SUSAN MCINNES MD
NPI 1689891095
Internal Medicine - Medical Oncology in Denver, CO
NPI Status: Active since April 19, 2007
- Individual
- Female
- Internal Medicine
- Medical Oncology
- Accepts Insurance
- PECOS Enrolled
About SUSAN MCINNES
This page provides the complete NPI Profile along with additional information for Susan Mcinnes, an internist established in Denver, Colorado with a medical specialization in Internal Medicine, focusing in medical oncology . The healthcare provider is registered in the NPI registry with number 1689891095 assigned on April 2007. The practitioner's primary taxonomy code is 207RX0202X with license number 38244 (CO). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1689891095
- Provider Name
- SUSAN MCINNES MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1835 FRANKLIN ST DENVER, CO 80218
- Location Phone
- (303) 338-4545
- Mailing Address
- 1835 FRANKLIN ST DENVER, CO 80218
- Mailing Phone
- (303) 338-4545
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-19-2007
- Last Update Date
- 07-23-2012
- Code Navigator
An internist like Susan Mcinnes 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 Medical Oncology
- Taxonomy Code
- 207RX0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 38244
- License State
- CO
- Taxonomy Description
- An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Standard - HMO
- Catastrophic Standard - HMO
- Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- AultCare Bronze 7000 Select - PPO
- AultCare Bronze 8550 Select No Pediatric Dental - PPO
- AultCare Gold 1100 Select - PPO
- AultCare Gold 1100 Select No Pediatric Dental - PPO
- AultCare Silver 6550 Select No Pediatric Dental - PPO
- AultCare Silver 7900 Premier Select No Pediatric Dental - PPO
- AultCare Standard Bronze Select No Pediatric Dental - PPO
- AultCare Standard Gold Select No Pediatric Dental - PPO
- AultCare Standard Silver Premier Select No Pediatric Dental - PPO
- AultCare Standard Silver Select No Pediatric Dental - PPO
- Bronze Classic PCP Saver - HMO
- Bronze Classic Standard - HMO
- Bronze Simple HSA - HMO
- Gold Classic Standard - HMO
- Gold Elite - HMO
- Gold Elite Saver Plus - HMO
- Secure - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
57930571 | MEDICAID (05) | CO | |
G07179 | MEDICARE UPIN (02) | CO | |
C804208 | MEDICARE PIN (08) | CO | |
016317 | OTHER (01) | KAISER-COMMERCIAL NUMBER |
Medicare Participation & PECOS Enrollment Status
Susan Mcinnes 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
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
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.
Follow-up hospital inpatient care per day, typically 35 minutes
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 20 times for 11 patientsPhysician Visit Costs
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 80218 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $174.82
- Minimum New Patient Price $58.06
- Maximum New Patient Price $174.82
- Average New Patient Copayment $43.7
- 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.
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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. | |||||||||
1 | 6 | 8 | 9 | 8 | 9 | 1 | 0 | 9 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 16 | 9 | 16 | 9 | 2 | 0 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 1 + 6 + 9 + 1 + 6 + 9 + 2 + 0 + 1 + 8 + 24 = 75 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 75 = 5 | 5 |
The NPI number 1689891095 is valid because the calculated check digit 5 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 |
---|---|---|---|
1154389450 | ST JOSEPH EKG READER PANEL Organization | Internal Medicine (Cardiovascular Disease) | 1835 FRANKLIN ST DENVER, CO 80218 (303) 755-2900 |
1750483947 | DR. GAYLE ELIZABETH LONG MD Individual | Emergency Medicine | 1835 FRANKLIN ST DENVER, CO 80218 (303) 338-4545 |
1881740470 | ELISA CARNIEL MD Individual | Internal Medicine | 1835 FRANKLIN ST DENVER, CO 80218 (303) 266-0413 |
1609919158 | DAVID MARK WARREN MD Individual | Emergency Medicine | 1835 FRANKLIN ST DENVER, CO 80218 (303) 338-4545 |
1194868646 | WANDA K TITUS P.A. Individual | Physician Assistant (Medical) | 1835 FRANKLIN ST DENVER, CO 80218 (303) 338-3800 |
1972647584 | HENRY E RAYMUNDO MD Individual | Internal Medicine | 1835 FRANKLIN ST DENVER, CO 80218 (303) 338-4545 |
1275677072 | DR. JAMES C BRILL M.D. Individual | Emergency Medicine | 1835 FRANKLIN ST DENVER, CO 80218 (303) 338-4545 |
1447394150 | JOHN C FARRIN M.D., J.D. Individual | Emergency Medicine | 1835 FRANKLIN ST ED @ ESJH DENVER, CO 80218 (303) 318-2222 |
1295862175 | LILY C CONRAD MD Individual | Emergency Medicine | 1835 FRANKLIN ST DENVER, CO 80218 (303) 338-4545 |
1730210527 | DR. JENNIFER E BRACHER MD Individual | Internal Medicine | 1835 FRANKLIN ST MEDICAL STAFF SERVICES - EXEMPLA SAINT JOSEPH HOSPITAL DENVER, CO 80218 (303) 338-4545 |
1861619272 | JEFFERY B EVANS Individual | Physician Assistant | 1835 FRANKLIN ST DENVER, CO 80218 (303) 743-5855 |
1659570547 | JUDITH GALLAHER Individual | Registered Nurse | 1835 FRANKLIN ST DENVER, CO 80218 (720) 536-7672 |
1902081243 | ARIEH MESHA LEVINE MD Individual | Emergency Medicine (Emergency Medical Services) | 1835 FRANKLIN ST DENVER, CO 80218 (303) 338-3800 |
1588825798 | EXEMPLA SAINT JOESPH HOSPITAL Organization | General Acute Care Hospital | 1835 FRANKLIN ST DENVER, CO 80218 (303) 837-7111 |
1124279997 | SARAH A ZAPATA MD Individual | Internal Medicine | 1835 FRANKLIN ST GRADUATE PROGRAM DENVER, CO 80218 (303) 318-2250 |
1760621296 | MRS. LYNN RUTH MILLER NNP-BC Individual | Nurse Practitioner (Neonatal) | 1835 FRANKLIN ST DENVER, CO 80218 (303) 837-7290 |
1972821973 | EXEMPLA ST. JOSEPH HOSPIAL Organization | General Acute Care Hospital | 1835 FRANKLIN ST DENVER, CO 80218 (303) 837-7111 |
1376859512 | DR. CHRISTOPHER WILSON PHARMD, BCPS Individual | Pharmacist (Pharmacotherapy) | 1835 FRANKLIN ST INPATIENT PHARMACY DENVER, CO 80218 (303) 837-7111 |
1932419892 | MS. TAMMI M BACKER FNP Individual | Nurse Practitioner (Family) | 1835 FRANKLIN ST DENVER, CO 80218 (303) 837-6705 |
1326341959 | DOREEN M SEBRING NNP-BC Individual | Nurse Practitioner (Neonatal, Critical Care) | 1835 FRANKLIN ST DENVER, CO 80218 (303) 837-7290 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689891095, enumerated in the NPI registry as an "individual" on April 19, 2007
The provider is located at 1835 Franklin St Denver, Co 80218 and the phone number is (303) 338-4545
The provider's speciality is Internal Medicine with taxonomy code 207RX0202X with a focus in Medical Oncology
The provider might be accepting Accepts: Antidote Health Plan of Ohio, Inc., AultCare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
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.
Medicare beneficiaries should expect a typical cost of $174.82 with an average copayment of $43.7 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: Follow-up hospital inpatient care per day, typically 35 minutes.
This NPI record was last updated on April 19, 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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