Christine Marie Bogardus, D.O.
Individual provider Active NPI Surgery Physician · Lamar, CO
NPI 1326329137 · NPPES record last updated Mar 10, 2021
Key facts
- NPI
- 1326329137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- DR.0057631 (CO)
- Practice address
- 403 Kendall Dr
Lamar, CO 81052-3953 - Phone
- (719) 336-7005
- Fax
- (719) 336-7026
- NPI assigned
- Sep 7, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
555 Prospect Ave
Estes Park, CO 80517-6312
Hospital & facility affiliations
- Estes Park Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.12 of 100
- Quality
- 74.76
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180329001586 | CO | Practitioner - General Surgery |
9436411584 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0057631 | CO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prowers County Hospital District | Current | Accepting new patients | |
| Prowers County Hospital District | Current |
Accepting new patients | |
| Uchealth Estes Valley Medical Center | Orthopaedic Surgery | Current | Accepting new patients |
Locations
555 Prospect Ave
Ph
Estes Park, CO 80517
Phone (970) 586-2317
555 Prospect Ave
Estes Park, CO 80517
Phone (970) 586-2200
555 Prospect Ave
Ste A
Estes Park, CO 80517
Phone (970) 586-2229
403 Kendall Dr
Lamar, CO 81052
Phone (719) 336-6767
301 Kendall Dr
Lamar, CO 81052
Phone (719) 336-3179
401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343
Interoperability endpoints
- christine.bogardus@pmg.gwaydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | DR.0057631 | CO | Yes |
Addresses
Primary practice location
403 Kendall Dr
Lamar, CO 81052-3953
Mailing address
401 Kendall Dr
Lamar, CO 81052-3993
Phone (719) 336-7005
Other names
- Christine Marie Arneson
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ehr-direct@surgpmc.hin.us | Health Information Exchange (HIE) |
Other providers in Lamar, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.