Individual provider Active NPI

James Fred Reppert, M.D.

  • Internal Medicine Physician
  • Canon City, CO
National Provider Identifier
1285632893
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22797 Issued in CO
Practice address
1335 Phay Ave Ste a
Canon City, CO 81212-2349
Phone
(719) 275-4151
Fax
(719) 275-3743
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Internal Medicine Physician 207R00000X 22797 CO Primary

Addresses

Primary practice location

1335 Phay Ave Ste a
Canon City, CO 81212-2349

Mailing address

1335 Phay Ave Ste a
Canon City, CO 81212-2349
Phone (719) 275-4151

Other identifiers 2

IdentifierTypeStateIssuer
RE75491OtherCOBLUE CROSS OF COLORADO
01227974MedicaidCO

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
I20050330000335 CO Practitioner - Internal Medicine 9638068083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nebraska College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

1335 Phay Ave
Suite a
Canon City, CO 81212-2349
Phone (719) 275-4151

2222 N Nevada Ave
Colorado Springs, CO 80907-6865

41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy99
Upper gastrointestinal (GI) endoscopy for acid reflux35
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22797COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James F. Reppert, M.D. Internal Medicine CurrentSince Mar 1, 2001 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Aug 1, 2004 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Aug 1, 2004 Accepting new patients

Locations

1335 Phay Ave
Ste A
Canon City, CO 81212
Phone (719) 275-4151

614 Yale Pl
Canon City, CO 81212
Phone (719) 275-4151

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20285/brand/1/csg/1/fhir/r4
  • Direct secure messaging: james.reppert.1@20285.direct.athenahealth.com

Organizations & group practices 4

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 3

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1285632893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 PHAY AVE STE A",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122349",
            "telephone_number": "719-275-4151",
            "fax_number": "719-275-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 PHAY AVE STE A",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122349",
            "telephone_number": "719-275-4151",
            "fax_number": "719-275-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPPERT",
        "first_name": "JAMES",
        "middle_name": "FRED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "22797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF COLORADO",
            "identifier": "RE75491",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01227974",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

Verify at the official NPI Registry.