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DONALD DEAN REGIER M.D.
NPI 1164439535
Family Medicine in Julesburg, CO

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
81.15/100
CMS Quality Rating
116 E 9TH ST, JULESBURG, CO 80737(970) 474-3376(970) 474-2461 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Donald Dean Regier M.d. NPPES

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

DONALD DEAN REGIER M.D. (NPI 1164439535) is an individual family medicine provider in Julesburg, Colorado, licensed in Colorado (28853) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Sidney Regional Medical Center, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1985).

NPPES Registry Identity

NPI1164439535
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDONALD DEAN REGIERCredential: M.D.
Location Address116 E 9TH STJulesburg, CO 80737-1100
Mailing Address900 Cedar StJulesburg, CO 80737-1121 · (970) 474-3376 · Fax (970) 474-2461
Phone(970) 474-3376
Fax(970) 474-2461
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1985
Enumeration DateAugust 1, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1164439535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 28853
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
116 E 9TH ST, Julesburg, CO 80737
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Other Identifiers 1

Medicaid01288539CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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

Donald Dean Regier 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 ID4981797024
PECOS Enrollment IDI20101129000704
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 10

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 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.
123 services41 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
119 services96 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
75 services62 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.
62 services57 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.
51 services42 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
33 services29 patients

Hospital Affiliations CMS Care Compare

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

Sidney Regional Medical Center

Critical Access Hospitals · Sidney, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281357
Location1000 Pole Creek CrossingSidney, NE 69162 · Cheyenne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80737 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
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.

81.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40
Cost29.37

Referred Medical Equipment & Supplies CMS DME claims 20

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims30 services$5.97 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
2 suppliers11 claims22 services$3.53 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
2 suppliers13 claims650 services$0.23 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
2 suppliers16 claims400 services$0.22 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers30 claims30 services$112.92 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers30 claims88 services$44.02 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 3

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

LISA REGIER P.A.-C
Physician Assistant
116 E 9TH ST
JULESBURG, CO 80737
Sedgwick County (970) 474-3376
RONALD COOPER PA-C
Physician Assistant
116 E 9TH ST
JULESBURG, CO 80737
Sedgwick County (970) 474-3376
MICHAEL LIPNICK M.D.
Family Medicine
116 E 9TH ST
JULESBURG, CO 80737
Sedgwick County (970) 474-3376

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 Donald Regier's NPI number?

The NPI number for Donald Regier is 1164439535. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Donald Regier located?

Donald Regier practices at 116 E 9th St, Julesburg, CO 80737. The listed phone number is (970) 474-3376.

What is Donald Regier's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Donald Regier enrolled in Medicare?

Yes. Donald Regier 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.

What insurance does Donald Regier accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Donald Regier as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Donald Regier affiliated with any hospitals?

According to CMS data, Donald Regier is affiliated with Sidney Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Donald Regier was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.