Individual provider Active NPI

Randall Jay Rottman, MD

  • Ophthalmology Physician
  • Grand Junction, CO
National Provider Identifier
1861406274
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
28155 Issued in CO
Practice address
1190 Bookcliff Ave
Ste 102 Rottman Eye Care, PC
Grand Junction, CO 81501-8133
Phone
(970) 242-3323
Fax
(970) 242-8774
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 28155 CO Primary

Addresses

Primary practice location

1190 Bookcliff Ave
Ste 102 Rottman Eye Care, PC
Grand Junction, CO 81501-8133

Mailing address

1190 Bookcliff Ave
Ste 102
Grand Junction, CO 81501-8133
Phone (970) 242-3323

Other identifiers 1

IdentifierTypeStateIssuer
07671270MedicaidCO

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
I20070628000318 CO Practitioner - Ophthalmology 7810096054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Colorado School of Medicine, Denver, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision Eye Care Group LLCGroup PAC ID 2163315854, 21 clinicians

Practice addresses (Care Compare)

1000 Wellington Ave a
Icon Eyecare
Grand Junction, CO 81501-8180
Phone (720) 524-1001

3900 E Mexico Ave
Suite 102
Denver, CO 80210-3941

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
88.72
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28155COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision Eye Care Group LLC Ophthalmology CurrentSince Nov 15, 2020 Accepting new patients
Total Vision Eye Care Group LLC Ophthalmology CurrentSince Nov 15, 2020 Accepting new patients
Rottman Eye Care, Inc Ophthalmology CurrentSince Jul 14, 2007 Accepting new patients

Locations

100 Elk Run Dr
Ste 206
Basalt, CO 81621
Phone (970) 256-0400

3900 E Mexico Ave
Ste 102
Denver, CO 80210
Phone (303) 800-2078

350 Indiana St
Ste 220
Golden, CO 80401

1000 Wellington Ave
Ste B
Grand Junction, CO 81501
Phone (970) 245-5989

2515 Foresight Cir
Grand Junction, CO 81505
Phone (970) 766-8346

1000 Wellington Ave
Ste A
Grand Junction, CO 81501
Phone (970) 256-0400

1190 Bookcliff Ave
Unit 102
Grand Junction, CO 81501
Phone (970) 242-3323

Interoperability endpoints

  • Direct secure messaging: randall.rottman.p5@direct.keec.nextgenshare.com
  • Direct secure messaging: randy@rottmaneyecare.eyefinity-direct.com

Organizations & group practices 4

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 4

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1861406274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 BOOKCLIFF AVE",
            "address_2": "STE 102",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018133",
            "telephone_number": "970-242-3323",
            "fax_number": "970-242-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 BOOKCLIFF AVE",
            "address_2": "STE 102 ROTTMAN EYE CARE, PC",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018133",
            "telephone_number": "970-242-3323",
            "fax_number": "970-242-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTTMAN",
        "first_name": "RANDALL",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "28155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07671270",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.