Maricela Bonilla
Optometrist
NPI Number: 1265460851
Address: 500 NORTH MUNDO Dulce, NM 87528 , Phone: 5757597281

Sirpa T. Autio
Family Medicine Physician
NPI Number: 1134158405
Address: 500 N MUNDO Dulce, NM 87528 , Phone: 5757593291

Lisa Marie Goodrich
Family Medicine Physician
NPI Number: 1962422477
Address: 12000 STONE LAKE ROAD Dulce, NM 87528 , Phone: 5057593291

Mrs. Sharon Hope Greacen
Laboratory Management Specialist/Technologist
NPI Number: 1194747279
Address: 12000 STONE LAKE DRIVE LABORATORY Dulce, NM 87528 , Phone: 5057597218

Ms. Diane P Holzem
Registered Nurse
NPI Number: 1467475939
Address: 12000 STONE LAKE ROAD Dulce, NM 87528 , Phone: 5057597233

Ms. Priscilla T Carrillo
Ambulatory Care Registered Nurse
NPI Number: 1922022995
Address: 12000 STONE LAKE RD. Dulce, NM 87528 , Phone: 5757593291

Ms. Susan Constance
Ambulatory Care Registered Nurse
NPI Number: 1467476440
Address: 500 NORTH MUNDO Dulce, NM 87528 , Phone: 5057593291

Jicarilla Health Care Facility
Community Health Clinic/Center
NPI Number: 1003820069
Address: 12000 STONE LAKE RD Dulce, NM 87528 , Phone: 5057597286

Mrs. Nancy Jane Watts
Ambulatory Care Registered Nurse
NPI Number: 1760496673
Address: 12000 STONE LAKE Dulce, NM 87528 , Phone: 5057593291

Cecilia E. Chao
Internal Medicine Physician
NPI Number: 1881608487
Address: PO BOX 187 JICARILLA SERVICE UNIT Dulce, NM 87528 , Phone: 5057593291

Mrs. Gaylia Dianne Pride
Ambulatory Care Registered Nurse
NPI Number: 1255347043
Address: 12000 STONE LAKE RD Dulce, NM 87528 , Phone: 5057597248

Reyna R Garcia
Registered Nurse
NPI Number: 1801803242
Address: 12000 STONE LAKE RD. Dulce, NM 87528 , Phone: 5057593291

Mrs. Marie S March
Registered Nurse
NPI Number: 1356358881
Address: 500 NORTH MUNDO Dulce, NM 87528 , Phone: 5057593291

Katherine E Berry
Dental Hygienist
NPI Number: 1194834242
Address: 12000 STONE LAKE RD JICARILLA APACHE HEALTH CARE FACILITY, IHS Dulce, NM 87528 , Phone: 5757593291

Susan Frances Donlon
Community Health Registered Nurse
NPI Number: 1427160282
Address: 12000 STONE LAKE RD Dulce, NM 87528 , Phone: 5057597216

Valerie F Long
Diabetes Educator Registered Nurse
NPI Number: 1639272974
Address: DULCE HEALTH CENTER 12000 STONE LAKE ROAD Dulce, NM 87528 , Phone: 5057593291

Ms. Jennifer Lea Lea Claycomb
Family Medicine Physician
NPI Number: 1144323353
Address: 500 NORTH MUNDO Dulce, NM 87528 , Phone: 5057593291

Steven Paul Gross
Family Medicine Physician
NPI Number: 1578660908
Address: 12000 STONE LAKE ROAD Dulce, NM 87528 , Phone: 5757597232

Theresa Mary Alonzo
Clinical Medical Laboratory
NPI Number: 1730262783
Address: 12000 STONE LAKE ROAD Dulce, NM 87528 , Phone: 5057593291

Mr. Allen Michael Frey
Radiography Radiologic Technologist
NPI Number: 1629152764
Address: JICARILLA APACHE HEALTH CARE CENTER 12000 STONE LAKE ROAD Dulce, NM 87528 , Phone: 5057593291

Jicarilla Apache Health Care Facility
Urgent Care Clinic/Center
NPI Number: 1346326600
Address: 12000 STONE LAKE RD Dulce, NM 87528 , Phone: 5057597258

Margaret Jean Gillean
Ambulatory Care Registered Nurse
NPI Number: 1629154562
Address: 12000 STONE LAKE ROAD Dulce, NM 87528 , Phone: 5057593291

Dr. Robert Patrick Sewell
General Practice Dentistry
NPI Number: 1922178359
Address: 12000 STONE LAKE RD Dulce, NM 87528 , Phone: 5057597211

Mrs. Ann Marie Toledo
Dental Hygienist
NPI Number: 1760554695
Address: 12000 STONE LAKE ROAD Dulce, NM 87528 , Phone: 5757597227

Indian Health Service- Jicarilla Service Unit
Clinical Medical Laboratory
NPI Number: 1477628659
Address: 12000 STONE LAKE DRIVE Dulce, NM 87528 , Phone: 5057593291

Steven John Petrakis
Family Medicine Physician
NPI Number: 1265591606
Address: 500 NORTH MUNDO Dulce, NM 87528 , Phone: 5757593291

Miss Susan Ann Velarde
Medical Illustrator
NPI Number: 1376685545
Address: 12000 STONE LAKE DRIVE Dulce, NM 87528 , Phone: 5057597246

Dulce Independent School District
Local Education Agency (LEA)
NPI Number: 1588794259
Address: 113 HAWK DRIVE Dulce, NM 87528 , Phone: 5057592913

Mr. Michael W Goldberg
School Psychologist
NPI Number: 1043340987
Address: 113 HAWK DRIVE Dulce, NM 87528 , Phone: 5057592954

Jicarilla Ems
Land Ambulance
NPI Number: 1477684447
Address: 2300 NARROW GAUGE RD Dulce, NM 87528 , Phone: 5757593778

John E Shumack
Pharmacist
NPI Number: 1598985798
Address: 12000 STONE LAKE RD Dulce, NM 87528 , Phone: 5757597250

Jicarilla Ihs Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
NPI Number: 1124220900
Address: 500 N MUNDO DR Dulce, NM 87528 , Phone: 5057593291

David Zuflacht
Physical Therapist
NPI Number: 1346430311
Address: 500 N MUNDO Dulce, NM 87528 , Phone: 5757593291

Ms. Marlene Joy Velarde
Social Worker
NPI Number: 1376737825
Address: 109 SENECA DRIVE Dulce, NM 87528 , Phone: 5057593162

Jicarilla Apache Nation
Community/Behavioral Health Agency
NPI Number: 1508051061
Address: 109 SENECA DRIVE Dulce, NM 87528 , Phone: 5057593162

Ms. Karen Keating
Addiction (Substance Use Disorder) Counselor
NPI Number: 1285823435
Address: 26 NARROW GAUGE DR. Dulce, NM 87528 , Phone: 5757593162

Ms. Lydia Ann Stinemeyer
Registered Nurse
NPI Number: 1902079411
Address: 500 NORTH MUNDO JICARILLA INDIAN HEALTH SERVICE CLINIC Dulce, NM 87528 , Phone: 5757597202

Dr. Bichson Pham
Family Medicine Physician
NPI Number: 1548437338
Address: 500 NORTH MUNDO Dulce, NM 87528 , Phone: 5757593291

Ms. E Joan Wilson
Medical Illustrator
NPI Number: 1043479330
Address: 12000 STONE LAKE ROAD Dulce, NM 87528 , Phone: 5057597238

Diana Connell
Community Health Registered Nurse
NPI Number: 1851550776
Address: 12000 STONE LAKE ROAD Dulce, NM 87528 , Phone: 5057593291

Ms. Marcia Ann Sahmaunt
Medical Laboratory Technician
NPI Number: 1629228507
Address: 12000 STONE LAKE ROAD Dulce, NM 87528 , Phone: 5757597246

Mrs. Anna V. Hall
Medical Technologist
NPI Number: 1487805198
Address: 12000 STONE LAKE ROAD Dulce, NM 87528 , Phone: 5757593291

Darlene Peshlakai Valdez
Nurse's Aide
NPI Number: 1619117116
Address: 12000 STONE LAKE ROAD Dulce, NM 87528 , Phone: 5757597258

Dulce Independent Schools
Student Health Clinic/Center
NPI Number: 1114161510
Address: 125 HAWKS DR Dulce, NM 87528 , Phone: 5757592924

Dhhs/Ihs/Aao/Jsu/Dulce Health Center
Federal Public Health Clinic/Center
NPI Number: 1548597743
Address: 12000 STONE LAKE ROAD JICARILLA SERVICE UNIT Dulce, NM 87528 , Phone: 5757593291

Inna Voinich
Pharmacist
NPI Number: 1184946626
Address: 12000 STONE LAKE ROAD Dulce, NM 87528 , Phone: 5757597250

Ms. Cynthia M. Montanez
Registered Nurse
NPI Number: 1467778365
Address: 12000 STONE LAKE ROAD JICARILLA SERVICE UNIT Dulce, NM 87528 , Phone: 5757593291