DR. CLARA I RESTREPO MD
NPI 1073640017
Internal Medicine - Pulmonary Disease in Denver, CO

Active since February 27, 2007PECOS EnrolledAccepts Medicare Assignment
91.11/100
CMS Quality Rating
1400 JACKSON ST, DENVER, CO 80206(303) 388-4461(303) 270-2206 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2021, Oct 14, 2020, Feb 16, 2016 (3 updates tracked since 2016).

About Dr. Clara I Restrepo Md NPPES

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

DR. CLARA I RESTREPO MD (NPI 1073640017) is an individual pulmonary disease provider in Denver, Colorado, licensed in Colorado (36246) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (1990).

NPPES Registry Identity

NPI1073640017
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. CLARA I RESTREPOCredential: MD
Location Address1400 JACKSON STDenver, CO 80206-2761
Mailing Address1400 Jackson StDenver, CO 80206-2761 · (303) 388-4461 · Fax (303) 398-1211
Fax(303) 270-2206
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1990
Enumeration DateFebruary 27, 2007
Last NPPES UpdateMarch 17, 20213 updates tracked since enumeration
NPPES CertifiedMarch 17, 2021
NPI 1073640017 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 · 36246
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 · Sleep MedicineTaxonomy 207RS0012X · License 36246 (CO)
1400 JACKSON ST, Denver, CO 80206

Other Identifiers 2

Medicaid01362466CO
Other013586Kaiser-commercial Number

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. Clara I Restrepo 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 ID9234283094
PECOS Enrollment IDI20090813000684
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 6

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
148 services104 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
25 services25 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
18 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80206 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.

91.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.23
Promoting Interoperability88
Improvement Activities40
Cost73.49

Referred Medical Equipment & Supplies CMS DME claims 13

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers20 claims20 services$82.97 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers16 claims42 services$31.35 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
8 suppliers12 claims12 services$49.90 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
13 suppliers22 claims22 services$16.54 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
10 suppliers25 claims25 services$13.63 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
13 suppliers32 claims172 services$2.02 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.

Allergy & Immunology
1400 JACKSON ST
DENVER, CO 80206
Internal Medicine (Cardiovascular Disease)
1400 JACKSON ST
DENVER, CO 80206
Dietitian, Registered
1400 JACKSON ST
DENVER, CO 80206
Pharmacy Technician
1400 JACKSON ST
DENVER, CO 80206
Allergy & Immunology
1400 JACKSON ST
DENVER, CO 80206
Clinical Nurse Specialist
1400 JACKSON ST
DENVER, CO 80206
Internal Medicine (Pulmonary Disease)
1400 JACKSON ST
DENVER, CO 80206
Internal Medicine (Pulmonary Disease)
1400 JACKSON ST
DENVER, CO 80206

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 Clara Restrepo's NPI number?

The NPI number for Clara Restrepo is 1073640017. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Clara Restrepo located?

Clara Restrepo practices at 1400 Jackson St, Denver, CO 80206. The listed phone number is (303) 388-4461.

What is Clara Restrepo's specialty?

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

Is Clara Restrepo enrolled in Medicare?

Yes. Clara Restrepo 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 Clara Restrepo was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.