GUISET CARVAJAL BEDOYA MD
NPI 1194187799
Internal Medicine - Rheumatology in Aurora, CO

Q: What is Guiset Carvajal Bedoya's NPI number?

The NPI number for Guiset Carvajal Bedoya is 1194187799. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Q: What is Guiset Carvajal Bedoya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment

94.3/100

CMS Quality Rating

12605 E 16TH AVE, AURORA, CO 80045(720) 848-7700 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2022, Jul 1, 2019, Apr 15, 2019 and 3 more (6 updates tracked since 2016).

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About Guiset Carvajal Bedoya Md NPPES

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

GUISET CARVAJAL BEDOYA MD (NPI 1194187799) is an individual rheumatology provider in Aurora, Colorado, licensed in Montana (MED-PHYS-LIC-100402) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and maintains a secondary practice location in Billings.

NPPES Registry Identity

NPI1194187799

Entity TypeIndividualFemale

Primary Taxonomy207RR0500X

Provider Legal NameGUISET CARVAJAL BEDOYACredential: MD

Location Address12605 E 16TH AVEAurora, CO 80045-2545

Mailing Address12605 E 16th AveAurora, CO 80045-2545 · (406) 697-3331

Phone(720) 848-7700

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateMarch 22, 2016

Last NPPES UpdateJanuary 29, 20246 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2024

✔ NPI 1194187799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in MT · MED-PHYS-LIC-100402

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License MED-RES-LIC-49921 (MT)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

12605 E 16TH AVE, Aurora, CO 80045

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Secondary Practice Location 1

Location 1801 N 29th StBillings, MT 59101-0905 · Phone (406) 238-2210

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of Wyoming, Mountain Health CO-OP 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

Guiset Carvajal Bedoya 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 ID8628357126

PECOS Enrollment IDI20210802001748, I20250205003260, I20250307002911

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 8

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.

335 services203 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

152 services90 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.

42 services42 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.

40 services38 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

34 services29 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

20 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Billings Clinic

Acute Care Hospitals · Billings, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270004

Location2800 10th Ave NBillings, MT 59101 · Yellowstone County

Emergency services Birthing friendly

Frances Mahon Deaconess Hospital

Critical Access Hospitals · Glasgow, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271316

Location621 3rd St SGlasgow, MT 59230 · Valley County

Emergency services

Glendive Medical Center

Critical Access Hospitals · Glendive, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271332

Location202 Prospect DrGlendive, MT 59330 · Dawson County

Emergency services

Sidney Health Center

Critical Access Hospitals · Sidney, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number271344

Location216 14th Ave SWSidney, MT 59270 · Richland County

Emergency services Birthing friendly

Chi St Alexius Health Williston

Critical Access Hospitals · Williston, ND

OwnershipVoluntary non-profit - Church

CMS Certification Number351334

Location1301 15th Ave WWilliston, ND 58801 · Williams County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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.

94.3/100

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

Scored through an Alternative Payment Model

Quality

85.58

Promoting Interoperability

100

Improvement Activities

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.

KEVIN BRADLEY ROTHCHILD MD

Surgery (Trauma Surgery)