I've been a patient at this office for 5 years or so. To establish her as a primary care physician (PCP) took a 6-month wait for an appointment, HOWEVER, this is actually very typical for health care in NM. If you are from a more progressive area like Denver, be prepared for long waits to drive you crazy with any health provider or any issue.
You can get in to see the physician's assistant (PA) very quickly, and if you really feel you need to see Dr. Thal personally, you can get in within a few days to weeks (after established as PCP). Note that seeing the PA is always sufficient because if the PA needs to consult her, she will come in.
Which brings me to why sometimes you must wait a very long time and other times you are ""in and out"". Dr. Thal wants to spend sufficient time with each patient to ensure all questions are answered and issues are addressed. If you have an urgent (but not emergency) care need, they will fit you in. So consider that if you go in and need more of her attention than may have been anticipated, YOU WILL GET IT. But this is at the ""sacrifice"" of her other patient's time. Seems fair that when others need more of her attention, you wait longer, but when you need more, you get it.
My biggest complaint that would seem to be easily fixable is prescription fills/refills. In general, they no longer do paper scripts. So for a renewed refill, as an example, you must get the pharmacy to fax the request to the office. But every single time for the past few years, the fax ""gets lost"" by the office. I have every time had to call the pharmacy to confirm transmittal, then call the office who says they never got it, then the pharmacy to resend. If I'm lucky, I don't have to repeat this process again (and again). Worst case took almost 3 weeks to get a refill, which was REALLY annoying since I initially called with more than a week's worth of pills left and I STILL RAN OUT.
RE: RATING OF 4 STARS... If I were still in CO, I would have given this office 3 stars. But NM has a shortage of health care professionals and all are overworked. So for a doctor in NM, 4 stars is probably right.
Pros: Personalized Care
Cons: Inconsistent Service; Visit Often Seems Rushed