DR. BRENT JAMES PROSSER M.D.
NPI 1063579555
Internal Medicine - Gastroenterology in Grand Junction, CO

Active since January 03, 2007PECOS EnrolledAccepts Medicare Assignment
99.45/100
CMS Quality Rating
1035 WELLINGTON AVE, GRAND JUNCTION, CO 81501(970) 242-6600(970) 241-8443 Get Directions Write a Review

NPPES record last updated: December 30, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Brent James Prosser M.d. NPPES

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

DR. BRENT JAMES PROSSER M.D. (NPI 1063579555) is an individual gastroenterology provider in Grand Junction, Colorado, licensed in Colorado (45350) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2001).

NPPES Registry Identity

NPI1063579555
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. BRENT JAMES PROSSERCredential: M.D.
Location Address1035 WELLINGTON AVEGrand Junction, CO 81501-8122
Mailing Address1035 Wellington AveGrand Junction, CO 81501-8122 · (970) 242-6600 · Fax (970) 241-8443
Fax(970) 241-8443
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2001
Enumeration DateJanuary 3, 2007
Last NPPES UpdateDecember 30, 2014
NPI 1063579555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CO · 45350
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1035 WELLINGTON AVE, Grand Junction, CO 81501

Other Identifiers 4

Medicare UPINX84477CO
Medicare PINC808582CO
OtherP00403557CO · Rrptan
Medicaid35129549CO

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. Brent James Prosser M.d. 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 ID9032218276
PECOS Enrollment IDI20070628000367
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 13

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
202 services202 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
186 services185 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
143 services138 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
101 services98 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
87 services85 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.
44 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81501 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.

99.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
Percentage of patients aged 50 to 75 years of age receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of at least 10 years for repeat colonoscopy documented in their colonoscopy report
99%146 patients
Appropriate indication for colonoscopy
Percentage of colonoscopy procedures performed for an indication that is included in a published standard list of appropriate indications and the indication is documented
99%1,362 patients5/55-star benchmark: 99%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Gastroenterology)
1035 WELLINGTON AVE
GRAND JUNCTION, CO 81501
Nurse Practitioner
1035 WELLINGTON AVE
GRAND JUNCTION, CO 81501
Clinic/Center (Ambulatory Surgical)
1035 WELLINGTON AVE
GRAND JUNCTION, CO 81501
Nurse Anesthetist, Certified Registered
1035 WELLINGTON AVE
GRAND JUNCTION, CO 81501
Internal Medicine (Gastroenterology)
1035 WELLINGTON AVE
GRAND JUNCTION, CO 81501
Internal Medicine (Gastroenterology)
1035 WELLINGTON AVE
GRAND JUNCTION, CO 81501
Physician Assistant
1035 WELLINGTON AVE
GRAND JUNCTION, CO 81501
Internal Medicine (Gastroenterology)
1035 WELLINGTON AVE
GRAND JUNCTION, CO 81501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063579555, enumerated as an "individual" on January 03, 2007.

The provider is located at 1035 WELLINGTON AVE GRAND JUNCTION, CO 81501 and the phone number is (970) 242-6600.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.