DR. NICHOLAS JOHN TOEPFER M.D.
NPI 1467622761
Urology in Colorado Springs, CO

Active since March 03, 2008PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1625 MEDICAL CENTER PT, COLORADO SPRINGS, CO 80907(719) 576-4744(719) 667-4112 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nicholas John Toepfer M.d. NPPES

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

DR. NICHOLAS JOHN TOEPFER M.D. (NPI 1467622761) is an individual urology provider in Colorado Springs, Colorado, licensed in Colorado (DR.0052271) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2008).

NPPES Registry Identity

NPI1467622761
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. NICHOLAS JOHN TOEPFERCredential: M.D.
Location Address1625 MEDICAL CENTER PTColorado Springs, CO 80907
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071
Fax(719) 667-4112
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2008
Enumeration DateMarch 3, 2008
Last NPPES UpdateOctober 28, 2021
NPPES CertifiedOctober 28, 2021
NPI 1467622761 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.0052271
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.
1625 MEDICAL CENTER PT, Colorado Springs, CO 80907

Other Identifiers 1

Medicaid51024039CO

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. Nicholas John Toepfer 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 ID4486881901
PECOS Enrollment IDI20131227000657
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 27

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
2,800 services14 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.
312 services264 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.
281 services198 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.
278 services209 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.
196 services159 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
154 services21 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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers20 claims2,910 services$1.49 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers33 claims6,440 services$5.96 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims12 services$15.34 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 20

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

Nurse Practitioner
1625 MEDICAL CENTER PT, SUITE 190
COLORADO SPRINGS, CO 80907
Physical Therapist
1625 MEDICAL CENTER PT, SUITE 100
COLORADO SPRINGS, CO 80907
Clinic/Center (Medical Specialty)
1625 MEDICAL CENTER PT, SUITE 212
COLORADO SPRINGS, CO 80907
Nurse Practitioner
1625 MEDICAL CENTER PT, SUITE 190
COLORADO SPRINGS, CO 80907
Radiologic Technologist (Computed Tomography)
1625 MEDICAL CENTER PT, SUITE 190
COLORADO SPRINGS, CO 80907
Physician Assistant (Medical)
1625 MEDICAL CENTER PT
COLORADO SPRINGS, CO 80907
Anesthesiology (Pain Medicine)
1625 MEDICAL CENTER PT, SUITE 240
COLORADO SPRINGS, CO 80907
Dentist (Oral and Maxillofacial Surgery)
1625 MEDICAL CENTER PT, STE 260
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 Nicholas Toepfer's NPI number?

The NPI number for Nicholas Toepfer is 1467622761. It was assigned to this individual provider in the NPPES registry on March 3, 2008.

Where is Nicholas Toepfer located?

Nicholas Toepfer practices at 1625 Medical Center Pt, Colorado Springs, CO 80907. The listed phone number is (719) 576-4744.

What is Nicholas Toepfer's specialty?

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

Is Nicholas Toepfer enrolled in Medicare?

Yes. Nicholas Toepfer 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 Nicholas Toepfer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Ambetter from Sunflower Health Plan list Nicholas Toepfer 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 Nicholas Toepfer was last updated on October 28, 2021. 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.