DR. PETER EDMUND RAZMA MD
NPI 1609867183
Internal Medicine - Pulmonary Disease in Cortez, CO

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
94.91/100
CMS Quality Rating
1311A N MILDRED RD, CORTEZ, CO 81321(970) 564-2678 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2023, Nov 10, 2022, Jul 19, 2022 and 5 more (8 updates tracked since 2016).

About Dr. Peter Edmund Razma Md NPPES

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

DR. PETER EDMUND RAZMA MD (NPI 1609867183) is an individual pulmonary disease provider in Cortez, Colorado, licensed in New Mexico (MD2012-0666) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Blue Mountain Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1609867183
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. PETER EDMUND RAZMACredential: MD
Location Address1311A N MILDRED RDCortez, CO 81321
Mailing Address1311a N Mildred RdCortez, CO 81321-2231
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1986
Enumeration DateNovember 2, 2005
Last NPPES UpdateApril 11, 20238 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
NPI 1609867183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in NM · MD2012-0666 Licensed in IL · 036077461
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 MD2012-0666 (NM), 036077461 (IL)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License MD2012-0666 (NM), MC-1402 (ID)
1311A N MILDRED RD, Cortez, CO 81321

Secondary Practice Locations 4

Location 1702 N 13th StArtesia, NM 88210 · Phone (575) 748-3333
Location 21311A N Mildred RdCortez, CO 81321 · Phone (970) 564-2678
Location 311900 Southwest HwyPalos Park, IL 60464-1200 · Phone (708) 274-4900 · Fax (708) 274-4949
Location 4407 S Schwartz Ave Ste 202Farmington, NM 87401-5925 · Phone (505) 609-6770

Other Identifiers 2

Medicaid036077461IL
Other290003185IL · Medicare Railroad

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. Peter Edmund Razma 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 ID7911992672
PECOS Enrollment IDI20120207000766, I20160404000291, I20220329002370, I20230503002999, I20230517002484, I20230522000941, I20230522001604, I20230606002340, I20231005002175, I20231018000630, I20240105002255, I20240516003496, I20250701000583
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.

Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
140 services140 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.
140 services140 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.
101 services66 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
97 services97 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.
92 services69 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.
62 services62 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Blue Mountain Hospital

Critical Access Hospitals · Blanding, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461310
Location802 South 200 WestBlanding, UT 84511 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81321 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.

94.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.83
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 29

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
19 suppliers175 claims175 services$41.57 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
25 suppliers367 claims367 services$101.83 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
24 suppliers362 claims883 services$40.49 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
16 suppliers191 claims975 services$23.39 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
12 suppliers60 claims334 services$15.37 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
18 suppliers254 claims254 services$66.47 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.

Counselor
1311A N MILDRED RD
CORTEZ, CO 81321
Family Medicine
1311A N MILDRED RD
CORTEZ, CO 81321
Family Medicine
1311A N MILDRED RD
CORTEZ, CO 81321
Family Medicine
1311A N MILDRED RD
CORTEZ, CO 81321
Obstetrics & Gynecology (Gynecology)
1311A N MILDRED RD
CORTEZ, CO 81321
Clinic/Center (Multi-Specialty)
1311A N MILDRED RD, STE. A
CORTEZ, CO 81321
Physician Assistant (Medical)
1311A N MILDRED RD
CORTEZ, CO 81321
Physician Assistant
1311A N MILDRED RD
CORTEZ, CO 81321

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 Peter Razma's NPI number?

The NPI number for Peter Razma is 1609867183. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Peter Razma located?

Peter Razma practices at 1311A N Mildred Rd, Cortez, CO 81321. The listed phone number is (970) 564-2678.

What is Peter Razma's specialty?

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

Is Peter Razma enrolled in Medicare?

Yes. Peter Razma 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 Peter Razma accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Texas and 5 other insurers list Peter Razma 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.

Is Peter Razma affiliated with any hospitals?

According to CMS data, Peter Razma is affiliated with Blue Mountain Hospital.

When was this NPI record last updated?

The NPPES record for Peter Razma was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.