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CARLA XIMENA TORRES-ZEGARRA M.D
NPI 1346470143
Dermatology in Aurora, CO

Active since July 15, 2009PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
13123 E 16TH AVE # B570, AURORA, CO 80045(720) 777-1421 Get Directions Write a Review

NPPES record last updated: July 13, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carla Ximena Torres-zegarra M.d NPPES

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

CARLA XIMENA TORRES-ZEGARRA M.D (NPI 1346470143) is an individual dermatology provider in Aurora, Colorado, licensed in Colorado (DR.56778) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1346470143
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameCARLA XIMENA TORRES-ZEGARRACredential: M.D
Location Address13123 E 16TH AVE # B570Aurora, CO 80045-7106
Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000
Phone(720) 777-1421
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 15, 2009
Last NPPES UpdateJuly 13, 2016
✔ NPI 1346470143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CO · DR.56778
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License DR.56778 (CO)
Also ListedPediatricsTaxonomy 208000000X · License DR.56778 (CO)
13123 E 16TH AVE # B570, Aurora, CO 80045
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Accepted Insurance

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

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

Carla Ximena Torres-zegarra 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 ID8325204977
PECOS Enrollment IDI20160803003021
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 Reassignments

3

Medicare enrollment records show Carla Torres-zegarra reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Physicians Incorporated
0.1 mi
Pediatrics
13123 E 16TH AVE
Aurora, CO 80045
  • Reassigned Medicare billing, Colorado enrollment
  • 4,283 clinicians in this Medicare group
NPI 1083662498 (720) 777-1234
Advanced Dermatology Skin Cancer & Laser Surgery Center P.C.
3.5 mi
Dermatology
1390 S POTOMAC ST, SUITE 124
Aurora, CO 80012
  • Reassigned Medicare billing, Colorado enrollment
  • 20 clinicians in this Medicare group
NPI 1134170012 (303) 368-8611
Denver Health And Hospital Authority
8.3 mi
General Practice
777 BANNOCK ST
Denver, CO 80204
  • Reassigned Medicare billing, Colorado enrollment
  • 2,259 clinicians in this Medicare group
NPI 1477569838 (303) 436-6000

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 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
$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.

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

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 Carla Torres-zegarra's NPI number?

The NPI number for Carla Torres-zegarra is 1346470143. It was assigned to this individual provider in the NPPES registry on July 15, 2009.

Where is Carla Torres-zegarra located?

Carla Torres-zegarra practices at 13123 E 16th Ave # B570, Aurora, CO 80045. The listed phone number is (720) 777-1421.

What is Carla Torres-zegarra's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Carla Torres-zegarra enrolled in Medicare?

Yes. Carla Torres-zegarra 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 organizations bill Medicare for Carla Torres-zegarra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carla Torres-zegarra reassigns Medicare benefits to 3 organizations: University Physicians Incorporated (Aurora, CO), Advanced Dermatology Skin Cancer & Laser Surgery Center P.C. (Aurora, CO) and Denver Health And Hospital Authority (Denver, CO). Each 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 Carla Torres-zegarra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carla Torres-zegarra accept?

Health plans from UnitedHealthcare list Carla Torres-zegarra 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 Carla Torres-zegarra was last updated on July 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.