Active NPI 1124329339 Individual Practitioner Male Practitioner

Keith Emory Basham , PHYSICIAN ASSISTANT

Physician Assistant • Albuquerque, NM

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Keith Basham, PHYSICIAN ASSISTANT is a certified Physician Assistant practicing in Albuquerque, NM. With approximately 16 years of clinical experience since completing medical education in 2010, Keith Basham delivers high-quality medical care to the local community at 7704 2ND ST NW STE A.

Keith Basham is affiliated with First Choice Community Healthcare, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, urinalysis, manual test, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7704 2nd St Nw Ste A

Albuquerque, NM 871076755

Telephone 5058737400

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Albuquerque, NM

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +6.4 yrs vs City Avg

City Avg: 9.6 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

499 Specialists

Practicing in Albuquerque, NM (865 Statewide)

Telehealth Adoption Rate

14.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

24.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Basham (16 Years) 16 Yrs

Albuquerque Specialty Average (9.6 Years) 9.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	58	$103.26	$79.70
99213 Established patient office or other outpatient visit, typically 15 minutes	29	25	$73.34	$54.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$158.55	$117.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	134	92	$190.00	$103.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	91	$101.80	$79.57
99213 Established patient office or other outpatient visit, typically 15 minutes	34	30	$65.76	$55.27
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$130.00	$74.57
81002 Urinalysis, manual test	14	14	$14.00	$3.46
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	13	12	$20.00	$6.82
G0444 Annual depression screening, 5 to 15 minutes	12	12	$18.00	$13.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	385	191	$190.00	$106.05
G0444 Annual depression screening, 5 to 15 minutes	80	80	$18.00	$14.80
99213 Established patient office or other outpatient visit, typically 15 minutes	76	64	$130.00	$75.23
81002 Urinalysis, manual test	55	51	$14.00	$3.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$290.00	$139.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$110.00	$104.21
93000 Routine ekg using at least 12 leads including interpretation and report	23	22	$71.00	$12.11
G0008 Administration of influenza virus vaccine	17	17	$26.00	$16.05
90662 Influenza vaccine split virus, preservative free	15	15	$60.00	$60.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$190.00	$92.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	250	133	$190.00	$89.81
81002 Urinalysis, manual test	15	14	$14.00	$3.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$290.00	$138.78
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$130.00	$62.83
G0008 Administration of influenza virus vaccine	13	13	$26.00	$16.20
93000 Routine ekg using at least 12 leads including interpretation and report	12	11	$71.00	$14.16
90662 Influenza vaccine split virus, preservative free	12	12	$60.00	$60.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	118	74	$287.95	$121.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	69	$214.66	$90.56
99213 Established patient office or other outpatient visit, typically 15 minutes	45	38	$146.00	$61.71
83036 Hemoglobin A1C level	18	14	$22.22	$9.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$229.00	$96.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	224	123	$211.00	$89.18
99213 Established patient office or other outpatient visit, typically 15 minutes	62	49	$143.00	$60.36
G0008 Administration of influenza virus vaccine	28	25	$48.79	$19.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$324.96	$137.30
83036 Hemoglobin A1C level	24	19	$24.38	$11.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$228.57	$95.94
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	13	13	$49.00	$23.57
90653 Vaccine for influenza for injection into muscle	13	12	$101.00	$52.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	252	125	$210.25	$88.20
99213 Established patient office or other outpatient visit, typically 15 minutes	55	47	$142.85	$59.98
G0008 Administration of influenza virus vaccine	23	23	$48.00	$23.87
83036 Hemoglobin A1C level	21	16	$26.71	$13.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$227.00	$94.65
90653 Vaccine for influenza for injection into muscle	12	12	$88.00	$49.22
G0009 Administration of pneumococcal vaccine	11	11	$48.00	$23.87

Medical Specialties & State Licenses

CMS Verified: 2025-05-16

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NM PA2011-0057

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License CO 3117

Hospital & Practice Group Affiliations

First Choice Community Healthcare, Inc.

1401 William St Se, Albuquerque, NM 871024661

Phone: 5057685450

First Choice Community Healthcare, Inc.

7704 2nd St Nw, Albuquerque, NM 871076708

Phone: 5058901458

First Choice Community Healthcare, Inc.

2001 Centro Familiar Blvd Sw, Albuquerque, NM 871054592

Phone: 5058737400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

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Doctor of Medicine (M.D.)

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Internal Medicine

NPI 1023102407

Doctor of Medicine (M.D.)

Emily Cohen

Family Medicine

NPI 1023437449

Sherrill Dodson , FNP-BC

Nurse Practitioner - Family

NPI 1023830023

Family Nurse Practitioner (Board Certified)

Dr. Vanessa Cook Jacobsohn , MD

Family Medicine

NPI 1053450098

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location May 16, 2025

Registered at 7704 2ND ST NW STE A, ALBUQUERQUE, NM 871076755 (Tel: 5058737400)

📍

Updated Business Mailing Address May 16, 2025

Registered at 2001 CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 871054592 (Tel: 5058737400)

📍

Updated Practice Location September 17, 2024

Registered at 2901 TRANSPORT ST SE, ALBUQUERQUE, NM 871064382 (Tel: 5052627110)

📍

Updated Business Mailing Address September 17, 2024

Registered at PO BOX 26028, ALBUQUERQUE, NM 871256028

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2024

Physician Assistant (License #3117 in CO)

✅

NPI Profile Active November 20, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location November 20, 2012

Registered at 1 UNIVERSITY OF NEW MEXICO, DEPT. OF EMERGENCY MEDICINE, MSC 6025, ALBUQUERQUE, NM 871310001 (Tel: 5052725062)

📍

Updated Business Mailing Address November 20, 2012

Registered at 1607 VAN CLEAVE RD NW, ALBUQUERQUE, NM 871073441 (Tel: 5054631730)

👤

Provider Name / Credentials Updated November 20, 2012

Recorded as KEITH BASHAM, PHYSICIAN ASSISTANT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2012

Physician Assistant (License #3117 in CO)

🟢

Initial NPI Registration & Enumeration November 04, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1124329339

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 04, 2010

Last Update: May 16, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2001 Centro Familiar Blvd Sw

Albuquerque, NM 871054592

Phone: 5058737400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.