Ralph Edward Holsworth Jr., D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

37599 Issued in CO

Practice address

373 E 10TH Ave
Springfield, CO 81073-1622

Phone

(719) 523-6628

Fax

(719) 523-4290

NPI assigned

Mar 23, 2006

Last updated

Mar 17, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO, NM2 enrollments

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 2

Specialty

Emergency Medicine

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Emergency Medicine LLCGroup PAC ID 9032546783, 10 clinicians

Presbyterian Healthcare ServicesGroup PAC ID 9234041708, shared by 26 NPIs, 1,390 clinicians

Southeast Colorado Hospital DistrictGroup PAC ID 6204725138, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alta Vista Regional Hospital Hospital, Las Vegas, NM, CCN 321312
• Arkansas Valley Regional Medical Center Hospital, Lajuna, CO, CCN 061336
• Lincoln County Medical Center Hospital, Ruidoso, NM, CCN 321306

Merit-based Incentive Payment System (MIPS)

Final score

85.41 of 100Reported as group

Quality

70.25

Promoting interoperability

100

Improvement activities

40

Cost

67.83

Merit-based Incentive Payment System (MIPS)

Final score

88.68 of 100Reported as group

Quality

82.35

Promoting interoperability

100

Improvement activities

40

Cost

76.6

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/1762c86e-d105-4afc-a3d1-9e89748c9af3/
• Direct secure messaging: rholsworth254981@direct.phs.org

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.

• Summit Emergency Medicine LLC

  • Emergency Medicine Physician
  • Las Vegas, NM
  • NPI 1679112130
  Medicare reassignment Care Compare group NPD
• Southeast Colorado Hospital District

  • Critical Access Hospital
  • Springfield, CO
  • NPI 1285727297
  Medicare reassignment Care Compare group
• Arkansas Valley Regional Medical Center

  dba AVRMC Physicians Clinic

  • General Practice Physician
  • La Junta, CO
  • NPI 1649449075
  Medicare reassignment NPD
• Arkansas Valley Regional Medical Center

  • Critical Access Hospital
  • La Junta, CO
  • NPI 1760489470
  Medicare reassignment NPD
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Littleton, CO
  • NPI 1730781691
  Medicare reassignment NPD
• Emergency Staffing Solutions Inc

  • Emergency Medicine Physician
  • Many, LA
  • NPI 1477590974

  NM

  Medicare reassignment NPD
• Ess Hospitalist LLC

  • Hospitalist Physician
  • Crossett, AR
  • NPI 1881967305

  NM

  Medicare reassignment NPD
• Miners Colfax Medical Center

  • Critical Access Hospital
  • Raton, NM
  • NPI 1083931109
  Medicare reassignment NPD
• Presbyterian Healthcare Services

  dba Presbyterian Medical Group

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1104802354

  Family Medicine

  Medicare reassignment NPD
• Presbyterian Healthcare Services

  dba Lincoln County Medical Center

  • Critical Access Hospital
  • Ruidoso, NM
  • NPI 1558347708
  Medicare reassignment NPD
• San Miguel Hospital Corporation

  dba Alta Vista Regional Hospital

  • Critical Access Hospital
  • Las Vegas, NM
  • NPI 1114639234
  Medicare reassignment NPD
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Oro Valley, AZ
  • NPI 1396317079
  NPD

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

• Arkansas Valley Regional Medical Center

  • Critical Access Hospital
  • La Junta, CO
  • NPI 1760489470
  Care Compare affiliation
• Presbyterian Healthcare Services

  dba Lincoln County Medical Center

  • Critical Access Hospital
  • Ruidoso, NM
  • NPI 1558347708
  Care Compare affiliation
• San Miguel Hospital Corporation

  dba Alta Vista Regional Hospital

  • Critical Access Hospital
  • Las Vegas, NM
  • NPI 1114639234
  Care Compare affiliation

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1881654150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 QUANDARY PEAK RD",
            "city": "PINE",
            "state": "CO",
            "postal_code": "804709135",
            "telephone_number": "970-560-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 E 10TH AVE",
            "city": "SPRINGFIELD",
            "state": "CO",
            "postal_code": "810731622",
            "telephone_number": "719-523-6628",
            "fax_number": "719-523-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSWORTH",
        "first_name": "RALPH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60185754",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "37599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04837011",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County Commissioners of Baca
• County Commissioners of Baca
• Paige England, RN
• Philip Coniff Hall, PHARMD
• Healthone Heart Care LLC
• Jenna Homsher, FNP-BC
• Janette Lorena S Javier, MD
• Chambrey Ann Johnson, OT
• Kyle L Lasley, M.A.
• Antonio S Manalo, MD

• Family Medicine Physician in Springfield, CO
• Providers in Springfield, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.