DR. SAM TOM ROUGAS MD
NPI 1649416843
Internal Medicine - Cardiovascular Disease in Denver, CO

Active since December 18, 2008PECOS EnrolledAccepts Medicare Assignment
93.64/100
CMS Quality Rating
1601 E 19TH AVE, #5000, DENVER, CO 80218(303) 839-7100(303) 839-7249 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sam Tom Rougas Md NPPES

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

DR. SAM TOM ROUGAS MD (NPI 1649416843) is an individual cardiovascular disease provider in Denver, Colorado, licensed in Colorado (52644) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (2006).

NPPES Registry Identity

NPI1649416843
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SAM TOM ROUGASCredential: MD
Location Address1601 E 19TH AVE, #5000Denver, CO 80218-1216
Mailing Address4900 S Monaco St, #210Denver, CO 80237-3486 · (303) 750-0822 · Fax (303) 750-1298
Fax(303) 839-7249
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2006
Enumeration DateDecember 18, 2008
Last NPPES UpdateFebruary 11, 2022
NPI 1649416843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CO · 52644
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1601 E 19TH AVE, Denver, CO 80218

Other Identifiers 2

Medicaid36786845CO
Medicaid1649416843WY

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. Sam Tom Rougas 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 ID2466599485
PECOS Enrollment IDI20130824000231
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 25

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
668 services497 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.
339 services209 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
209 services204 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.
134 services57 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
123 services115 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
108 services108 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80218 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
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
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.

93.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85.14
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
74%520 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
35%111 patients3/55-star benchmark: 91%
Falls: Screening for Future Fall Risk
83%692 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
38%1,252 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
33%1,493 patients3/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%507 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 721 patients
Patients totalRate: 0% · 721 patients
0%721 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

1601 E 19TH AVE, 3150
DENVER, CO 80218
Physical Therapist
1601 E 19TH AVE
DENVER, CO 80218
Nurse Practitioner (Pediatrics)
1601 E 19TH AVE, SUITE 5500
DENVER, CO 80218
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1601 E 19TH AVE, SUITE 5000
DENVER, CO 80218
Pediatrics (Neonatal-Perinatal Medicine)
1601 E 19TH AVE, SUITE 5300
DENVER, CO 80218
Internal Medicine (Hematology & Oncology)
1601 E 19TH AVE, SUITE 6600
DENVER, CO 80218
Pediatrics (Neonatal-Perinatal Medicine)
1601 E 19TH AVE, SUITE 5300
DENVER, CO 80218
Physician Assistant
1601 E 19TH AVE, SUITE 3150
DENVER, CO 80218

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 Sam Rougas's NPI number?

The NPI number for Sam Rougas is 1649416843. It was assigned to this individual provider in the NPPES registry on December 18, 2008.

Where is Sam Rougas located?

Sam Rougas practices at 1601 E 19th Ave #5000, Denver, CO 80218. The listed phone number is (303) 839-7100.

What is Sam Rougas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sam Rougas enrolled in Medicare?

Yes. Sam Rougas 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.

When was this NPI record last updated?

The NPPES record for Sam Rougas was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.