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DAVID CISNEROS
NPI 1285080564
Internal Medicine - Rheumatology in Durango, CO

Active since May 05, 2016PECOS EnrolledAccepts Medicare Assignment
88.22/100
CMS Quality Rating
1010 THREE SPRINGS BLVD STE 275, DURANGO, CO 81301(970) 764-3740(970) 764-3643 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Cisneros NPPES

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

DAVID CISNEROS (NPI 1285080564) is an individual rheumatology provider in Durango, Colorado, licensed in Colorado (DR.0066740) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1285080564
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDAVID CISNEROS
Location Address1010 THREE SPRINGS BLVD STE 275Durango, CO 81301-8296
Mailing AddressMsc10 5550, 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-4661 · Fax (505) 272-4628
Phone(970) 764-3740
Fax(970) 764-3643
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 5, 2016
Last NPPES UpdateJuly 1, 2021
NPPES CertifiedJuly 1, 2021
✔ NPI 1285080564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in CO · DR.0066740
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1010 THREE SPRINGS BLVD STE 275, Durango, CO 81301
Open in Google Maps ↗

Secondary Practice Location 1

Location 1MSC10 5550, 1 University of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-4661 · Fax (505) 272-4628

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.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

David Cisneros 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 ID244524304
PECOS Enrollment IDI20210706000091
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 5

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 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.
329 services165 patients
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.
85 services58 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.
72 services72 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.
33 services29 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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320005
Location801 West Maple StreetFarmington, NM 87401 · San Juan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81301 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.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. GWENDOLYN GRANT M.D.
Internal Medicine (Rheumatology)
1010 THREE SPRINGS BLVD STE 275
DURANGO, CO 81301
La Plata County (970) 764-3740

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 David Cisneros's NPI number?

The NPI number for David Cisneros is 1285080564. It was assigned to this individual provider in the NPPES registry on May 5, 2016.

Where is David Cisneros located?

David Cisneros practices at 1010 Three Springs Blvd Ste 275, Durango, CO 81301. The listed phone number is (970) 764-3740.

What is David Cisneros's specialty?

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

Is David Cisneros enrolled in Medicare?

Yes. David Cisneros 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 David Cisneros accept?

Health plans from University of Utah Health Plans list David Cisneros 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 David Cisneros affiliated with any hospitals?

According to CMS data, David Cisneros is affiliated with San Juan Regional Medical Center Inc.

When was this NPI record last updated?

The NPPES record for David Cisneros was last updated on July 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.