NPIMap

Individual provider Active NPI

Ripley Robert Hollister, M.D.

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1790899185
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30292 Issued in CO
Practice address
2855 Dublin Blvd
Colorado Springs, CO 80918-1662
Phone
(719) 265-6464
Fax
(719) 265-6750
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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 30292 CO Primary

Addresses

Primary practice location

2855 Dublin Blvd
Colorado Springs, CO 80918-1662

Mailing address

2855 Dublin Blvd
Colorado Springs, CO 80918-1662
Phone (719) 265-6464

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
I20140729002007 CO Practitioner - Family Practice 0446476386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Southern California Keck School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ripley R Hollister MD PCGroup PAC ID 7810113750, 4 clinicians

Practice addresses (Care Compare)

2855 Dublin Blvd
Colorado Springs, CO 80918-1662
Phone (719) 265-6464

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions15
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30292COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ripley R. Hollister, M.D. P.C. CurrentSince Jul 30, 2014 Accepting new patients
Primary Care Physicians, P.C. Family Medicine CurrentSince Feb 26, 2023 Accepting new patients

Locations

2855 Dublin Blvd
#T
Colorado Springs, CO 80918
Phone (719) 265-6464

4190 E Woodmen Rd
Ste 200
Colorado Springs, CO 80920
Phone (719) 265-6464

2855 Dublin Blvd
Colorado Springs, CO 80918
Phone (719) 265-1902

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 and National Provider Directory roles.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1790899185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 DUBLIN BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181662",
            "telephone_number": "719-265-6464",
            "fax_number": "719-265-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 DUBLIN BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181662",
            "telephone_number": "719-265-6464",
            "fax_number": "719-265-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLISTER",
        "first_name": "RIPLEY",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "30292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.