Individual provider Active NPI

Ronald W Pelton, M.D., PH.D.

  • Ophthalmology Physician
  • Colorado Springs, CO
National Provider Identifier
1144209404
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
37739 Issued in CO
Practice address
455 E Pikes Peak Ave
Colorado Springs, CO 80903-3648
Phone
(719) 329-0040
Fax
(719) 329-0080
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 37739 CO Primary

Addresses

Primary practice location

455 E Pikes Peak Ave
Colorado Springs, CO 80903-3648

Mailing address

455 E Pikes Peak Ave
Colorado Springs, CO 80903-3674
Phone (719) 329-0040

Other identifiers 1

IdentifierTypeStateIssuer
70722382MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050613000478 CO Practitioner - Plastic and Reconstructive SurgeryPractitioner - Ophthalmology 5092758029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Ophthalmology
Education
Vanderbilt University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronald W Pelton MD PHD PCGroup PAC ID 8921041955, 2 clinicians

Practice addresses (Care Compare)

2770 N Union Blvd
Suite 100
Colorado Springs, CO 80909-1183
Phone (719) 329-0040

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
37739COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald W Pelton MD PHD PC Ophthalmology CurrentSince Oct 1, 2004 Accepting new patients
Facial Associates of Colorado for Emergency Services, PLLC Past Accepting new patients

Locations

455 E Pikes Peak Ave
Ste 309
Colorado Springs, CO 80903
Phone (719) 329-0040

2770 N Union Blvd
Ste 100
Colorado Springs, CO 80909
Phone (719) 329-0040

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1144209404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E PIKES PEAK AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033674",
            "telephone_number": "719-329-0040",
            "fax_number": "719-329-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E PIKES PEAK AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033648",
            "telephone_number": "719-329-0040",
            "fax_number": "719-329-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTON",
        "first_name": "RONALD",
        "middle_name": "W",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "37739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70722382",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.