PAYAM KHALIGHI DO
NPI 1043282304
Hospitalist in Denver, CO

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment
77.17/100
CMS Quality Rating
2525 S DOWNING ST, DENVER, CO 80210(303) 715-7184(720) 874-5886 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2019, Nov 23, 2016 (2 updates tracked since 2016).

About Payam Khalighi Do NPPES

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

PAYAM KHALIGHI DO (NPI 1043282304) is an individual hospitalist provider in Denver, Colorado, licensed in Colorado (DR.0036837) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1995).

NPPES Registry Identity

NPI1043282304
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePAYAM KHALIGHICredential: DO
Location Address2525 S DOWNING STDenver, CO 80210-5817
Mailing Address2525 S Downing StDenver, CO 80210-5817 · (303) 715-7184 · Fax (720) 874-5886
Fax(720) 874-5886
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1995
Enumeration DateFebruary 2, 2006
Last NPPES UpdateJune 4, 20192 updates tracked since enumeration
NPI 1043282304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CO · DR.0036837
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 36837 (CO)
2525 S DOWNING ST, Denver, CO 80210

Other Identifiers 1

Medicaid76677249CO

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

Payam Khalighi Do 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 ID3971796277
PECOS Enrollment IDI20101019001120
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
246 services115 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
149 services93 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
56 services55 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
41 services41 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80210 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.

77.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.27
Promoting Interoperability81
Improvement Activities40
Cost59.47

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers31 claims31 services$13.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers35 claims35 services$60.93 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 20

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

General Acute Care Hospital
2525 S DOWNING ST
DENVER, CO 80210
Nurse Practitioner (Adult Health)
2525 S DOWNING ST, INTENSIVE CARE UNIT
DENVER, CO 80210
Pathology (Anatomic Pathology & Clinical Pathology)
2525 S DOWNING ST
DENVER, CO 80210
Registered Nurse (General Practice)
2525 S DOWNING ST
DENVER, CO 80210
Family Medicine
2525 S DOWNING ST
DENVER, CO 80210
Registered Nurse (Neonatal Intensive Care)
2525 S DOWNING ST
DENVER, CO 80210
Pediatrics (Pediatric Cardiology)
2525 S DOWNING ST
DENVER, CO 80210
Internal Medicine
2525 S DOWNING ST
DENVER, CO 80210

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 Payam Khalighi's NPI number?

The NPI number for Payam Khalighi is 1043282304. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Payam Khalighi located?

Payam Khalighi practices at 2525 S Downing St, Denver, CO 80210. The listed phone number is (303) 715-7184.

What is Payam Khalighi's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Payam Khalighi enrolled in Medicare?

Yes. Payam Khalighi 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.

When was this NPI record last updated?

The NPPES record for Payam Khalighi was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.