PEDRO E COLTON M.D.
NPI 1104001270
Internal Medicine - Nephrology in San Juan, PR

Active since January 08, 2008PECOS EnrolledAccepts Medicare Assignment
611 CALLE PAVIA, PAVIA MEDICAL PLAZA SUITE 214, SAN JUAN, PR 00909(787) 726-7008 Get Directions Write a Review

NPPES record last updated: December 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pedro E Colton M.d. NPPES

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

PEDRO E COLTON M.D. (NPI 1104001270) is an individual nephrology provider in San Juan, Puerto Rico, licensed in Puerto Rico (17532) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Doctor's Center De San Juan, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1104001270
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NamePEDRO E COLTONCredential: M.D.
Location Address611 CALLE PAVIA, PAVIA MEDICAL PLAZA SUITE 214San Juan, PR 00909-2239
Mailing Address611 Calle Pavia, Pavia Medical Plaza Suite 214San Juan, PR 00909-2239 · (787) 726-7008
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 8, 2008
Last NPPES UpdateDecember 6, 2012
NPI 1104001270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in PR · 17532
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
611 CALLE PAVIA, San Juan, PR 00909

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

Pedro E Colton 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 ID4981854783
PECOS Enrollment IDI20121031000462
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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
96 services46 patients
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.
51 services22 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.
43 services37 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Doctor's Center De San Juan

Acute Care Hospitals · San Juan, PR
OwnershipProprietary
CMS Certification Number400006
Location1395 Calle San Rafael Parada 20San Juan, PR 00909 · San Juan County
Emergency services

Hospital Pavia Santurce

Acute Care Hospitals · San Juan, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400019
LocationStreet Profesor Augusto Rodriguez #1462San Juan, PR 00910 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00909 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Dry pressure pad for mattress, standard mattress length and width E0199
DME-Other DME · category DE000N
1 supplier11 claims11 services$3.36 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers15 claims15 services$67.87 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers24 claims3,720 services$0.30 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers24 claims4,320 services$0.94 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$205.62 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers21 claims21 services$18.93 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 8

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

Specialist
611 CALLE PAVIA, OFICINA 214
SAN JUAN, PR 00909
Colon & Rectal Surgery
611 CALLE PAVIA, SUITE 110
SAN JUAN, PR 00909
Obstetrics & Gynecology
611 CALLE PAVIA, SUITE 112
SANTURCE, PR 00909
Specialist
611 CALLE PAVIA, OFIC 214
SAN JUAN, PR 00909
Clinic/Center (Research)
611 CALLE PAVIA, OFICINA 214
SAN JUAN, PR 00909
Ophthalmology
611 CALLE PAVIA, SUITE 210
SAN JUAN, PR 00909
Oral & Maxillofacial Surgery
611 CALLE PAVIA, PAVIA MEDICAL PLAZA SUITE 208
SANTURCE, PR 00909
Family Medicine
611 CALLE PAVIA, PAVIA MEDICAL PLAZA SUITE 210
SANTURCE, PR 00909

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 Pedro Colton's NPI number?

The NPI number for Pedro Colton is 1104001270. It was assigned to this individual provider in the NPPES registry on January 8, 2008.

Where is Pedro Colton located?

Pedro Colton practices at 611 Calle Pavia Pavia Medical Plaza Suite 214, San Juan, PR 00909. The listed phone number is (787) 726-7008.

What is Pedro Colton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Pedro Colton enrolled in Medicare?

Yes. Pedro Colton 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.

Is Pedro Colton affiliated with any hospitals?

According to CMS data, Pedro Colton is affiliated with Doctor's Center De San Juan and Hospital Pavia Santurce.

When was this NPI record last updated?

The NPPES record for Pedro Colton was last updated on December 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.