DR. ERIN ELIZABETH RIGGLE M.D. NPI 1003004771
Internal Medicine (Critical Care Medicine) in Littleton, CO
About ERIN RIGGLE
Erin Riggle is an internal medicine provider established in Littleton, Colorado and her medical specialization is internal medicine (critical care medicine) with more than 19 years of experience. The NPI number of Erin Riggle is 1003004771 and was assigned on October 2007. The practitioner's primary taxonomy code is 207RC0200X with license number DR.0047930 (CO). The provider is registered as an individual and her NPI record was last updated March 2022. Erin Riggle operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.
An internist like Dr. Erin Elizabeth Riggle M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Erin Riggle is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices
Erin Riggle is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Littleton Adventist Hospital, Centura Health.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 71.9, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The typical physician office visit costs for Medicare beneficiaries in this area are: $34.3 for a new patient copayment and $26.58 for an established patient copayment.
| NPI | 1003004771 |
| Provider Name | DR. ERIN ELIZABETH RIGGLE M.D. |
| Provider Location Address | 15 W DRY CREEK CIR LITTLETON, CO 80120 |
| Provider Mailing Address | 15 W. DRY CREEK CIR LITTLETON, CO 80120 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Is Sole Proprietor? | Yes |
| Is Organization Subpart? | N/A |
| Enumeration Date | 10-09-2007 |
| Last Update Date | 03-24-2022 |
Primary Taxonomy
| Taxonomy Code | 207RC0200X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Critical Care Medicine |
| License No. | DR.0047930 |
| License State | CO |
| Taxonomy Description | An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
Business Address
DR. ERIN ELIZABETH RIGGLE M.D.
15 W DRY CREEK CIR
LITTLETON, CO
ZIP 80120
Phone: (303) 952-1100
Fax: (303) 952-8185
Mailing Address
DR. ERIN ELIZABETH RIGGLE M.D.
15 W. DRY CREEK CIR
LITTLETON, CO
ZIP 80120
Phone: (303) 952-1100
Fax: (720) 287-3183
Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 7911046602 |
| PECOS Enrollment ID | I20091210000085 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 80120 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $60.06 | $181 | $137.2 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $15.01 | $45.25 | $34.3 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $18.98 | $148.2 | $106.32 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.74 | $37.05 | $26.58 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 63 | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | N/A | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | 70.3 | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 71.9 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 160Measurement and graphic recording of total and timed exhaled air capacity (HCPCS:94010)
- 32Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)
- 32Determination of lung volumes using plethysmography (HCPCS:94726)
- 32Measurement of lung diffusing capacity (HCPCS:94729)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Erin Riggle is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| LITTLETON ADVENTIST HOSPITAL, CENTURA HEALTH | 7700 S BROADWAY LITTLETON, CO 80122 | (303) 730-8900 | Acute Care Hospitals | 60113 |
Group Taxonomy
193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | DR.0047930 | CO | No | |
Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. | |||||||
| 2 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | DR.0047930 | CO | No |
Taxonomy Description: an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 46501053 | MEDICAID (05) | CO |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114029113 | DR. GERALD CAPOOT M.D. Individual | Specialist | 15 W DRY CREEK CIR LITTLETON, CO 80120 (303) 798-1309 |
| 1447352349 | DR. ROBERT BRADLEY CULBERSON M.D. Individual | Specialist | 15 W DRY CREEK CIR LITTLETON, CO 80120 (303) 798-1309 |
| 1194901801 | COMPREHENSIVE ENT, HEAD AND NECK SURGERY, PC Organization | Otolaryngology | 15 W DRY CREEK CIR LITTLETON, CO 80120 (303) 798-1309 |
| 1114182003 | DAVID YU M.D. Individual | Internal Medicine | 15 W DRY CREEK CIR LITTLETON, CO 80120 (303) 952-1100 |
| 1801868401 | MIKE JOSEPH MCMILLAN MD Individual | Family Medicine | 15 W DRY CREEK CIR LITTLETON, CO 80120 (303) 952-1100 |
| 1427019215 | DR. ANDREA L RYAN DO Individual | Internal Medicine | 15 W DRY CREEK CIR LITTLETON, CO 80120 (303) 952-1100 |
| 1780635904 | DR. ARVIN KUMAR RAO M.D. Individual | Otolaryngology | 15 W DRY CREEK CIR LITTLETON, CO 80120 (303) 953-6767 |
| 1407278740 | SHANDA BARTEL NP Individual | Nurse Practitioner (Family) | 15 W DRY CREEK CIR LITTLETON, CO 80120 (303) 952-1100 |
| 1447624978 | MARGARET V BERNARD NP Individual | Nurse Practitioner (Family) | 15 W DRY CREEK CIR LITTLETON, CO 80120 (303) 952-1100 |
| 1639153141 | DR. RONALD L MILLER MD Individual | Internal Medicine | 15 W DRY CREEK CIR LITTLETON, CO 80120 (303) 952-1117 |
| 1386948206 | MS. MARIANNE DENISE MORALES ACNP-BC Individual | Nurse Practitioner (Acute Care) | 15 W DRY CREEK CIR LITTLETON, CO 80120 (303) 952-1100 |
| 1063657369 | JODIE L GROUT NP Individual | Nurse Practitioner (Acute Care) | 15 W DRY CREEK CIR LITTLETON, CO 80120 (303) 952-1100 |
| 1093132243 | BREE NAIBAUER N.P. Individual | Nurse Practitioner (Acute Care) | 15 W DRY CREEK CIR LITTLETON, CO 80120 (303) 952-1100 |
| 1932505179 | ALEXANDRA RAE DIPAOLO AGNP Individual | Nurse Practitioner (Critical Care Medicine) | 15 W DRY CREEK CIR LITTLETON, CO 80120 (303) 952-1100 |
| 1295285815 | MRS. ALLISON WAGSTAFF Individual | Clinical Nurse Specialist (Acute Care) | 15 W DRY CREEK CIR LITTLETON, CO 80120 (303) 952-1111 |
| 1083726160 | DR. RANDY TAYLOR M.D.,PH.D Individual | Specialist | 15 W DRY CREEK CIR LITTLETON, CO 80120 (303) 798-1309 |
| 1922391648 | DANIEL A KELMENSON MD Individual | Internal Medicine (Pulmonary Disease) | 15 W DRY CREEK CIR LITTLETON, CO 80120 (303) 952-1104 |
| 1912348541 | LINDSAY AGNETA CARLUCCI NP Individual | Family Medicine | 15 W DRY CREEK CIR LITTLETON, CO 80120 |
| 1982998407 | BRITTANY DANIELLE TURNER PA Individual | Physician Assistant | 15 W DRY CREEK CIR LITTLETON, CO 80120 |
| 1336170117 | MS. KRISTEN MARIE WHITTED FNP-C Individual | Nurse Practitioner (Critical Care Medicine) | 15 W DRY CREEK CIR LITTLETON, CO 80120 (303) 952-1100 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.