EDWARD W CETARUK MD
NPI 1578533154
Emergency Medicine - Medical Toxicology in Denver, CO

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
2555 S DOWNING ST, SUITE 260, DENVER, CO 80210(303) 765-3800(303) 765-3804 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edward W Cetaruk Md NPPES

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

EDWARD W CETARUK MD (NPI 1578533154) is an individual medical toxicology provider in Denver, Colorado, licensed in Colorado (DR.0034578) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1991).

NPPES Registry Identity

NPI1578533154
Entity TypeIndividualMale
Primary Taxonomy207PT0002X
Provider Legal NameEDWARD W CETARUKCredential: MD
Location Address2555 S DOWNING ST, SUITE 260Denver, CO 80210-5855
Mailing Address2555 S Downing St, Suite 260Denver, CO 80210-5855 · (303) 765-3800 · Fax (303) 765-3804
Fax(303) 765-3804
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1991
Enumeration DateJanuary 25, 2006
Last NPPES UpdateMay 3, 2016
NPI 1578533154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency Medicine · Medical ToxicologyAllopathic & Osteopathic Physicians
Taxonomy Code207PT0002X
License Licensed in CO · DR.0034578
Definition
Medical toxicologists are physicians who specialize in the prevention, evaluation, treatment and monitoring of injury and illness from exposures to drugs and chemicals, as well as biological and radiological agents. Medical toxicologists care for people in clinical, academic, governmental and public health settings, and provide poison control center leadership. Important areas of medical toxicology include acute drug poisoning, adverse drug events, drug abuse, addiction and withdrawal, chemicals and hazardous materials, terrorism preparedness, venomous bites and stings and environmental and workplace exposures.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 34578 (CO)
2555 S DOWNING ST, Denver, CO 80210

Other Identifiers 6

Medicare ID-Type Unspecified372708CO · Group
Medicare ID-Type Unspecified538528CO
Medicaid01345784CO
Medicaid92374875CO
Medicare PINCO811172CO
Medicare UPINF74622CO

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

Edward W Cetaruk 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 ID2769456037
PECOS Enrollment IDI20040823000883
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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
44 services43 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
19 services19 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
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

Other Providers at the Same Location NPPES 15

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

Internal Medicine (Hematology & Oncology)
2555 S DOWNING ST, SUITE 240
DENVER, CO 80210
Physician Assistant
2555 S DOWNING ST, #130
DENVER, CO 80210
Nurse Practitioner (Obstetrics & Gynecology)
2555 S DOWNING ST
DENVER, CO 80210
Specialist
2555 S DOWNING ST, SUITE 260
DENVER, CO 80210
Otolaryngology (Plastic Surgery within the Head & Neck)
2555 S DOWNING ST, SUITE #100
DENVER, CO 80210
Internal Medicine (Hematology & Oncology)
2555 S DOWNING ST, SUITE 100
DENVER, CO 80210
Emergency Medicine
2555 S DOWNING ST, SUITE 260
DENVER, CO 80210
Emergency Medicine (Undersea and Hyperbaric Medicine)
2555 S DOWNING ST, SUITE 260
DENVER, CO 80210

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 Edward Cetaruk's NPI number?

The NPI number for Edward Cetaruk is 1578533154. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Edward Cetaruk located?

Edward Cetaruk practices at 2555 S Downing St Suite 260, Denver, CO 80210. The listed phone number is (303) 765-3800.

What is Edward Cetaruk's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Medical Toxicology, with taxonomy code 207PT0002X.

Is Edward Cetaruk enrolled in Medicare?

Yes. Edward Cetaruk 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 Edward Cetaruk accept?

Health plans from Medica list Edward Cetaruk 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 Edward Cetaruk was last updated on May 3, 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.