Individual provider Active NPI

Garrett Wayne Rota, DO

  • Ophthalmology Physician
  • Colorado Springs, CO
National Provider Identifier
1447753678
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DR.0067795 Issued in CO
Practice address
2485 E Pikes Peak Ave
Colorado Springs, CO 80909-6004
Phone
(719) 634-2001
Fax
(719) 634-2211
NPI assigned
Mar 14, 2018
Last updated
May 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Ophthalmology Physician 207W00000X DR.0067795 CO Primary

Addresses

Primary practice location

2485 E Pikes Peak Ave
Colorado Springs, CO 80909-6004

Mailing address

1000 S Broadway Apt 237
Denver, CO 80209-4095

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
I20220517002238 CO Practitioner - Ophthalmology 3870840234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rocky Vista University College of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wright Eye Center P CGroup PAC ID 3274425343, 4 clinicians

Practice addresses (Care Compare)

2485 E Pikes Peak Ave
Colorado Springs, CO 80909-6004
Phone (719) 634-2001

Merit-based Incentive Payment System (MIPS)

Final score
91.54 of 100Reported as group
Quality
95.48
Improvement activities
40
Cost
77.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery657

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0067795COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Eye Center P C CurrentSince Jul 1, 2022 Accepting new patients
Natural Eyes Laser and Surgery Center, LLLP Past Accepting new patients

Locations

2485 E Pikes Peak Ave
Colorado Springs, CO 80909
Phone (719) 328-0003

Interoperability endpoints

  • Direct secure messaging: grota@wrighteyecenter.ecldirect.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1447753678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S BROADWAY APT 237",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 E PIKES PEAK AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809096004",
            "telephone_number": "719-634-2001",
            "fax_number": "719-634-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTA",
        "first_name": "GARRETT",
        "middle_name": "WAYNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-14",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR.0067795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.