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DR. JOHN MICHAEL MCGRATH M.D.
NPI 1013965201
Emergency Medicine in Colorado Springs, CO

Active since May 04, 2006PECOS Enrolled
5785 REGAL VIEW RD, COLORADO SPRINGS, CO 80919(337) 718-1784 Get Directions Write a Review

NPPES record last updated: February 17, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. John Michael Mcgrath M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN MICHAEL MCGRATH M.D. (NPI 1013965201) is an individual emergency medicine provider in Colorado Springs, Colorado, licensed in Texas (K6140) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013965201
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOHN MICHAEL MCGRATHCredential: M.D.
Location Address5785 REGAL VIEW RDColorado Springs, CO 80919-6525
Mailing Address5785 Regal View RdColorado Springs, CO 80919-6525 · (337) 718-1784
Phone(337) 718-1784
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateFebruary 17, 2017
✔ NPI 1013965201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · K6140
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5785 REGAL VIEW RD, Colorado Springs, CO 80919
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Michael Mcgrath M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show John Mcgrath reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arkansas Valley Regional Medical Center
97 mi
General Practice
1100 CARSON
La Junta, CO 81050
  • Reassigned Medicare billing, Colorado enrollment
  • Also billed through NPI 1760489470 (Colorado)
  • 34 clinicians in this Medicare group
NPI 1649449075 (719) 383-6390
Prowers County Hospital District
136 mi
Critical Access
401 KENDALL DRIVE
Lamar, CO 81052
  • Reassigned Medicare billing, Colorado enrollment
  • 115 clinicians in this Medicare group
NPI 1821052929 (719) 336-4343

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80919 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Mcgrath's NPI number?

The NPI number for John Mcgrath is 1013965201. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is John Mcgrath located?

John Mcgrath practices at 5785 Regal View Rd, Colorado Springs, CO 80919. The listed phone number is (337) 718-1784.

What is John Mcgrath's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Mcgrath enrolled in Medicare?

Yes. John Mcgrath is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Mcgrath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Mcgrath reassigns Medicare benefits to 2 organizations: Arkansas Valley Regional Medical Center (La Junta, CO) and Prowers County Hospital District (Lamar, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Mcgrath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Mcgrath was last updated on February 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.