NICOLE DE LA GARZA MD
NPI 1477609071
Hospitalist in Greenwood Village, CO

Q: What is Nicole De La Garza's NPI number?

The NPI number for Nicole De La Garza is 1477609071. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Q: What is Nicole De La Garza's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since January 26, 2007PECOS EnrolledAccepts Medicare Assignment

77.9/100

CMS Quality Rating

7100 E BELLEVIEW AVE STE G10, GREENWOOD VILLAGE, CO 80111(303) 745-0000(303) 773-3675 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2024, May 10, 2019, Nov 15, 2016 (3 updates tracked since 2016).

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About Nicole De La Garza Md NPPES

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

NICOLE DE LA GARZA MD (NPI 1477609071) is an individual hospitalist provider in Greenwood Village, Colorado, licensed in Colorado (46125) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (2005).

NPPES Registry Identity

NPI1477609071

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameNICOLE DE LA GARZACredential: MD

Location Address7100 E BELLEVIEW AVE STE G10Greenwood Village, CO 80111-1634

Mailing Address7100 E Belleview Ave Ste G10Greenwood Village, CO 80111-1634 · (303) 745-0000 · Fax (303) 773-3675

Phone(303) 745-0000

Fax(303) 773-3675

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2005

Enumeration DateJanuary 26, 2007

Last NPPES UpdateJune 14, 20243 updates tracked since enumeration

NPPES CertifiedJune 14, 2024

✔ NPI 1477609071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in CO · 46125

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD-16841 (HI), 46125 (CO)

7100 E BELLEVIEW AVE STE G10, Greenwood Village, CO 80111

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Other Identifiers 1

Medicaid70624526CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Nicole De La Garza 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 ID8729150750

PECOS Enrollment IDI20080708000181

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

288 services138 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

123 services61 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

82 services81 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

78 services77 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80111 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

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

Most-billed visit code 99214

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.

77.9/100

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

Scored as part of a group practice

Quality

76.1

Improvement Activities

Cost

57.8

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers37 claims37 services$14.30 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers45 claims45 services$63.45 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.

RYAN MALIK

Internal Medicine (Critical Care Medicine)