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ROY TINGUELY MD
NPI 1275533713
Surgery in Pagosa Springs, CO

Active since July 27, 2005PECOS EnrolledAccepts Medicare Assignment
85.4/100
CMS Quality Rating
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147(970) 731-3700(970) 731-2362 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2020, Jul 26, 2017 (2 updates tracked since 2017).

About Roy Tinguely Md NPPES

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

ROY TINGUELY MD (NPI 1275533713) is an individual surgery provider in Pagosa Springs, Colorado, licensed in Colorado (DR.0057731) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of North Dakota School Of Medicine (1990).

NPPES Registry Identity

NPI1275533713
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameROY TINGUELYCredential: MD
Location Address95 S PAGOSA BLVDPagosa Springs, CO 81147-8329
Mailing Address95 S Pagosa BlvdPagosa Springs, CO 81147-8329 · (970) 731-3700
Phone(970) 731-3700
Fax(970) 731-2362
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1990
Enumeration DateJuly 27, 2005
Last NPPES UpdateJuly 22, 20202 updates tracked since enumeration
NPPES CertifiedJuly 22, 2020
✔ NPI 1275533713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CO · DR.0057731
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
95 S PAGOSA BLVD, Pagosa Springs, CO 81147
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Other Identifiers 5

Other020026976IA · Railroad Medicare
Medicaid0125153IA
Other19614IA · Iowa Health Solutions
Other51645IA · Blue Cross
OtherIA0106IA · John Deere Health

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roy Tinguely 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 ID3971647348
PECOS Enrollment IDI20170629001473
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.

Medicare Billing Reassignment

Medicare enrollment records show Roy Tinguely reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Upper San Juan Health Service District
Same address
Critical Access
95 S PAGOSA BLVD
Pagosa Springs, CO 81147
  • Reassigned Medicare billing, Colorado enrollment
  • Also billed through NPI 1245401561 (Colorado)
  • 56 clinicians in this Medicare group
NPI 1659523058 (970) 731-3700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81147 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
$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.

85.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.01
Promoting Interoperability99
Improvement Activities40

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.

MICHELLE FLEMMINGS MD
Emergency Medicine
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
Archuleta County (970) 731-3700
DR. BARRY WAYNE HOLCOMB JR. MD,FCCP
Internal Medicine (Pulmonary Disease)
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
Archuleta County (970) 731-3700
DR. ANTHONY ELI VELASQUEZ M.D.
Emergency Medicine
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
Archuleta County (970) 731-3700
KELLY ANNE CESARY APN
Nurse Practitioner
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
Archuleta County (970) 507-4000
UPPER SAN JUAN HEALTH SERVICE DISTRICT
General Acute Care Hospital (Critical Access)
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
Archuleta County (970) 731-3700
JEREMIAH STEED
Orthopaedic Surgery
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
Archuleta County (970) 731-3700
MRS. LAURA MARCU BUCK D.O.
Psychiatry & Neurology (Neurology)
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
Archuleta County (970) 731-3700
JOY AILEEN NORRIS
Emergency Medicine
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
Archuleta County (970) 507-3781

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 Roy Tinguely's NPI number?

The NPI number for Roy Tinguely is 1275533713. It was assigned to this individual provider in the NPPES registry on July 27, 2005.

Where is Roy Tinguely located?

Roy Tinguely practices at 95 S Pagosa Blvd, Pagosa Springs, CO 81147. The listed phone number is (970) 731-3700.

What is Roy Tinguely's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Roy Tinguely enrolled in Medicare?

Yes. Roy Tinguely 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.

Which organization bills Medicare for Roy Tinguely's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roy Tinguely reassigns Medicare benefits to Upper San Juan Health Service District (Pagosa Springs, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roy Tinguely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roy Tinguely was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.