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DR. ANDREA J COLTON M.D., MPH
NPI 1346595063
Surgery in Colorado Springs, CO

Active since July 18, 2012PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
3843 RIO VISTA DRIVE, STE 2600, COLORADO SPRINGS, CO 80917(719) 477-0211(719) 477-0501 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2024, Nov 9, 2023, Jul 16, 2019 (3 updates tracked since 2019).

About Dr. Andrea J Colton M.d., Mph NPPES

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

DR. ANDREA J COLTON M.D., MPH (NPI 1346595063) is an individual surgery provider in Colorado Springs, Colorado, licensed in Colorado (DR.0071648) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Colorado Springs, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1346595063
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. ANDREA J COLTONCredential: M.D., MPH
Location Address3843 RIO VISTA DRIVE, STE 2600Colorado Springs, CO 80917
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071 · (970) 624-2403 · Fax (970) 490-4173
Phone(719) 477-0211
Fax(719) 477-0501
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 18, 2012
Last NPPES UpdateApril 2, 20243 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1346595063 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.0071648
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.
3843 RIO VISTA DRIVE, Colorado Springs, CO 80917
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Secondary Practice Location 1

Location 14110 Briargate Pkwy Ste 465Colorado Springs, CO 80920-7839 · Phone (719) 477-0211 · Fax (719) 477-0501

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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. Andrea J Colton M.d., Mph 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 ID8325265531
PECOS Enrollment IDI20231114003428
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 8

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
98 services30 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.
31 services31 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
27 services27 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
26 services26 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.
22 services20 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.
18 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80917 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

Other Providers at the Same Location NPPES 10

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

POUDRE VALLEY MEDICAL GROUP, LLC
Urology
3843 RIO VISTA DRIVE, SUITE 2300
COLORADO SPRINGS, CO 80917
El Paso County (719) 365-3700
POUDRE VALLEY MEDICAL GROUP, LLC
Internal Medicine (Cardiovascular Disease)
3843 RIO VISTA DRIVE, SUITE 2100
COLORADO SPRINGS, CO 80917
El Paso County (719) 364-5250
UCHEALTH AMBULATORY SURGERY CENTERS
Clinic/Center (Ambulatory Surgical)
3843 RIO VISTA DRIVE, SUITE 3000
COLORADO SPRINGS, CO 80917
El Paso County (719) 364-5680
UCH-MHS
General Acute Care Hospital
3843 RIO VISTA DRIVE, SUITE 1500
COLORADO SPRINGS, CO 80917
El Paso County (719) 364-5260
POUDRE VALLEY MEDICAL GROUP, LLC
Otolaryngology
3843 RIO VISTA DRIVE, SUITE 2200
COLORADO SPRINGS, CO 80917
El Paso County (719) 364-4120
UCHEALTH IMAGING SERVICES, LLC
Clinic/Center (Radiology)
3843 RIO VISTA DRIVE, STE 1100
COLORADO SPRINGS, CO 80917
El Paso County (719) 364-4903
POUDRE VALLEY MEDICAL GROUP, LLC
Family Medicine
3843 RIO VISTA DRIVE, SUITE 2400
COLORADO SPRINGS, CO 80917
El Paso County (719) 364-9555
POUDRE VALLEY MEDICAL GROUP, LLC
Orthopaedic Surgery
3843 RIO VISTA DRIVE, SUITE 1200
COLORADO SPRINGS, CO 80917
El Paso County (719) 365-1950

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 Andrea Colton's NPI number?

The NPI number for Andrea Colton is 1346595063. It was assigned to this individual provider in the NPPES registry on July 18, 2012.

Where is Andrea Colton located?

Andrea Colton practices at 3843 Rio Vista Drive Ste 2600, Colorado Springs, CO 80917. The listed phone number is (719) 477-0211.

What is Andrea Colton's specialty?

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

Is Andrea Colton enrolled in Medicare?

Yes. Andrea Colton 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 Andrea Colton accept?

Health plans from UnitedHealthcare list Andrea Colton 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 Andrea Colton was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.