1. Home
  2. Directory
  3. Colorado
  4. Loveland
  5. Internal Medicine
  6. NPI Profile

DR. DOUGLAS J KEMME MD
NPI 1568414621
Internal Medicine - Medical Oncology in Loveland, CO

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
2500 ROCKY MOUNTAIN AVE, NORTH MOB, LOVELAND, CO 80538(970) 203-7000(970) 203-7055 Get Directions Write a Review

NPPES record last updated: March 21, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Douglas J Kemme Md NPPES

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

DR. DOUGLAS J KEMME MD (NPI 1568414621) is an individual medical oncology provider in Loveland, Colorado, licensed in Colorado (DR.0028933) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (1987).

NPPES Registry Identity

NPI1568414621
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. DOUGLAS J KEMMECredential: MD
Location Address2500 ROCKY MOUNTAIN AVE, NORTH MOBLoveland, CO 80538-9004
Mailing Address2500 Rocky Mountain Ave, North MobLoveland, CO 80538-9004 · (970) 203-7000 · Fax (970) 203-7055
Phone(970) 203-7000
Fax(970) 203-7055
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1987
Enumeration DateMay 17, 2006
Last NPPES UpdateMarch 21, 2016
✔ NPI 1568414621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Licenses✔ Licensed in CO · DR.0028933✔ Licensed in WY · 9349A
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal MedicineTaxonomy 207R00000X · License DR.0028933 (CO), 9349A (WY)
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 9349A (WY), DR.0028933 (CO)
2500 ROCKY MOUNTAIN AVE, Loveland, CO 80538
Open in Google Maps ↗

Other Identifiers 6

Medicare PINCOA102135CO
Medicare UPINE87833CO
OtherP00944701CO · Medicare Railroad Carrier Ptan
Medicaid135725500WY
Medicaid01289339CO
Medicare PINC805870CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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. Douglas J Kemme 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 ID5092775791
PECOS Enrollment IDI20050120000240
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 9

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.

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.
465 services243 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.
158 services139 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.
155 services107 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.
87 services54 patients
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.
46 services46 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.
45 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80538 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
$174.82 typical visit price
range $58.06 – $174.82
Typical copayment $43.70 (range $14.51 – $43.70)
Most-billed visit code 99205
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

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.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers44 claims3,652 services$0.82 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers32 claims32 services$18.31 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
5 suppliers11 claims11 services$12.60 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.

MEHRNOUSH NAZMI PA-C
Physician Assistant
2500 ROCKY MOUNTAIN AVE, SUITE 100
LOVELAND, CO 80538
Larimer County (970) 624-1800
DR. CHRISTOPHER E JONES MD, PHD
Internal Medicine
2500 ROCKY MOUNTAIN AVE
LOVELAND, CO 80538
Larimer County (970) 624-2500
DR. WILLIAM LOPEZ JR. M.D.
Internal Medicine
2500 ROCKY MOUNTAIN AVE, NORTH MEDICAL OFFICE BUILDING
LOVELAND, CO 80538
Larimer County (970) 203-7050
DR. CHRISTOPHER DRUMM MITCHELL MD
Surgery
2500 ROCKY MOUNTAIN AVE, STE 2200
LOVELAND, CO 80538
Larimer County (970) 221-5878
DR. MARK D GUADAGNOLI M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2500 ROCKY MOUNTAIN AVE, STE 100
LOVELAND, CO 80538
Larimer County (970) 624-1800
LUKE JENSEN
Nurse Anesthetist, Certified Registered
2500 ROCKY MOUNTAIN AVE
LOVELAND, CO 80538
Larimer County (915) 202-4402
VANESSA KNAPP PHARMD
Pharmacist
2500 ROCKY MOUNTAIN AVE
LOVELAND, CO 80538
Larimer County (970) 624-2500
CYNTHIA JOSEPH
Registered Nurse (Emergency)
2500 ROCKY MOUNTAIN AVE
LOVELAND, CO 80538
Larimer County (970) 590-0734

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 Douglas Kemme's NPI number?

The NPI number for Douglas Kemme is 1568414621. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Douglas Kemme located?

Douglas Kemme practices at 2500 Rocky Mountain Ave North Mob, Loveland, CO 80538. The listed phone number is (970) 203-7000.

What is Douglas Kemme's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Douglas Kemme enrolled in Medicare?

Yes. Douglas Kemme 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 Douglas Kemme accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica and 1 other insurer list Douglas Kemme 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 Douglas Kemme was last updated on March 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.