BETH N ROLAND MD NPI 1497703813

Obstetrics & Gynecology in Denver, CO

NPI 1497703813 Individual Female Obstetrics & Gynecology Opted-Out Medicare Medicare Quality Reporting CLIA Number 06D0514305 CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP)

About BETH ROLAND

Beth Roland is a women's health care provider established in Denver, Colorado and her medical specialization is obstetrics & gynecology. The NPI number of Beth Roland is 1497703813 and was assigned on May 2006. The practitioner's primary taxonomy code is 207V00000X with license number 32832 (CO). The provider is registered as an individual and her NPI record was last updated 15 years ago.

Women's health care providers like Beth N Roland Md treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Beth Roland is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Beth Roland opted out of Medicare effective on 08-15-2020 until 08-15-2022. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: breast cancer screening, cervical cancer screening, chronic care and preventative care management for empaneled patients, implementation of medication management practice improvements, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention and use of decision support and standardized treatment protocols. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

The CLIA number of Beth N Roland Md is 06D0514305 registered as a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued to Beth N Roland Md in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

NPI

1497703813

Provider Name BETH N ROLAND MD
Provider Location Address7120 E HAMPDEN AVE DENVER, CO 80224
Provider Mailing Address7120 E HAMPDEN AVE DENVER, CO 80224
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date05-05-2006
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code207V00000X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
License No.32832
License StateCO
Taxonomy DescriptionAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Business Address

BETH N ROLAND MD
7120 E HAMPDEN AVE
DENVER, CO
ZIP 80224
Phone: (303) 758-0072
Fax: (303) 758-3983

Get Directions


Mailing Address

BETH N ROLAND MD
7120 E HAMPDEN AVE
DENVER, CO
ZIP 80224
Phone: (303) 758-0072
Fax: (303) 758-3983



Medicare Participation

Opted-Out of MedicareYes
Opt-Out Effective Date08-15-2020
Opt-Out End Date08-15-2022
Eligible to Order and ReferNo

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 64Urinalysis, manual test (HCPCS:81002)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Breast Cancer Screening 58% 387
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
Cervical Cancer Screening 83% 1487
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV) co-testing performed every 5 years
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 55% 1911
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95% 1565
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99% 1565
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 12% 60
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1497703813 is:

CLIA Number06D0514305
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate for Provider-Performed Microscopy Procedures (PPMP)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
F70438MEDICARE UPIN (02)
C364018MEDICARE ID-TYPE UNSPECIFIED (04)CO
01328327MEDICAID (05)CO

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881883510DANCE OF LIFE FAMILY PRACTICE & PHYSICAL MEDICINE, P.C.
Organization
Clinic/Center (Multi-Specialty)7120 E HAMPDEN AVE STE. B
DENVER, CO 80224
(303) 507-8815
1225279094DR. CARLY LETZT D.C.
Individual
Chiropractor7120 E HAMPDEN AVE STE. B
DENVER, CO 80224
(303) 507-8815
1740421478 RENEE LAW P.T.
Individual
Physical Therapist7120 E HAMPDEN AVE STE. B
DENVER, CO 80224
(303) 507-8815
1346481058 LAURA UNDERHILL DC
Individual
Chiropractor7120 E HAMPDEN AVE STE. B
DENVER, CO 80224
(303) 507-8815
1558596460DR. MARK CARNEY ND, LAC
Individual
Acupuncturist7120 E HAMPDEN AVE SUITE B
DENVER, CO 80224
(303) 636-0000
1003041914YOUR HEALING PLACE
Organization
Clinic/Center (Health Service)7120 E HAMPDEN AVE SUITE B
DENVER, CO 80224
(303) 636-0000
1114345063THRIVEOLOGY, LLC
Organization
Physical Medicine & Rehabilitation7120 E HAMPDEN AVE SUITE B
DENVER, CO 80224
(303) 952-5057
1316980063BETH ROLAND MD PC
Organization
Obstetrics & Gynecology7120 E HAMPDEN AVE
DENVER, CO 80224
(303) 758-0072

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.