Active NPI
Roy Tinguely, MD
- Surgery Physician
- Pagosa Springs, CO
National Provider Identifier
1275533713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- DR.0057731
- Practice address
- 95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329 - Phone
- (970) 731-3700
- Fax
- (970) 731-2362
- NPI assigned
- Jul 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | DR.0057731 | CO | Primary |
Addresses
Primary practice location
95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329
Mailing address
95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329
Phone (970) 731-3700
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0125153 | Medicaid | IA | |
| 19614 | Other | IA | IOWA HEALTH SOLUTIONS |
| 51645 | Other | IA | BLUE CROSS |
| 020026976 | Other | IA | RAILROAD MEDICARE |
| IA0106 | Other | IA | JOHN DEERE HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | RoyTinguely@psmedicalcenter.cernerdirect.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of North Dakota School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Upper San Juan Health Service District
Practice addresses (Care Compare)
95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329
Phone (970) 731-3700
Hospital & facility affiliations
- Pagosa Springs Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.74 of 100
- Quality
- 92.26
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0057731 | CO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper San Juan Health Service District | Current | Accepting new patients | |
| Upper San Juan Health Service District | Current | Accepting new patients | |
| Southeast Iowa Regional Medical Center, Inc. | Past | Accepting new patients |
Locations
95 S Pagosa Blvd
Pagosa Springs, CO 81147
Phone (970) 731-3700
Interoperability endpoints
- roytinguely@psmedicalcenter.cernerdirect.com
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Pagosa Springs, CO
- NPI 1245401561
-
- Critical Access Hospital
- Pagosa Springs, CO
- NPI 1659523058
-
- General Practice Physician
- West Burlington, IA
- NPI 1164433884
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Pagosa Springs, CO
- NPI 1245401561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1275533713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 S PAGOSA BLVD",
"city": "PAGOSA SPRINGS",
"state": "CO",
"postal_code": "811478329",
"telephone_number": "970-731-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 S PAGOSA BLVD",
"city": "PAGOSA SPRINGS",
"state": "CO",
"postal_code": "811478329",
"telephone_number": "970-731-3700",
"fax_number": "970-731-2362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINGUELY",
"first_name": "ROY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-27",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "DR.0057731",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0125153",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA HEALTH SOLUTIONS",
"identifier": "19614",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51645",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020026976",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH",
"identifier": "IA0106",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "RoyTinguely@psmedicalcenter.cernerdirect.com",
"affiliation": "N",
"address_1": "95 S Pagosa Blvd",
"city": "Pagosa Springs",
"state": "CO",
"country_code": "US",
"postal_code": "811478329",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pagosa Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.