MICHAEL PAOLUCCI MD
NPI 1639179500
Internal Medicine - Gastroenterology in Montrose, CO

Q: What is Michael Paolucci's NPI number?

The NPI number for Michael Paolucci is 1639179500. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Q: What is Michael Paolucci's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Michael Paolucci was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 July 21, 2005PECOS EnrolledAccepts Medicare Assignment

55.29/100

CMS Quality Rating

3330 S RIO GRANDE AVE, MONTROSE, CO 81401(970) 497-5979(970) 497-5983 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 5, 2026, Mar 19, 2025, Jun 24, 2021 (3 updates tracked since 2021).

On this page

About Michael Paolucci Md NPPES

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

MICHAEL PAOLUCCI MD (NPI 1639179500) is an individual gastroenterology provider in Montrose, Colorado, licensed in Colorado (DR.0066635) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Texas Medical School At Houston (1991).

NPPES Registry Identity

NPI1639179500

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameMICHAEL PAOLUCCICredential: MD

Location Address3330 S RIO GRANDE AVEMontrose, CO 81401-4847

Mailing Address2920 N Cascade Ave Ste 301Colorado Springs, CO 80907-6265 · (719) 636-1201 · Fax (719) 636-1326

Phone(970) 497-5979

Fax(970) 497-5983

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1991

Enumeration DateJuly 21, 2005

Last NPPES UpdateJune 5, 20263 updates tracked since enumeration

NPPES CertifiedJune 5, 2026

✔ NPI 1639179500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in CO · DR.0066635✔ Licensed in TX · J2249

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

3330 S RIO GRANDE AVE, Montrose, CO 81401

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Secondary Practice Locations 2

Location 15002 Cowhorn Creek RdTexarkana, TX 75503-9766 · Phone (903) 614-3000 · Fax (903) 614-3525

Location 21501 E 3rd StDelta, CO 81416-2815 · Phone (970) 874-7681

Other Identifiers 3

Medicaid116905403TX

Medicaid129152001AR

Medicaid9000194830CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Paolucci 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 ID6406946003

PECOS Enrollment IDI20210526001772

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.

Medicare Billing Reassignments

Medicare enrollment records show Michael Paolucci reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alpine Women's Centre At Montrose Memorial Hospital

Same address

Obstetrics & Gynecology

3330 S RIO GRANDE AVE, 200
Montrose, CO 81401

Reassigned Medicare billing, Colorado enrollment
Medicare enrollment name: Montrose Memorial Hospital, Inc
150 clinicians in this Medicare group

NPI 1548644917 (970) 249-6737

Montrose Regional Health Pso, LLC

Same address

Pain Medicine

3330 S RIO GRANDE AVE STE 210
Montrose, CO 81401

Reassigned Medicare billing, Colorado enrollment
42 clinicians in this Medicare group

NPI 1366302465 (970) 252-2584

Delta County Memorial Hospital

23 mi

Rural

1501 E 3RD ST
Delta, CO 81416

Reassigned Medicare billing, Colorado enrollment
111 clinicians in this Medicare group

NPI 1114180817 (970) 874-7681

Peak Gastroenterology Associates

167 mi

Gastroenterology

2920 N CASCADE AVE STE 301
Colorado Springs, CO 80907

Reassigned Medicare billing, Colorado enrollment
93 clinicians in this Medicare group

NPI 1023112117 (719) 636-1201

Poudre Valley Medical Group, LLC

205 mi

General Practice

2695 ROCKY MOUNTAIN AVE STE 110
Loveland, CO 80538

Reassigned Medicare billing, Colorado enrollment
2,596 clinicians in this Medicare group

NPI 1225356868 (970) 624-4443

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 22

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

204 services195 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

186 services159 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

162 services17 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

101 services71 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

100 services17 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

76 services72 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

55 services40 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

50 services46 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

49 services49 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

38 services38 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

37 services36 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.

34 services34 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

32 services32 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.

32 services28 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.

30 services26 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

27 services24 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

27 services27 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

24 services22 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

21 services21 patients

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

19 services19 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

14 services14 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81401 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.

55.29/100

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

Individually scored

Quality

59.55

Improvement Activities

Cost

45.05

Other Providers at the Same Location NPPES 13

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

RIVER LANDING SURGERY CENTER, LLC

Clinic/Center (Ambulatory Surgical)

3330 S RIO GRANDE AVE, STE 110
MONTROSE, CO 81401

Montrose County (970) 497-5979

DR. RYAN JAMES HAGENS MD

Physical Medicine & Rehabilitation (Pain Medicine)

3330 S RIO GRANDE AVE
MONTROSE, CO 81401

Montrose County (970) 252-2584

KAYLEE DANIELSON LCSW

Social Worker (Clinical)

3330 S RIO GRANDE AVE
MONTROSE, CO 81401

Montrose County (970) 249-7751

DR. LAWRENCE MATTHEW TIGLAO MD

Obstetrics & Gynecology

3330 S RIO GRANDE AVE
MONTROSE, CO 81401

Montrose County (970) 249-6737

JUSTIN J TANNER M.D.

Internal Medicine

3330 S RIO GRANDE AVE
MONTROSE, CO 81401

Montrose County (970) 249-7751

RACHEL BAYLOR CNM

Advanced Practice Midwife

3330 S RIO GRANDE AVE
MONTROSE, CO 81401

Montrose County (970) 240-7314

MONTROSE RADIOLOGY PLLC

Radiology (Vascular & Interventional Radiology)

3330 S RIO GRANDE AVE, SUITE 100
MONTROSE, CO 81401

Montrose County (970) 249-2211

AMANDA MELISSA REIFF RN,BSN

Registered Nurse (Lactation Consultant)

3330 S RIO GRANDE AVE
MONTROSE, CO 81401

Montrose County (970) 249-6737

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 Michael Paolucci's NPI number?

The NPI number for Michael Paolucci is 1639179500. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Michael Paolucci located?

Michael Paolucci practices at 3330 S Rio Grande Ave, Montrose, CO 81401. The listed phone number is (970) 497-5979.

What is Michael Paolucci's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael Paolucci enrolled in Medicare?

Yes. Michael Paolucci 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.

Which organizations bill Medicare for Michael Paolucci's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Paolucci reassigns Medicare benefits to 5 organizations: Alpine Women's Centre At Montrose Memorial Hospital (Montrose, CO), Montrose Regional Health Pso, LLC (Montrose, CO), Delta County Memorial Hospital (Delta, CO), Peak Gastroenterology Associates (Colorado Springs, CO) and Poudre Valley Medical Group, LLC (Loveland, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Paolucci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Paolucci accept?

Health plans from Blue Cross and Blue Shield of Texas and Select Health list Michael Paolucci 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 Michael Paolucci was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.