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DR. ROBERT PAUL REID M.D.
NPI 1306819453
Family Medicine in Cripple Creek, CO

Active since February 09, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1101 COUNTY RD 1, CRIPPLE CREEK, CO 80813(303) 330-0271(303) 330-0371 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Robert Paul Reid M.d. NPPES

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

DR. ROBERT PAUL REID M.D. (NPI 1306819453) is an individual family medicine provider in Cripple Creek, Colorado, licensed in Colorado (DR.0024755) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1306819453
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROBERT PAUL REIDCredential: M.D.
Location Address1101 COUNTY RD 1Cripple Creek, CO 80813
Mailing Address1101 County Rd 1Cripple Creek, CO 80813 · (303) 330-0271 · Fax (303) 330-0371
Phone(303) 330-0271
Fax(303) 330-0371
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateFebruary 9, 2006
Last NPPES UpdateAugust 9, 2018
✔ NPI 1306819453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CO · DR.0024755✔ Licensed in FL · ME72889
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1101 COUNTY RD 1, Cripple Creek, CO 80813
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14010 Regency DrColorado Springs, CO 80906-4382 · Phone (303) 330-0271
Location 23435 Second St SFolkston, GA 31537-8447 · Phone (912) 496-0041 · Fax (912) 496-0053

Other Identifiers 2

Medicaid2536366-00FL
Medicaid000842047FGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Dr. Robert Paul Reid 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 ID8820085830
PECOS Enrollment IDI20111006000361
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 7

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, 20-29 minutes 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.
172 services87 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.
73 services54 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
56 services45 patients
New patient office or other outpatient visit, 15-29 minutes 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
26 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
26 services26 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80813 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
$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
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers29 claims29 services$13.83 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers53 claims53 services$68.39 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$27.66 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

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

JMJ III
Dentist
1101 COUNTY RD 1
CRIPPLE CREEK, CO 80813
Teller County (719) 689-3565

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 Robert Reid's NPI number?

The NPI number for Robert Reid is 1306819453. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Robert Reid located?

Robert Reid practices at 1101 County Rd 1, Cripple Creek, CO 80813. The listed phone number is (303) 330-0271.

What is Robert Reid's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Reid enrolled in Medicare?

Yes. Robert Reid 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 Robert Reid accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Robert Reid 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.

When was this NPI record last updated?

The NPPES record for Robert Reid was last updated on August 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.