DR. DHEERAJ DHOTRE M.D.
NPI 1508046368
Internal Medicine - Pulmonary Disease in Colorado Springs, CO

Active since November 09, 2007PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
2312 N NEVADA AVE STE 305, COLORADO SPRINGS, CO 80907(719) 471-7064(719) 776-5459 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dheeraj Dhotre M.d. NPPES

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

DR. DHEERAJ DHOTRE M.D. (NPI 1508046368) is an individual pulmonary disease provider in Colorado Springs, Colorado, licensed in Colorado (51941) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1508046368
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. DHEERAJ DHOTRECredential: M.D.
Location Address2312 N NEVADA AVE STE 305Colorado Springs, CO 80907-5318
Mailing Address2222 N Nevada Ave, Suite 4004Colorado Springs, CO 80907-6832 · (719) 471-7064 · Fax (719) 776-5459
Fax(719) 776-5459
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 9, 2007
Last NPPES UpdateOctober 1, 2024
NPPES CertifiedOctober 1, 2024
NPI 1508046368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CO · 51941
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
2312 N NEVADA AVE STE 305, Colorado Springs, CO 80907

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. Dheeraj Dhotre 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 ID9739313834
PECOS Enrollment IDI20131003000076
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 20

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.
202 services128 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
183 services98 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.
90 services68 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
62 services47 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
57 services56 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
42 services42 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
$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.

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

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%136 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 19

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers19 claims19 services$71.38 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers21 claims53 services$25.63 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers19 claims19 services$14.94 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
6 suppliers20 claims20 services$10.02 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers28 claims159 services$1.56 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
6 suppliers17 claims17 services$10.64 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 10

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

Internal Medicine (Pulmonary Disease)
2312 N NEVADA AVE STE 305
COLORADO SPRINGS, CO 80907
Nurse Practitioner (Family)
2312 N NEVADA AVE STE 305
COLORADO SPRINGS, CO 80907
Physician Assistant (Surgical)
2312 N NEVADA AVE STE 305
COLORADO SPRINGS, CO 80907
Internal Medicine (Pulmonary Disease)
2312 N NEVADA AVE STE 305
COLORADO SPRINGS, CO 80907
Nurse Practitioner
2312 N NEVADA AVE STE 305
COLORADO SPRINGS, CO 80907
Nurse Practitioner
2312 N NEVADA AVE STE 305
COLORADO SPRINGS, CO 80907
Nurse Practitioner (Gerontology)
2312 N NEVADA AVE STE 305
COLORADO SPRINGS, CO 80907
Internal Medicine (Pulmonary Disease)
2312 N NEVADA AVE STE 305
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 Dheeraj Dhotre's NPI number?

The NPI number for Dheeraj Dhotre is 1508046368. It was assigned to this individual provider in the NPPES registry on November 9, 2007.

Where is Dheeraj Dhotre located?

Dheeraj Dhotre practices at 2312 N Nevada Ave Ste 305, Colorado Springs, CO 80907. The listed phone number is (719) 471-7064.

What is Dheeraj Dhotre's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Dheeraj Dhotre enrolled in Medicare?

Yes. Dheeraj Dhotre 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 Dheeraj Dhotre accept?

Health plans from Medica, Oscar Insurance Company and Sanford Health Plan list Dheeraj Dhotre 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 Dheeraj Dhotre was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.