LALITH C URAGODA MD
NPI 1366443483
Internal Medicine - Pulmonary Disease in Colorado Springs, CO

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
2312 N NEVADA AVE STE 305, COLORADO SPRINGS, CO 80907(719) 471-7064(719) 776-5459 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lalith C Uragoda Md NPPES

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

LALITH C URAGODA MD (NPI 1366443483) is an individual pulmonary disease provider in Colorado Springs, Colorado, licensed in Colorado (CDRH.0050637) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and maintains a secondary practice location in Durango.

NPPES Registry Identity

NPI1366443483
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameLALITH C URAGODACredential: MD
Location Address2312 N NEVADA AVE STE 305Colorado Springs, CO 80907-5318
Mailing Address2312 N Nevada Ave Ste 305Colorado Springs, CO 80907-5318 · (719) 471-7064 · Fax (719) 776-5459
Fax(719) 776-5459
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 10, 2005
Last NPPES UpdateOctober 1, 2024
NPPES CertifiedOctober 1, 2024
NPI 1366443483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in CO · CDRH.0050637 Licensed in KY · 33441
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
2312 N NEVADA AVE STE 305, Colorado Springs, CO 80907

Secondary Practice Location 1

Location 11010 Three Springs Blvd Ste 110ADurango, CO 81301-8296 · Phone (970) 764-2750 · Fax (970) 764-2778

Other Identifiers 3

Medicaid200507380IN
Medicaid6434341100KY
Other#000000512196KY · Anthem Pin - Chs, Inc.

Accepted 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

Lalith C Uragoda Md 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 ID3375539729
PECOS Enrollment IDI20120404000987, I20140716002170
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 16

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
281 services142 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
149 services73 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
125 services84 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.
67 services43 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.
58 services50 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
41 services41 patients

Hospital Affiliations CMS Care Compare

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

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80907 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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
99%304 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 8

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers12 claims12 services$83.93 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers12 claims32 services$32.04 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers11 claims11 services$16.93 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers16 claims96 services$2.08 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers25 claims25 services$15.32 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers17 claims17 services$871.98 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 10

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

Nurse Practitioner (Family)
2312 N NEVADA AVE STE 305
COLORADO SPRINGS, CO 80907
Physician Assistant (Surgical)
2312 N NEVADA AVE STE 305
COLORADO SPRINGS, CO 80907
Internal Medicine (Pulmonary Disease)
2312 N NEVADA AVE STE 305
COLORADO SPRINGS, CO 80907
Internal Medicine (Pulmonary Disease)
2312 N NEVADA AVE STE 305
COLORADO SPRINGS, CO 80907
Nurse Practitioner
2312 N NEVADA AVE STE 305
COLORADO SPRINGS, CO 80907
Nurse Practitioner
2312 N NEVADA AVE STE 305
COLORADO SPRINGS, CO 80907
Nurse Practitioner (Gerontology)
2312 N NEVADA AVE STE 305
COLORADO SPRINGS, CO 80907
Internal Medicine (Pulmonary Disease)
2312 N NEVADA AVE STE 305
COLORADO SPRINGS, CO 80907

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 Lalith Uragoda's NPI number?

The NPI number for Lalith Uragoda is 1366443483. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Lalith Uragoda located?

Lalith Uragoda practices at 2312 N Nevada Ave Ste 305, Colorado Springs, CO 80907. The listed phone number is (719) 471-7064.

What is Lalith Uragoda's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Lalith Uragoda enrolled in Medicare?

Yes. Lalith Uragoda 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 Lalith Uragoda accept?

Health plans from Medica and Oscar Insurance Company list Lalith Uragoda 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 Lalith Uragoda affiliated with any hospitals?

According to CMS data, Lalith Uragoda is affiliated with Monument Health Rapid City Hospital.

When was this NPI record last updated?

The NPPES record for Lalith Uragoda was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.