TIMOTHY RUMMEL MD
NPI 1598760217
Internal Medicine - Pulmonary Disease in Colorado Springs, CO

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1725 E BOULDER ST, SUITE 204, COLORADO SPRINGS, CO 80909(719) 471-1909(719) 447-0425 Get Directions Write a Review

NPPES record last updated: November 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Rummel Md NPPES

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

TIMOTHY RUMMEL MD (NPI 1598760217) is an individual pulmonary disease provider in Colorado Springs, Colorado, licensed in Colorado (31557) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (1985).

NPPES Registry Identity

NPI1598760217
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameTIMOTHY RUMMELCredential: MD
Location Address1725 E BOULDER ST, SUITE 204Colorado Springs, CO 80909-5756
Mailing Address1725 E Boulder St, Ste 204Colorado Springs, CO 80909-5756 · (719) 471-1069 · Fax (719) 577-4828
Fax(719) 447-0425
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1985
Enumeration DateJune 17, 2005
Last NPPES UpdateNovember 21, 2012
NPI 1598760217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CO · 31557
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.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 31557 (CO)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 31557 (CO)
1725 E BOULDER ST, Colorado Springs, CO 80909

Other Identifiers 5

Medicare PINCF9148CO
Medicare UPINA99024CO
Medicaid01315571CO
Medicare PINCC5464CO
Medicare PINCOA109845CO

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

Timothy Rummel 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 ID4385630029
PECOS Enrollment IDI20100114000462
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 19

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.
349 services216 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.
119 services64 patients
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.
56 services47 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
55 services50 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.
54 services49 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
54 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80909 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

Referred Medical Equipment & Supplies CMS DME claims 26

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers71 claims71 services$34.25 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier11 claims22 services$1.14 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers120 claims120 services$75.22 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers108 claims277 services$29.16 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
9 suppliers67 claims345 services$16.03 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers52 claims273 services$12.80 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 14

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

Internal Medicine (Pulmonary Disease)
1725 E BOULDER ST, STE 204
COLORADO SPRINGS, CO 80909
Neurological Surgery
1725 E BOULDER ST, SUITE 101
COLORADO SPRINGS, CO 80909
Internal Medicine (Nephrology)
1725 E BOULDER ST, SUITE 105
COLORADO SPRINGS, CO 80909
Psychiatry & Neurology (Neurology)
1725 E BOULDER ST, SUITE 101
COLORADO SPRINGS, CO 80909
Specialist
1725 E BOULDER ST, SUITE 104
COLORADO SPRINGS, CO 80909
Neurological Surgery
1725 E BOULDER ST, SUITE 101
COLORADO SPRINGS, CO 80909
Internal Medicine (Nephrology)
1725 E BOULDER ST, SUITE 105
COLORADO SPRINGS, CO 80909
Psychiatry & Neurology (Neurology)
1725 E BOULDER ST, STE 101
COLORADO SPRINGS, CO 80909

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 Timothy Rummel's NPI number?

The NPI number for Timothy Rummel is 1598760217. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Timothy Rummel located?

Timothy Rummel practices at 1725 E Boulder St Suite 204, Colorado Springs, CO 80909. The listed phone number is (719) 471-1909.

What is Timothy Rummel's specialty?

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

Is Timothy Rummel enrolled in Medicare?

Yes. Timothy Rummel 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 Timothy Rummel accept?

Health plans from UnitedHealthcare list Timothy Rummel 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 Timothy Rummel was last updated on November 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.