MADELINE ROVIRA KOERNER MD
NPI 1376074633
Urology in Superior, CO

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment
73.43/100
CMS Quality Rating
3 SUPERIOR DR STE 350, SUPERIOR, CO 80027(303) 666-4343 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2025, Apr 6, 2023, May 20, 2022 and 2 more (5 updates tracked since 2017).

About Madeline Rovira Koerner Md NPPES

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

MADELINE ROVIRA KOERNER MD (NPI 1376074633) is an individual urology provider in Superior, Colorado, licensed in Colorado (DR.0067783) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Orleans, and is a graduate of University Of Colorado School Of Medicine, Aurora (2022).

NPPES Registry Identity

NPI1376074633
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameMADELINE ROVIRA KOERNERCredential: MD
Location Address3 SUPERIOR DR STE 350Superior, CO 80027-8722
Mailing Address10200 Grand Central Ave Ste 220Owings Mills, MD 21117-4366
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2022
Enumeration DateMarch 27, 2017
Last NPPES UpdateMarch 13, 20255 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
NPI 1376074633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in CO · DR.0067783
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
3 SUPERIOR DR STE 350, Superior, CO 80027

Secondary Practice Location 1

Location 11542 Tulane Ave Rm 534New Orleans, LA 70112-2865 · Phone (504) 568-2853

Other Identifiers 1

Medicaid9000205008CO

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

Madeline Rovira Koerner 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 ID8224415203
PECOS Enrollment IDI20220512001176
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 22

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.
313 services204 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
152 services123 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
132 services103 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.
126 services101 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
121 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
107 services107 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80027 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.

73.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.44
Promoting Interoperability89
Improvement Activities40
Cost54.17

Other Providers at the Same Location NPPES 6

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

Physician Assistant
3 SUPERIOR DR STE 350
SUPERIOR, CO 80027
Urology
3 SUPERIOR DR STE 350
SUPERIOR, CO 80027
Physician Assistant
3 SUPERIOR DR STE 350
SUPERIOR, CO 80027
Urology
3 SUPERIOR DR STE 350
SUPERIOR, CO 80027
Nurse Practitioner (Family)
3 SUPERIOR DR STE 350
SUPERIOR, CO 80027
Physician Assistant
3 SUPERIOR DR STE 350
SUPERIOR, CO 80027

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 Madeline Koerner's NPI number?

The NPI number for Madeline Koerner is 1376074633. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Madeline Koerner located?

Madeline Koerner practices at 3 Superior Dr Ste 350, Superior, CO 80027. The listed phone number is (303) 666-4343.

What is Madeline Koerner's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Madeline Koerner enrolled in Medicare?

Yes. Madeline Koerner 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.

When was this NPI record last updated?

The NPPES record for Madeline Koerner was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.