DR. TAL JOSHUA RUBINSTEIN M.D.
NPI 1376830760
Ophthalmology in Lafayette, CO

Q: What is Tal Rubinstein's NPI number?

The NPI number for Tal Rubinstein is 1376830760. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Q: What is Tal Rubinstein's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tal Rubinstein was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 06, 2011PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

280 EXEMPLA CIR, LAFAYETTE, CO 80026(303) 338-4545 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2026, Jun 24, 2025, Sep 5, 2018 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Tal Joshua Rubinstein M.d. NPPES

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

DR. TAL JOSHUA RUBINSTEIN M.D. (NPI 1376830760) is an individual ophthalmology provider in Lafayette, Colorado, licensed in Colorado (DR.0076432) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cary, and is a graduate of Saint Louis University School Of Medicine (2011).

NPPES Registry Identity

NPI1376830760

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. TAL JOSHUA RUBINSTEINCredential: M.D.

Location Address280 EXEMPLA CIRLafayette, CO 80026-3370

Mailing Address10350 E Dakota AveDenver, CO 80247-1314

Phone(303) 338-4545

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2011

Enumeration DateJuly 6, 2011

Last NPPES UpdateJanuary 9, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2026

✔ NPI 1376830760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in CO · DR.0076432✔ Licensed in WA · MD60543015

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.

280 EXEMPLA CIR, Lafayette, CO 80026

Open in Google Maps ↗

Secondary Practice Location 1

Location 13731 NW Cary Pkwy Ste 101Cary, NC 27513-8436 · Phone (919) 443-2557 · Fax (919) 869-1869

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, PacificSource Health Plans, 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. Tal Joshua Rubinstein 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 ID4284946344

PECOS Enrollment IDI20201102001270, I20260115003586

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 18

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.

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

353 services276 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.

162 services162 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.

119 services78 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

63 services63 patients

Probing of nasal tear duct 68840

Probing of the nasal tear duct is a procedure to treat blocked tear ducts. A thin, flexible instrument is gently inserted into the tear duct to clear any obstruction, allowing tears to drain normally again. This procedure is typically quick and can help to alleviate symptoms like excessive tearing or infection.

56 services44 patients

Exam of visual field with intermediate testing 92082

An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.

42 services42 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.

42 services36 patients

Creation of permanent eyelid margin scarring 67880

The creation of permanent eyelid margin scarring is a medical procedure to correct issues with eyelid function. It involves making precise incisions on the eyelid margins to create scars. These scars help reposition the eyelids or eyelashes, improving comfort and vision.

33 services31 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

32 services26 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

27 services27 patients

Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004

This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.

26 services26 patients

Removal of growth of eyelid 67840

The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.

23 services23 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

19 services19 patients

Extensive repair of turning-inward eyelid defect 67924

This procedure helps correct an eyelid defect where the eyelid turns inward, causing discomfort or vision issues. A surgeon makes precise adjustments to the eyelid's structure, alleviating the inward turn and improving eye health and comfort.

18 services18 patients

Removal of up to 1/4 of eyelid margin and repair of eyelid 67961

This procedure involves the careful removal of up to a quarter of the eyelid margin. It's often done to treat certain eye conditions or injuries. After removal, the eyelid is expertly repaired to restore its function and appearance.

14 services13 patients

Repair of brow paralysis 67900

Repair of brow paralysis is a procedure aimed to restore function and symmetry to the face. This is achieved by adjusting muscles and nerves in the brow area. It can help improve the appearance and movement of the forehead and eyebrows, enhancing overall facial expressions.

13 services13 patients

Repair of tendon of upper eyelid 67904

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

13 services13 patients

Biopsy of eyelid 67810

A biopsy of the eyelid is a procedure where a small piece of tissue is taken from your eyelid for examination. It helps identify any abnormal growth like a lump or cyst. It's done under local anesthesia, so you won't feel pain during the process.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80026 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.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

20%84 patients1/55-star benchmark: 87%

Controlling High Blood Pressure

0%20 patients1/55-star benchmark: 91%

Diabetes: Eye Exam

3%34 patients1/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

87%1,354 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

17%929 patients1/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 47% · 537 patients

Patients screened: 52% · 537 patients

13%30 patients1/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

81%265 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 586 patients

Patients totalRate: 1% · 586 patients

0%586 patients5/55-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.

Other Providers at the Same Location NPPES 20

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

BRANDI D SMALLEY

General Practice

280 EXEMPLA CIR
LAFAYETTE, CO 80026

Boulder County (303) 743-5855

KRISTY LYNN FAULKNER NP

Nurse Practitioner (Family)

280 EXEMPLA CIR
LAFAYETTE, CO 80026

Boulder County (303) 338-4545

MARIKA BRIMEYER RN

Registered Nurse

280 EXEMPLA CIR
LAFAYETTE, CO 80026

Boulder County (303) 614-1400

NANCY GARLAND

Social Worker (Clinical)

280 EXEMPLA CIR
LAFAYETTE, CO 80026

Boulder County (303) 345-8156

BARBARA D MULLEN

Surgery

280 EXEMPLA CIR
LAFAYETTE, CO 80026

Boulder County (720) 536-7050

DR. JULIE A MELCHIOR

Orthopaedic Surgery

280 EXEMPLA CIR, DEPARTMENT OF ORTHOPAEDICS
LAFAYETTE, CO 80026

Boulder County (303) 338-4545

M. LISA SCHWARTZ

Specialist/Technologist Cardiovascular (Cardiovascular Invasive Specialist)

280 EXEMPLA CIR
LAFAYETTE, CO 80026

Boulder County (720) 536-6517

SHARON K BALDIZAN

Nurse's Aide

280 EXEMPLA CIR
LAFAYETTE, CO 80026

Boulder County (720) 536-7462

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 Tal Rubinstein's NPI number?

The NPI number for Tal Rubinstein is 1376830760. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Where is Tal Rubinstein located?

Tal Rubinstein practices at 280 Exempla Cir, Lafayette, CO 80026. The listed phone number is (303) 338-4545.

What is Tal Rubinstein's specialty?

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

Is Tal Rubinstein enrolled in Medicare?

Yes. Tal Rubinstein 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 Tal Rubinstein accept?

Health plans from Blue Cross and Blue Shield of NC, PacificSource Health Plans and UnitedHealthcare list Tal Rubinstein 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 Tal Rubinstein was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.