DR. RONALD RAINS MD
NPI 1023013745
Internal Medicine - Pulmonary Disease in Colorado Springs, CO

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
62.62/100
CMS Quality Rating
1725 E BOULDER ST, STE 204, COLORADO SPRINGS, CO 80909(719) 471-1069(719) 577-4828 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ronald Rains Md NPPES

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

DR. RONALD RAINS MD (NPI 1023013745) is an individual pulmonary disease provider in Colorado Springs, Colorado, licensed in Colorado (DR.0033584) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Durango, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1984).

NPPES Registry Identity

NPI1023013745
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. RONALD RAINSCredential: MD
Location Address1725 E BOULDER ST, STE 204Colorado Springs, CO 80909-5740
Mailing Address1725 E Boulder St, Ste 204Colorado Springs, CO 80909-5740 · (719) 471-1069 · Fax (719) 577-4828
Fax(719) 577-4828
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1984
Enumeration DateJune 17, 2005
Last NPPES UpdateMay 9, 2025
NPPES CertifiedMay 9, 2025
NPI 1023013745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CO · DR.0033584
Definition
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.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 33584 (CO)
1725 E BOULDER ST, Colorado Springs, CO 80909

Secondary Practice Location 1

Location 11010 Three Springs Blvd Ste 110Durango, CO 81301-8296 · Phone (970) 764-2750 · Fax (970) 764-2778

Other Identifiers 1

Medicaid01335843CO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ronald Rains Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012903750
PECOS Enrollment IDI20070517000043
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80909 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

62.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.54
Improvement Activities40
Cost18.43

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers11 claims11 services$37.88 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers17 claims99 services$16.00 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers19 claims19 services$50.52 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers14 claims14 services$14.95 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
6 suppliers14 claims14 services$13.56 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers21 claims126 services$1.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
1725 E BOULDER ST, SUITE 101
COLORADO SPRINGS, CO 80909
Internal Medicine (Nephrology)
1725 E BOULDER ST, SUITE 105
COLORADO SPRINGS, CO 80909
Psychiatry & Neurology (Neurology)
1725 E BOULDER ST, SUITE 101
COLORADO SPRINGS, CO 80909
Specialist
1725 E BOULDER ST, SUITE 104
COLORADO SPRINGS, CO 80909
Neurological Surgery
1725 E BOULDER ST, SUITE 101
COLORADO SPRINGS, CO 80909
Internal Medicine (Nephrology)
1725 E BOULDER ST, SUITE 105
COLORADO SPRINGS, CO 80909
Psychiatry & Neurology (Neurology)
1725 E BOULDER ST, STE 101
COLORADO SPRINGS, CO 80909
Internal Medicine (Pulmonary Disease)
1725 E BOULDER ST
COLORADO SPRINGS, CO 80909

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 Ronald Rains's NPI number?

The NPI number for Ronald Rains is 1023013745. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Ronald Rains located?

Ronald Rains practices at 1725 E Boulder St Ste 204, Colorado Springs, CO 80909. The listed phone number is (719) 471-1069.

What is Ronald Rains's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ronald Rains enrolled in Medicare?

Yes. Ronald Rains is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ronald Rains accept?

Health plans from University of Utah Health Plans list Ronald Rains as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ronald Rains was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.