ASHWINI P. GADE MD
NPI 1619109972
Family Medicine in Parker, CO

Q: What is Ashwini Gade's NPI number?

The NPI number for Ashwini Gade is 1619109972. It was assigned to this individual provider in the NPPES registry on August 19, 2009. The provider is also known as Ashwini P Tirthahalli MD.

Q: What is Ashwini Gade's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ashwini Gade was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since August 19, 2009PECOS EnrolledAccepts Medicare Assignment

83.98/100

CMS Quality Rating

12230 LIONESS WAY, PARKER, CO 80134(720) 644-9355 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ashwini P. Gade Md NPPES

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

ASHWINI P. GADE MD (NPI 1619109972) is an individual family medicine provider in Parker, Colorado, licensed in North Dakota (RL11177) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1619109972

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameASHWINI P. GADECredential: MD

Location Address12230 LIONESS WAYParker, CO 80134-5603

Mailing Address9250 E Costilla Ave Ste 540Greenwood Village, CO 80112-3648 · (720) 644-9355

Phone(720) 644-9355

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateAugust 19, 2009

Last NPPES UpdateNovember 26, 2024

NPPES CertifiedNovember 18, 2024

✔ NPI 1619109972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in ND · RL11177✔ Licensed in MN · 73300

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12230 LIONESS WAY, Parker, CO 80134

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Other Names 1

Former Name (1)Ashwini P Tirthahalli Md

Secondary Practice Locations 3

Location 1222 N 7th StBismarck, ND 58501-4436 · Phone (701) 323-6000 · Fax (701) 223-3411

Location 21111 Highway 10 EDetroit Lakes, MN 56501-4215 · Phone (701) 356-1500 · Fax (701) 356-1596

Location 31701 38th St S Ste 101Fargo, ND 58103-4499 · Phone (701) 356-1500 · Fax (701) 356-1596

Other Identifiers 1

Medicaid12083ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross Blue Shield of North Dakota, Medica.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

Ashwini P. Gade 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 ID6305084344

PECOS Enrollment IDI20240107000080

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 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

640 services216 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

180 services164 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

179 services118 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80134 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.

83.98/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.28

Promoting Interoperability

Improvement Activities

Cost

68.15

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.

KIRSTEN DEROODE PA-C

Physician Assistant (Medical)