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KAREN M GUZZETTA M.D.
NPI 1558446104
Internal Medicine in Denver, CO

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
77.17/100
CMS Quality Rating
2525 S DOWNING ST, PORTER PRE-SURGICAL EVALUATION, DENVER, CO 80210(303) 765-6892 Get Directions Write a Review

NPPES record last updated: September 14, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Karen M Guzzetta M.d. NPPES

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

KAREN M GUZZETTA M.D. (NPI 1558446104) is an individual internal medicine provider in Denver, Colorado, licensed in Colorado (37553) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1996).

NPPES Registry Identity

NPI1558446104
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKAREN M GUZZETTACredential: M.D.
Location Address2525 S DOWNING ST, PORTER PRE-SURGICAL EVALUATIONDenver, CO 80210-5817
Mailing Address2525 S Downing St, Porter Pre-surgical EvaluationDenver, CO 80210-5817 · (303) 765-6892
Phone(303) 765-6892
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1996
Enumeration DateOctober 25, 2006
Last NPPES UpdateSeptember 14, 2011
✔ NPI 1558446104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CO · 37553
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2525 S DOWNING ST, Denver, CO 80210
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Other Identifiers 3

Medicaid40427846CO
Medicare PINC363628
Medicare UPINH08432

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

Karen M Guzzetta 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 ID8022049238
PECOS Enrollment IDI20050827000148
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 3

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
60 services60 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.
50 services48 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80210 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.

77.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.27
Promoting Interoperability81
Improvement Activities40
Cost59.47

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.

ANDREA LACINA
General Acute Care Hospital
2525 S DOWNING ST
DENVER, CO 80210
Denver County (303) 778-5811
SARA A. SCHAECHER NP
Nurse Practitioner (Adult Health)
2525 S DOWNING ST, INTENSIVE CARE UNIT
DENVER, CO 80210
Denver County (303) 778-2571
MOUNTAIN STATES PATHOLOGY PC
Pathology (Anatomic Pathology & Clinical Pathology)
2525 S DOWNING ST
DENVER, CO 80210
Denver County (719) 776-5816
MRS. ANGELA KAY MALINOSKI
Registered Nurse (General Practice)
2525 S DOWNING ST
DENVER, CO 80210
Denver County (303) 765-6947
PAYAM KHALIGHI DO
Hospitalist
2525 S DOWNING ST
DENVER, CO 80210
Denver County (303) 715-7184
DAVID M CLAMPITT MD
Family Medicine
2525 S DOWNING ST
DENVER, CO 80210
Denver County (303) 715-7184
PORTERCARE ADVENTIST HEALTH SYSTEM
Registered Nurse (Neonatal Intensive Care)
2525 S DOWNING ST
DENVER, CO 80210
Denver County (303) 778-1955
OBSTETRIX MEDICAL GROUP OF COLORADO, P.C.
Pediatrics (Pediatric Cardiology)
2525 S DOWNING ST
DENVER, CO 80210
Denver County (303) 778-1955

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 Karen Guzzetta's NPI number?

The NPI number for Karen Guzzetta is 1558446104. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Karen Guzzetta located?

Karen Guzzetta practices at 2525 S Downing St Porter Pre-Surgical Evaluation, Denver, CO 80210. The listed phone number is (303) 765-6892.

What is Karen Guzzetta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Karen Guzzetta enrolled in Medicare?

Yes. Karen Guzzetta 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.

When was this NPI record last updated?

The NPPES record for Karen Guzzetta was last updated on September 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.