Individual provider Active NPI

Gerald I Myers, M.D.

  • Cardiovascular Disease Physician
  • Craig, CO
National Provider Identifier
1205832722
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
40942 Issued in CO
Practice address
750 Hospital Loop
Craig, CO 81625-8750
Phone
(702) 453-3799
Fax
(702) 453-5741
NPI assigned
Jun 21, 2005
Last updated
Dec 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 40942 CO Primary
Cardiovascular Disease Physician 207RC0000X 22819 NE
Nuclear Cardiology Physician 207UN0901X 40942 CO

Addresses

Primary practice location

750 Hospital Loop
Craig, CO 81625-8750

Mailing address

PO Box 2586
Edwards, CO 81632-2586
Phone (702) 453-3799

Other identifiers 2

IdentifierTypeStateIssuer
27902862MedicaidCO
119046600MedicaidWY

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
I20040331000807 CO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1052303062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.89 of 100Reported as apm
Quality
86.88
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.87 of 100Reported as group
Quality
58.69
Promoting interoperability
97
Improvement activities
40
Cost
70.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40942COMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VVMC Diversified Services Cardiovascular Disease CurrentSince May 27, 2019 Accepting new patients
VVMC Diversified Services Current Accepting new patients
VVMC Diversified Services CurrentSince May 27, 2019 Accepting new patients
Yampa Valley Medical Center Past Accepting new patients
Shadyside Cardiology Rotation PC Past Accepting new patients
Medical Center of the Rockies Past Accepting new patients

Locations

750 Hospital Loop
Craig, CO 81625
Phone (970) 824-9411

365 Dillon Ridge Rd
Ste 1100
Dillon, CO 80435
Phone (970) 470-6648

377 Sylvan Lake Rd
Ste 210
Eagle, CO 81631
Phone (970) 328-1650

180 S Frontage Rd W
Ste 5900
Vail, CO 81657
Phone (970) 479-5036

181 W Meadow Dr
Vail, CO 81657
Phone (970) 479-5157

181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 479-5036

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1205832722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2586",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816322586",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HOSPITAL LOOP",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816258750",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "GERALD",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "40942",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "22819",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CO",
            "license": "40942",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27902862",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119046600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Craig, CO

Sources for this page

Verify at the official NPI Registry.