DR. PAUL D RASTRELLI M.D.
NPI 1366492480
Ophthalmology in Colorado Springs, CO

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
84.62/100
CMS Quality Rating
3155 N UNION BLVD, COLORADO SPRINGS, CO 80907(719) 630-3937(719) 635-3578 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul D Rastrelli M.d. NPPES

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

DR. PAUL D RASTRELLI M.D. (NPI 1366492480) is an individual ophthalmology provider in Colorado Springs, Colorado, licensed in Colorado (36999) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (1994).

NPPES Registry Identity

NPI1366492480
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. PAUL D RASTRELLICredential: M.D.
Location Address3155 N UNION BLVDColorado Springs, CO 80907-8703
Mailing Address3155 N Union BlvdColorado Springs, CO 80907-8703 · (719) 630-3937 · Fax (719) 635-3578
Fax(719) 635-3578
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1994
Enumeration DateMay 11, 2006
Last NPPES UpdateAugust 8, 2024
NPPES CertifiedAugust 8, 2024
NPI 1366492480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CO · 36999
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3155 N UNION BLVD, Colorado Springs, CO 80907

Other Identifiers 11

Medicaid01369990CO
Other0452890001CO · Medicare Dmerc
Other920717020820CT · Eye Specialists
OtherCO6999CO · Eye Med Eyecare
OtherNM009J51CO · Bcbs Nm
Medicaid343327601NM
OtherK2189CO · Federal Bcbs
Other343327601CO · Nm Medicare
Other180043214CO · Railroad Medicare
OtherK2189CO · Anthem
OtherRAK2189CO · Bcbs North Dakota

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

Dr. Paul D Rastrelli 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 ID5092758037
PECOS Enrollment IDI20100903000550
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 17

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 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.
597 services461 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
166 services166 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
131 services110 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
130 services82 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.
121 services95 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
115 services107 patients

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
$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.

84.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability98
Improvement Activities40
Cost50.4

Referred Medical Equipment & Supplies CMS DME claims 2

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
5 suppliers25 claims25 services$49.71 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers13 claims20 services$57.05 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 13

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

Ophthalmology
3155 N UNION BLVD
COLORADO SPRINGS, CO 80907
Optometrist (Corneal and Contact Management)
3155 N UNION BLVD
COLORADO SPRINGS, CO 80907
Ophthalmology
3155 N UNION BLVD
COLORADO SPRINGS, CO 80907
Optometrist (Corneal and Contact Management)
3155 N UNION BLVD
COLORADO SPRINGS, CO 80907
Ophthalmology
3155 N UNION BLVD
COLORADO SPRINGS, CO 80907
Eyewear Supplier
3155 N UNION BLVD
COLORADO SPRINGS, CO 80907
Ophthalmology
3155 N UNION BLVD
COLORADO SPRINGS, CO 80907
Non-Pharmacy Dispensing Site
3155 N UNION BLVD
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 Paul Rastrelli's NPI number?

The NPI number for Paul Rastrelli is 1366492480. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Paul Rastrelli located?

Paul Rastrelli practices at 3155 N Union Blvd, Colorado Springs, CO 80907. The listed phone number is (719) 630-3937.

What is Paul Rastrelli's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Paul Rastrelli enrolled in Medicare?

Yes. Paul Rastrelli 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 Paul Rastrelli accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Paul Rastrelli 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 Paul Rastrelli was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.