RONALD W PELTON M.D., PH.D.
NPI 1144209404
Ophthalmology in Colorado Springs, CO

Q: What is Ronald Pelton's NPI number?

The NPI number for Ronald Pelton is 1144209404. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Q: What is Ronald Pelton's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Ronald Pelton was last updated on February 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since January 13, 2006PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

455 E PIKES PEAK AVE, COLORADO SPRINGS, CO 80903(719) 329-0040(719) 329-0080 Get Directions Write a Review

NPPES record last updated: February 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ronald W Pelton M.d., Ph.d. NPPES

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

RONALD W PELTON M.D., PH.D. (NPI 1144209404) is an individual ophthalmology provider in Colorado Springs, Colorado, licensed in Colorado (37739) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (1993).

NPPES Registry Identity

NPI1144209404

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameRONALD W PELTONCredential: M.D., PH.D.

Location Address455 E PIKES PEAK AVEColorado Springs, CO 80903-3648

Mailing Address455 E Pikes Peak AveColorado Springs, CO 80903-3674 · (719) 329-0040 · Fax (719) 329-0080

Phone(719) 329-0040

Fax(719) 329-0080

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 1993

Enumeration DateJanuary 13, 2006

Last NPPES UpdateFebruary 28, 2008

✔ NPI 1144209404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CO · 37739

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

455 E PIKES PEAK AVE, Colorado Springs, CO 80903

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Other Identifiers 3

Medicare PINC801996CO

Medicare UPING56266CO

Medicaid70722382CO

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

Ronald W Pelton M.d., Ph.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 ID5092758029

PECOS Enrollment IDI20050613000478

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 22

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

2,300 services15 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

347 services341 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

300 services299 patients

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.

215 services189 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

79 services79 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.

52 services52 patients

Injection of chemical for paralysis of nerve muscles on side of face 64612

This procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.

43 services15 patients

Insertion of probe into nasal tear duct 68810

The insertion of a probe into the nasal tear duct is a procedure done to clear blockages in the tear duct. This helps restore normal tear drainage, preventing excessive tearing or infection. A thin, flexible instrument is gently inserted into the duct to open it up. It's a quick, usually painless process.

39 services37 patients

Removal of growth of eyelid 67840

The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.

38 services36 patients

Extensive repair of turning-outward eyelid defect 67917

This procedure corrects an eyelid defect where the eyelid turns outward, exposing the eye. The extensive repair involves surgical techniques to reshape the eyelid and ensure it functions properly. This helps protect the eye and improve comfort.

38 services35 patients

Shortening or advancement of upper eyelid muscle to correct drooping or paralysis 67903

This procedure involves adjusting the muscle in your upper eyelid to correct drooping or paralysis. The muscle may be shortened or advanced to help lift the eyelid to a better position. This can improve vision and give a more alert appearance. It's typically an outpatient procedure.

28 services28 patients

Repair of tendon of upper eyelid 67904

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

26 services26 patients

Repair of eyelid lining with graft from external eye 68320

This procedure involves fixing the inner lining of your eyelid. A graft, or a piece of tissue, from the external part of your eye is used for repair. It helps restore normal eyelid function and appearance.

23 services21 patients

Reconstruction of eyelid margin 67950

Reconstruction of the eyelid margin is a surgical procedure to repair defects or abnormalities in the eyelid. It helps to protect the eye, improve vision, and enhance appearance. The surgery involves reshaping the eyelid using tissue grafts or flaps.

21 services20 patients

Snip incision of tear duct at inner corner of eye 68440

This procedure involves making a small cut in your tear duct, located at the inner corner of your eye. It's typically done to relieve blockage, helping tears drain properly from your eye. It's a common, quick procedure with minimal discomfort.

21 services19 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

19 services19 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

18 services18 patients

Probing of nasal tear duct with insertion of tube or stent 68815

This procedure treats blocked tear ducts. A thin probe is gently inserted into the tear duct to clear any blockage. Afterwards, a small tube or stent is placed to keep the pathway open, allowing tears to drain normally again.

18 services17 patients

Removal of foreign body or stone in tear passages 68530

This procedure involves the removal of foreign materials or stones blocking your tear passages. It's done to restore normal tear flow, reducing discomfort and preventing infection. It is a safe procedure typically performed by an eye specialist.

16 services15 patients

Creation of drainage tract from tear sac to nasal cavity 68720

This procedure, called Dacryocystorhinostomy, creates a new pathway for tears to drain from your eye into your nose. It's done when the natural tear duct is blocked or not working properly. It helps prevent tear overflow and eye infections.

16 services15 patients

Correction of widely-opened upper eyelid 67911

The correction of a widely-opened upper eyelid, also known as eyelid ptosis surgery, is a procedure that adjusts the height of the upper eyelid. It helps improve vision and appearance by tightening the muscle that lifts your eyelid, resulting in a more balanced and open look.

14 services13 patients

Repair of brow paralysis 67900

Repair of brow paralysis is a procedure aimed to restore function and symmetry to the face. This is achieved by adjusting muscles and nerves in the brow area. It can help improve the appearance and movement of the forehead and eyebrows, enhancing overall facial expressions.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80903 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

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

Most-billed visit code 99213

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.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%24 patients5/55-star benchmark: 100%

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Polishing/resurfacing of ocular prosthesis V2624

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier18 claims18 services$52.84 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 7

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

AMEDISYS COLORADO LLC

Home Health

455 E PIKES PEAK AVE, SUITE 210
COLORADO SPRINGS, CO 80903

El Paso County (719) 471-4259

KRISTEN E REISS PA-C

Physician Assistant (Surgical)

455 E PIKES PEAK AVE, SUITE 220
COLORADO SPRINGS, CO 80903

El Paso County (719) 475-8080

DOUGLAS GERALD SWANSON MD

Family Medicine

455 E PIKES PEAK AVE, STE 105
COLORADO SPRINGS, CO 80903

El Paso County (719) 635-7288

ERIC O RIDINGS M.D.

Physical Medicine & Rehabilitation

455 E PIKES PEAK AVE, SUITE 102
COLORADO SPGS, CO 80903

El Paso County (719) 636-3333

APEX DIAGNOSTIC, INC.

Specialist

455 E PIKES PEAK AVE, SUITE #220
COLORADO SPRINGS, CO 80903

El Paso County (719) 338-6715

PIKES PEAK FOOT AND ANKLE CTR

Podiatrist (Foot & Ankle Surgery)

455 E PIKES PEAK AVE, SUITE 220
COLORADO SPRINGS, CO 80903

El Paso County (719) 475-8080

CTMD LLC DBA PARKSIDE HEART CARE

Specialist

455 E PIKES PEAK AVE, SUITE 100
COLORADO SPRINGS, CO 80903

El Paso County (719) 338-1324

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 Pelton's NPI number?

The NPI number for Ronald Pelton is 1144209404. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Ronald Pelton located?

Ronald Pelton practices at 455 E Pikes Peak Ave, Colorado Springs, CO 80903. The listed phone number is (719) 329-0040.

What is Ronald Pelton's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ronald Pelton enrolled in Medicare?

Yes. Ronald Pelton 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 Ronald Pelton was last updated on February 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.