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DR. PETER JAMES ROUKEMA D.M.D.
NPI 1457525263
Dentist - General Practice in Pagosa Springs, CO

Active since April 14, 2008PECOS Enrolled
228 VILLAGE DR, PAGOSA SPRINGS, CO 81147(970) 731-2126 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Peter James Roukema D.m.d. NPPES

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

DR. PETER JAMES ROUKEMA D.M.D. (NPI 1457525263) is an individual general practice provider in Pagosa Springs, Colorado, licensed in Colorado (10054) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1457525263
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PETER JAMES ROUKEMACredential: D.M.D.
Location Address228 VILLAGE DRPagosa Springs, CO 81147-8308
Mailing Address115 Harebell DrPagosa Springs, CO 81147-7721 · (216) 374-5693
Phone(970) 731-2126
Sole ProprietorYes
Enumeration DateApril 14, 2008
Last NPPES UpdateFebruary 4, 2022
NPPES CertifiedJanuary 28, 2022
✔ NPI 1457525263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · 10054
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License DD3069 (NM)
228 VILLAGE DR, Pagosa Springs, CO 81147
Open in Google Maps ↗

Secondary Practice Location 1

Location 16400 Central Ave SWAlbuquerque, NM 87105-2033 · Phone (505) 836-0322

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 (PECOS)

Dr. Peter James Roukema D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81147 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.

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.

SLEEP APNEA SOLUTIONS COLORADO LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
228 VILLAGE DR
PAGOSA SPRINGS, CO 81147
Archuleta County (970) 731-2126
PAGOSA PEAK FAMILY DENTISTRY, PLLC
Clinic/Center (Dental)
228 VILLAGE DR
PAGOSA SPRINGS, CO 81147
Archuleta County (216) 374-5693
HAROLD R THOMPSON DMD
Dentist (General Practice)
228 VILLAGE DR
PAGOSA SPRINGS, CO 81147
Archuleta County (970) 731-2126
KING CAMPBELL, D.D.S., P.L.L.C.
Dentist
228 VILLAGE DR
PAGOSA SPRINGS, CO 81147
Archuleta County (970) 731-2126

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 Peter Roukema's NPI number?

The NPI number for Peter Roukema is 1457525263. It was assigned to this individual provider in the NPPES registry on April 14, 2008.

Where is Peter Roukema located?

Peter Roukema practices at 228 Village Dr, Pagosa Springs, CO 81147. The listed phone number is (970) 731-2126.

What is Peter Roukema's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Peter Roukema enrolled in Medicare?

Yes. Peter Roukema is registered in the Medicare PECOS enrollment system.

What insurance does Peter Roukema 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, Humana and Renaissance Dental list Peter Roukema 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 Peter Roukema was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.