DR. BRYAN C KAVANAUGH MD
NPI 1346452273
Internal Medicine - Gastroenterology in Colorado Springs, CO


Quality Rating: 85.38 out of 100 score

NPI Status: Active since May 04, 2007

Contact Information

2940 N CIRCLE DR
COLORADO SPRINGS, CO
ZIP 80909
Phone: (719) 635-7321
Fax: (719) 635-2510

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  • Individual
  • Male
  • Years of Experience 23
  • Internal Medicine
  • Gastroenterology
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About BRYAN KAVANAUGH

This page provides the complete NPI Profile along with additional information for Bryan Kavanaugh, an internist established in Colorado Springs, Colorado with a medical specialization in Internal Medicine, focusing in gastroenterology and more than 23 years of experience. He graduated from Georgetown University School Of Medicine in 2003. The healthcare provider is registered in the NPI registry with number 1346452273 assigned on May 2007. The practitioner's primary taxonomy code is 207RG0100X with license number DR0048818 (CO). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1346452273
Provider Name
DR. BRYAN C KAVANAUGH MD
Gender
Male
Entity Type
Individual
Location Address
2940 N CIRCLE DR COLORADO SPRINGS, CO 80909
Location Phone
(719) 635-7321
Location Fax
(719) 635-2510
Mailing Address
2940 N CIRCLE DR COLORADO SPRINGS, CO 80909
Mailing Phone
(719) 635-7321
Mailing Fax
(719) 635-2510
Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2003
Is Sole Proprietor?
No
Enumeration Date
05-04-2007
Last Update Date
07-26-2017
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An internist like Bryan Kavanaugh is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Gastroenterology

Taxonomy Code
207RG0100X
Type
Allopathic & Osteopathic Physicians
License No.
DR0048818
License State
CO
Taxonomy Description
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Medicare Participation & PECOS Enrollment Status

Bryan Kavanaugh is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Bryan Kavanaugh is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1456408202

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20101109000205

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Unknown

  • Other-Enteral and Parenteral (OB006N)

    Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4035)

    3 DME suppliers used 20 Medicare Claims 535 Services Paid

  • Other-Enteral and Parenteral (OB006N)

    Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4153)

    3 DME suppliers used 20 Medicare Claims 14603 Services Paid

  • Other-Enteral and Parenteral (OB005N)

    Parenteral nutrition solution, not otherwise specified, 10 grams lipids (HCPCS:B4185)

    2 DME suppliers used 26 Medicare Claims 807 Services Paid

  • Other-Enteral and Parenteral (OB005N)

    Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix (HCPCS:B4197)

    2 DME suppliers used 26 Medicare Claims 175 Services Paid

  • Other-Enteral and Parenteral (OB005N)

    Parenteral nutrition supply kit; premix, per day (HCPCS:B4220)

    2 DME suppliers used 26 Medicare Claims 175 Services Paid

  • Other-Enteral and Parenteral (OB005N)

    Parenteral nutrition administration kit, per day (HCPCS:B4224)

    2 DME suppliers used 26 Medicare Claims 175 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 81 times for 80 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 151 times for 151 patients

Colonoscopy

A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.

This service was performed for 520 patients

Colorectal cancer screening; colonoscopy on individual at high risk

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

This service was performed 38 times for 38 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

This service was performed 17 times for 17 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

This service was performed 37 times for 36 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 12 times for 12 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 40 times for 36 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 123 times for 92 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

This service was performed 27 times for 27 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 62 times for 62 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 91 times for 90 patients

Study of rectum sensitivity and function

This procedure examines the rectum's sensitivity and functionality. It involves a small, soft balloon inserted into the rectum and inflated to various degrees. The goal is to assess how well your rectum can sense and respond to different volumes. It's a crucial test for diagnosing certain digestive issues.

This service was performed 12 times for 12 patients

Upper gastrointestinal (GI) endoscopy for acid reflux

An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.

This service was performed for 291 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $33.13 for a new patient copayment and $25.5 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 80909 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $132.55
  • Minimum New Patient Price $58.06
  • Maximum New Patient Price $174.82
  • Average New Patient Copayment $33.13
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $43.7

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.03
  • Minimum Established Patient Price $18.88
  • Maximum Established Patient Price $142.79
  • Average Established Patient Copayment $25.5
  • Minimum Established Patient Copayment $4.72
  • Maximum Established Patient Copayment $35.69

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 85.38, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 85.38 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 79.96

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 88

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Appropriate indication for colonoscopy 91% 745
Percentage of colonoscopy procedures performed for an indication that is included in a published standard list of appropriate indications and the indication is documented
Appropriate management of anticoagulation in the peri-procedural period rate - EGD 100% 84
Percentage of patients undergoing an EGD on an anti-platelet agent or an anticoagulant who leave the endoscopy unit with instructions for management of this medication
e-Prescribing 90% 559
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Medication Reconciliation 100% 84
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 92% 209
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Provide Patient Access 56% 209
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 17% 209
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346452273
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2386854214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 8 + 5 + 4 + 2 + 1 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1346452273 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376853598MRS. HEATHER L MAUCHER RN, BSN
Individual
Registered Nurse2940 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 635-7321
1700196920 TAMIE SUE ROBB RN
Individual
Registered Nurse2940 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 635-7321
1710967260DR. AUSTIN EDWARD GARZA M.D.
Individual
Internal Medicine (Gastroenterology)2940 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 635-7321
1316050396DR. RICHARD P WENHAM MD
Individual
Specialist2940 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 635-7321
1184791279ASSOC IN GASTROENTEROLOGY, PC
Organization
Specialist2940 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 635-7321
1295008472EPIX ANESTHESIA OF COLORADO SPRINGS, LLC
Organization
Nurse Anesthetist, Certified Registered2940 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 635-7321
1891011631DR. CARL SCOTT SWENDSEN MD
Individual
Internal Medicine (Gastroenterology)2940 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 635-7321
1417060898ENDOSCOPY CENTER OF COLORADO SPRINGS, LLC
Organization
Clinic/Center (Ambulatory Surgical)2940 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 635-7321
1972513471 SARAH GARZA ARNP
Individual
Nurse Practitioner2940 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 635-7321
1417060344DR. WILLIAM W LUNT M.D.
Individual
Internal Medicine (Gastroenterology)2940 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 635-7321
1184737041DR. JAMES K HOWDEN M.D.
Individual
Internal Medicine (Gastroenterology)2940 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 635-7321
1114279130 COURTNEY FURCINI FRERICHS PA-C
Individual
Physician Assistant (Medical)2940 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 785-3519
1972025088 JACQUELINE KIM COMMINS
Individual
Registered Nurse (Gastroenterology)2940 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 785-3500
1841565058 MATTHEW EDWARD DREW MD
Individual
Internal Medicine (Gastroenterology)2940 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 635-7321
1679830871 DIANA ARSENE M.D.
Individual
Internal Medicine (Gastroenterology)2940 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 635-7321
1114584786ECCS ACQUISITION COMPANY LLC
Organization
Clinic/Center (Ambulatory Surgical)2940 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 785-3500
1003236936 MICHAEL JUDD BURKHOLZ D.O.
Individual
Internal Medicine (Gastroenterology)2940 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 635-7321
1740888676GI CARE OF COLORADO PLLC
Organization
Internal Medicine (Gastroenterology)2940 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 635-7321
1700480985 AMBER NOELLE CHEVALIER
Individual
Nurse Practitioner2940 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 635-7321
1992119416DR. TERESA YANCHAK M.D.
Individual
Internal Medicine (Gastroenterology)2940 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 635-7321

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346452273, enumerated in the NPI registry as an "individual" on May 04, 2007

The provider is located at 2940 N Circle Dr Colorado Springs, Co 80909 and the phone number is (719) 635-7321

The provider's speciality is Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology

The provider has more than 23 years of experience. He graduated from Georgetown University School Of Medicine in 2003.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $132.55 with an average copayment of $33.13 for new patient appointments. Established patients should expect a typical charge of $102.03 and an average copayment of 25.5. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, Biopsy of large bowel using a flexible endoscope, Colonoscopy, Colorectal cancer screening; colonoscopy on individual at high risk, Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk, Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope, Diagnostic exam of large bowel using a flexible endoscope, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Insertion of guide wire with dilation of esophagus using a flexible endoscope, New patient office or other outpatient visit, 45-59 minutes, Removal of polyps or growths of large bowel using an endoscope with mechanical snare, Study of rectum sensitivity and function and Upper gastrointestinal (GI) endoscopy for acid reflux.

This NPI record was last updated on May 04, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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