DR. PHILIPPE MARTEN GAUTHIER MD
NPI 1225021520
Internal Medicine - Nephrology in Aurora, CO

Q: What is Philippe Gauthier's NPI number?

The NPI number for Philippe Gauthier is 1225021520. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Q: What is Philippe Gauthier's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Philippe Gauthier was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 23, 2005PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

1635 AURORA CT, AURORA, CO 80045(720) 848-2237 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2023, Dec 21, 2018 (2 updates tracked since 2018).

On this page

About Dr. Philippe Marten Gauthier Md NPPES

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

DR. PHILIPPE MARTEN GAUTHIER MD (NPI 1225021520) is an individual nephrology provider in Aurora, Colorado, licensed in Colorado (42844) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (1994).

NPPES Registry Identity

NPI1225021520

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. PHILIPPE MARTEN GAUTHIERCredential: MD

Location Address1635 AURORA CTAurora, CO 80045-2541

Mailing AddressPo Box 110429Aurora, CO 80042-0429

Phone(720) 848-2237

Sole ProprietorNo

Medical School CMSTulane University School Of MedicineGraduated 1994

Enumeration DateAugust 23, 2005

Last NPPES UpdateJanuary 6, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2023

✔ NPI 1225021520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in CO · 42844✔ Licensed in ND · 15406

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.

1635 AURORA CT, Aurora, CO 80045

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Dr. Philippe Marten Gauthier 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 ID8628046109

PECOS Enrollment IDI20040922000632

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

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.

42 services25 patients

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.

97.58/100

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

Scored through an Alternative Payment Model

Quality

86.53

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.

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