JAMES FRED REPPERT M.D.
NPI 1285632893
Internal Medicine in Canon City, CO

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
88.22/100
CMS Quality Rating
1335 PHAY AVE STE A, CANON CITY, CO 81212(719) 275-4151(719) 275-3743 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 11, 2022, Jan 5, 2022, Mar 10, 2021 and 2 more (5 updates tracked since 2020).

About James Fred Reppert M.d. NPPES

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

JAMES FRED REPPERT M.D. (NPI 1285632893) is an individual internal medicine provider in Canon City, Colorado, licensed in Colorado (22797) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (1975).

NPPES Registry Identity

NPI1285632893
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES FRED REPPERTCredential: M.D.
Location Address1335 PHAY AVE STE ACanon City, CO 81212-2349
Mailing Address1335 Phay Ave Ste ACanon City, CO 81212-2349 · (719) 275-4151 · Fax (719) 275-3743
Fax(719) 275-3743
Sole ProprietorYes
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1975
Enumeration DateJuly 8, 2005
Last NPPES UpdateJanuary 11, 20225 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2022
NPI 1285632893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CO · 22797
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1335 PHAY AVE STE A, Canon City, CO 81212

Other Identifiers 2

Medicaid01227974CO
OtherRE75491CO · Blue Cross Of Colorado

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

James Fred Reppert 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 ID9638068083
PECOS Enrollment IDI20050330000335
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 13

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
299 services249 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.
296 services132 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
176 services118 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
66 services65 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
61 services61 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.
48 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81212 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

Reported Quality Measures

Breast Cancer Screening
19%286 patients1/55-star benchmark: 93%
Cervical Cancer Screening
5%165 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
19%79 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
87%603 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
79%199 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
4%67 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
36%67 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
56%2,345 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
1%643 patients1/55-star benchmark: 100%
HIV Screening
0%427 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
25%1,040 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%884 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
21%1,201 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 59% · 398 patients
Patients screened: 66% · 398 patients
13%30 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%182 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 659 patients
Patients totalRate: 6% · 679 patients
5%679 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 15

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
3 suppliers14 claims29 services$6.34 avg. paid by Medicare
Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims990 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers15 claims3,390 services$1.45 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers26 claims27 services$110.74 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers27 claims83 services$44.47 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers19 claims19 services$22.62 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 6

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

Family Medicine
1335 PHAY AVE STE A
CANON CITY, CO 81212
Family Medicine
1335 PHAY AVE STE A
CANON CITY, CO 81212
Internal Medicine
1335 PHAY AVE STE A
CANON CITY, CO 81212
Family Medicine
1335 PHAY AVE STE A
CANON CITY, CO 81212
Internal Medicine
1335 PHAY AVE STE A
CANON CITY, CO 81212
Internal Medicine
1335 PHAY AVE STE A
CANON CITY, CO 81212

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 James Reppert's NPI number?

The NPI number for James Reppert is 1285632893. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is James Reppert located?

James Reppert practices at 1335 Phay Ave Ste A, Canon City, CO 81212. The listed phone number is (719) 275-4151.

What is James Reppert's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Reppert enrolled in Medicare?

Yes. James Reppert 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.

When was this NPI record last updated?

The NPPES record for James Reppert was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.