Robert Craig Ratcliff, M.D.
Individual provider Active NPI Surgery Physician · Kremmling, CO
NPI 1700872140 · NPPES record last updated Feb 6, 2020
Key facts
- NPI
- 1700872140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 56354 (CO)
- Practice address
- 214 South 4TH Street
Kremmling, CO 80459-0399 - Phone
- (970) 887-5800
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- University of Utah School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kremmling Memorial Hospital District
Practice addresses (Care Compare)
1000 Granby Park Dr S
Granby, CO 80446-5304
Phone (970) 724-3442
214 S 4TH St
Kremmling, CO 80459-0399
Phone (970) 724-3442
400 Grand Ave
Kremmling, CO 80459-0399
Phone (970) 724-3524
P O Box
Suite 399
Kremmling, CO 80459-0399
Hospital & facility affiliations
- Middle Park Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.61 of 100
- Quality
- 76.83
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 35.19
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 |
|---|---|---|---|---|
| I20170418001855 | CO | Practitioner - General Surgery | 6507759362 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56354 | CO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kremmling Memorial Hospital District | Current |
Accepting new patients | |
| 444 Wellness LLC | Current |
Accepting new patients | |
| Kremmling Memorial Hospital District | Current |
Accepting new patients | |
| Colorado Surgical and Critical Care Associates PLLC | Surgery | Current |
Accepting new patients |
Locations
1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604
1000 Granby Park Dr S
Granby, CO 80446
Phone (970) 668-5771
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4228A | WY | |
| Colon & Rectal Surgery Physician | 208C00000X | 4228A | WY | |
| Surgery Physician | 208600000X | 56354 | CO | Yes |
Addresses
Primary practice location
214 South 4TH Street
Kremmling, CO 80459-0399
Mailing address
419 S Washington St
Suite102
Casper, WY 82601-2951
Phone (307) 577-4220
Other practice location 1
419 S Washington St
Suite102
Casper, WY 82601-2951
Phone (307) 577-4220
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 312911 | Other | WY | BLUE CROSS BLUE SHIELD |
| 107011800 | Medicaid | WY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rratcliff284528@directe.centura.org | Health Information Exchange (HIE) |
Other providers in Kremmling, CO
- Meghan Rochelle Mont
- Shannon Moreland
- Todd Odegaard
- Mark McClure Paulsen
- Rebecca R Pearson
- William Rose
- Rachel Halloran Scott
- Halee See
- Paul Soderberg
- Lyndsey Nykiel Stuerman
All providers in Kremmling, CO · Surgery Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2020. 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.