Individual provider Active NPI

Roy Tinguely, MD

  • Surgery Physician
  • Pagosa Springs, CO
National Provider Identifier
1275533713
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR.0057731 Issued in CO
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

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0125153MedicaidIA
19614OtherIAIOWA HEALTH SOLUTIONS
51645OtherIABLUE CROSS
020026976OtherIARAILROAD MEDICARE
IA0106OtherIAJOHN DEERE HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170629001473 CO Practitioner - General Surgery 3971647348 Reassigns benefits to 2 organizations

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 DistrictGroup PAC ID 2769571892, shared by 3 NPIs, 37 clinicians

Practice addresses (Care Compare)

95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329
Phone (970) 731-3700

Hospital & facility affiliations

  • Pagosa Springs Medical Center Hospital, Pagosa Springs, CO, CCN 061328

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as group
Quality
92.26
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0057731COMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper San Juan Health Service District CurrentSince Aug 1, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.