NPIMap

Individual provider Active NPI

Robert D McCurry, D.O.

  • Family Medicine Physician
  • Canon City, CO
National Provider Identifier
1285634121
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32118 Issued in CO
Practice address
1210 Main St
Canon City, CO 81212-3506
Phone
(719) 275-3000
Fax
(719) 275-6939
NPI assigned
Jul 21, 2005
Last updated
Mar 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32118 CO Primary

Addresses

Primary practice location

1210 Main St
Canon City, CO 81212-3506

Mailing address

1210 Main St
Canon City, CO 81212-3506
Phone (719) 275-3000

Other identifiers 1

IdentifierTypeStateIssuer
01321181MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623000447 CO Practitioner - Family Practice 0941285126 Practice locations: Canon City, CO

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1210 Main St
Canon City, CO 81212-3506
Phone (719) 275-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.4 of 100Reported as individual
Quality
99.3
Improvement activities
40
Cost
83.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions49
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32118COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert David McCurry DO Family Medicine PastSince Jan 14, 2004 Accepting new patients
Ganapathy Bala MD LLC Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Canon Lodge Care CenterCanon City, CO, CCN 065217 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 3, 2015
Feb 28, 2025
Progressive Care CenterCanon City, CO, CCN 065183 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 25, 2025
Mar 25, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1285634121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 MAIN ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123506",
            "telephone_number": "719-275-3000",
            "fax_number": "719-275-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 MAIN ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123506",
            "telephone_number": "719-275-3000",
            "fax_number": "719-275-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCURRY",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "32118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01321181",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

Verify at the official NPI Registry.