ERIN ERIN ELIZABETH RIGGLE M.D. NPI 1003004771
Internal Medicine - Critical Care Medicine in Littleton, CO

Individual Female Years of Experience 21 Internal Medicine Critical Care Medicine PECOS Enrolled Accepts Medicare Approved Payment Quality Score

About ERIN ERIN ELIZABETH RIGGLE M.D.

Erin Riggle is an internist established in Littleton, Colorado and her medical specialization is Internal Medicine with a focus in critical care medicine with more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1003004771 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 one year ago. Erin Riggle operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.

NPI1003004771
Provider NameERIN ERIN ELIZABETH RIGGLE M.D.
Location Address15 W DRY CREEK CIR LITTLETON, CO 80120
Location Phone(303) 952-1100
Mailing Address15 W. DRY CREEK CIR LITTLETON, CO 80120
GenderFemale
Entity TypeIndividual
Medical School NameOTHER
Graduation Year2003
Is Sole Proprietor?Yes
Enumeration Date10-09-2007
Last Update Date03-22-2023
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An internist like Erin Riggle 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 registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 60, 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.

Business Address

15 W DRY CREEK CIR
LITTLETON, CO
ZIP 80120
Phone: (303) 952-1100
Fax: (303) 952-8185

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Mailing Address

15 W. DRY CREEK CIR
LITTLETON, CO
ZIP 80120
Phone: (303) 952-1100
Fax: (720) 287-3183

Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207RC0200X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCritical Care Medicine
License No.DR.0047930
License StateCO
Taxonomy DescriptionAn 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineDR.0047930 (CO)
2207RP1001XAllopathic & Osteopathic PhysiciansInternal Medicine
Pulmonary Disease
DR.0047930 (CO)

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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.

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
46501053MEDICAID (05)CO

PECOS Enrollment and Medicare Participation Status

Erin Riggle is enrolled in PECOS and is eligible to order or refer health care 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Registered in PECOS? Yes

  • PECOS PAC ID: 7911046602

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20091210000085

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

    Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 80120 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $137.2
  • Minimum New Patient Price $60.06
  • Maximum New Patient Price $181
  • Average New Patient Copayment $34.3
  • Minimum New Patient Copayment $15.01
  • Maximum New Patient Copayment $45.25

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $106.32
  • Minimum Established Patient Price $18.98
  • Maximum Established Patient Price $148.2
  • Average Established Patient Copayment $26.58
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.05

* The physician office visit costs information is generated by 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 CMS 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.

  • Final Score: 60 out of 100

    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.

  • Quality Score: N/A

    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.

  • Promoting Interoperability Score: 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.

  • Improvement Activities Score: N/A

    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 activities measure category compromises 15% providers final MPIS scores.

    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.

  • Cost Score: N/A

    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.

  • Cost Score: N/A

    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.

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 specialty, excluding evaluation and management codes.

  • 71Test for exercise-induced lung stress (HCPCS:94618)
  • 30Determination of lung volumes using plethysmography (HCPCS:94726)
  • 30Measurement of lung diffusing capacity (HCPCS:94729)
  • 30Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)
  • 11Administration of influenza virus vaccine (HCPCS:G0008)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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 Overall Rating
CENTURA HEALTH-PORTER ADVENTIST HOSPITAL2525 S DOWNING ST
DENVER, CO 80210
(303) 778-1955Acute Care Hospitals
LITTLETON ADVENTIST HOSPITAL, CENTURA HEALTH7700 S BROADWAY
LITTLETON, CO 80122
(303) 730-8900Acute Care Hospitals

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003004771
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003008714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 8 + 7 + 1 + 4 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1003004771 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

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Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114029113DR. GERALD CAPOOT M.D.
Individual
Specialist15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 798-1309
1447352349DR. ROBERT BRADLEY CULBERSON M.D.
Individual
Specialist15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 798-1309
1194901801COMPREHENSIVE ENT, HEAD AND NECK SURGERY, PC
Organization
Otolaryngology15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 798-1309
1114182003 DAVID YU M.D.
Individual
Internal Medicine15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100
1801868401 MIKE JOSEPH MCMILLAN MD
Individual
Family Medicine15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100
1780635904DR. ARVIN KUMAR RAO M.D.
Individual
Otolaryngology15 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
1063657369 JODIE L GROUT NP
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
1295285815MRS. ALLISON WAGSTAFF
Individual
Clinical Nurse Specialist (Acute Care)15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1111
1083726160DR. RANDY TAYLOR M.D.,PH.D
Individual
Specialist15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 798-1309
1336170117MS. KRISTEN MARIE WHITTED FNP-C
Individual
Nurse Practitioner (Critical Care Medicine)15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100
1124533831 PATRICIA SUSAN HORVATH NP
Individual
Nurse Practitioner15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100
1811484256 REBECCAH GURULE AC-AGNP
Individual
Nurse Practitioner15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100
1962503284BRAD CULBERSON, MD PC
Organization
Otolaryngology (Otolaryngology/Facial Plastic Surgery)15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 798-1309
1679741466ARVIN K RAO MD PROF LLC
Organization
Clinic/Center15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 953-6767
1598004780 ALECIA BRYNDA ACNP
Individual
Nurse Practitioner (Critical Care Medicine)15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100
1124500947 AUBREY PITTS NP
Individual
Nurse Practitioner (Adult Health)15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100
1245742824 AMY PANDORF FNP-C
Individual
Nurse Practitioner (Family)15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100
1467045435MRS. AMANDA LYNN ANDERSON-PLEISS NP
Individual
Nurse Practitioner (Acute Care)15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100

Frequently Asked Questions

What is Dr. Erin Riggle M.D. NPI number?

The NPI number assigned to this healthcare provider is 1003004771, enumerated in the NPI registry as an "individual" on October 09, 2007

Where is the provider located?

The provider is located at 15 W Dry Creek Cir Littleton, Co 80120 and the phone number is (303) 952-1100

What is the provider specialty code?

The provider's speciality is Internal Medicine with taxonomy code 207RC0200X with a focus in Critical Care Medicine

How many years of experience does Dr. Erin Riggle M.D. have?

The provider has more than 21 years of experience.

What insurance does Dr. Erin Riggle M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Is Dr. Erin Riggle M.D. registered in PECOS?

Yes, as of December 01, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.

How much is a visit to Dr. Erin Riggle M.D.?

Medicare beneficiaries should expect a typical cost of $137.2 with an average copayment of $34.3 for new patient appointments. Established patients should expect a typical charge of $106.32 and an average copayment of 26.58. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Erin Riggle M.D.?

The most common procedures or services performed by this practitioner are: Test for exercise-induced lung stress, Determination of lung volumes using plethysmography, Measurement of lung diffusing capacity, Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration and Administration of influenza virus vaccine.

Is Dr. Erin Riggle M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospital(s): CENTURA HEALTH-PORTER ADVENTIST HOSPITAL and LITTLETON ADVENTIST HOSPITAL, CENTURA HEALTH. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

This NPI record was last updated on October 09, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.