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CARLOS ALBERTO RUEDA MD
NPI 1407902034
Surgery - Vascular Surgery in Colorado Springs, CO

Active since January 26, 2007PECOS EnrolledAccepts Medicare Assignment
86.23/100
CMS Quality Rating
2222 N NEVADA AVE STE 5010, COLORADO SPRINGS, CO 80907(719) 776-6700(719) 776-6780 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2023, Sep 1, 2022 (2 updates tracked since 2022).

About Carlos Alberto Rueda Md NPPES

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

CARLOS ALBERTO RUEDA MD (NPI 1407902034) is an individual vascular surgery provider in Colorado Springs, Colorado, licensed in Oregon (MD209520) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407902034
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameCARLOS ALBERTO RUEDACredential: MD
Location Address2222 N NEVADA AVE STE 5010Colorado Springs, CO 80907-6865
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354
Phone(719) 776-6700
Fax(719) 776-6780
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1407902034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses✔ Licensed in OR · MD209520✔ Licensed in NM · MD2014-0708✔ Licensed in CO · DR.0050981
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License MD2014-0708 (NM)
2222 N NEVADA AVE STE 5010, Colorado Springs, CO 80907
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1201 Cedar St SE Fl 8, Presbyterian Heart Group Vascular SurgeonsAlbuquerque, NM 87106-4917 · Phone (505) 563-2500 · Fax (505) 563-2531
Location 23615 NW Samaritan Dr Ste 201Corvallis, OR 97330-3771 · Phone (541) 768-5930

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Carlos Alberto Rueda 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 ID8729243787
PECOS Enrollment IDI20240412000122
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 7

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 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.
29 services28 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.
27 services27 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.
23 services18 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.
17 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services13 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Mercy Hospital Ardmore, Inc

Acute Care Hospitals · Ardmore, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370047
Location1011 14th Ave NWArdmore, OK 73401 · Carter County
Emergency services Birthing friendly

Oklahoma Heart Hospital South, LLC

Acute Care Hospitals · Oklahoma City, OK
5/5 CMS rating
OwnershipPhysician
CMS Certification Number370234
Location5200 East I-240 Service RoadOklahoma City, OK 73135 · Oklahoma County
Emergency services

Integris Health Edmond Hospital

Acute Care Hospitals · Edmond, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370236
Location4801 Integris ParkwayEdmond, OK 73034 · Oklahoma 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
$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.

86.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.89
Promoting Interoperability100
Improvement Activities40
Cost66.46

Other Providers at the Same Location NPPES 4

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

NAVEEN BALASUNDARAM M.D.
Surgery (Vascular Surgery)
2222 N NEVADA AVE STE 5010
COLORADO SPRINGS, CO 80907
El Paso County (719) 776-6700
LESLIE SEMERARO
Physician Assistant
2222 N NEVADA AVE STE 5010
COLORADO SPRINGS, CO 80907
El Paso County (719) 776-6700
DR. WILLIAM R FRY MD
Surgery (Vascular Surgery)
2222 N NEVADA AVE STE 5010
COLORADO SPRINGS, CO 80907
El Paso County (719) 776-6700
CATHOLIC HEALTH INITIATIVES COLORADO
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2222 N NEVADA AVE STE 5010
COLORADO SPRINGS, CO 80907
El Paso County (719) 776-6700

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 Carlos Rueda's NPI number?

The NPI number for Carlos Rueda is 1407902034. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Carlos Rueda located?

Carlos Rueda practices at 2222 N Nevada Ave Ste 5010, Colorado Springs, CO 80907. The listed phone number is (719) 776-6700.

What is Carlos Rueda's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Carlos Rueda enrolled in Medicare?

Yes. Carlos Rueda 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 Carlos Rueda accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Carlos Rueda 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 Carlos Rueda affiliated with any hospitals?

According to CMS data, Carlos Rueda is affiliated with Integris Baptist Medical Center, Inc, Mercy Hospital Ardmore, Inc, Oklahoma Heart Hospital South, LLC and Integris Health Edmond Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Rueda was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.