DR. EDWIN DALE RISENHOOVER M.D.
NPI 1669421822
Family Medicine in Loveland, CO

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
2923 GINNALA DR, LOVELAND, CO 80538(970) 820-5000(970) 820-5061 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edwin Dale Risenhoover M.d. NPPES

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

DR. EDWIN DALE RISENHOOVER M.D. (NPI 1669421822) is an individual family medicine provider in Loveland, Colorado, licensed in Colorado (36666) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Kansas City University Of Physicians And Surgeons (1991).

NPPES Registry Identity

NPI1669421822
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EDWIN DALE RISENHOOVERCredential: M.D.
Location Address2923 GINNALA DRLoveland, CO 80538-2702
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702 · (970) 820-5000 · Fax (970) 820-5061
Fax(970) 820-5061
Sole ProprietorNo
Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 1991
Enumeration DateMay 8, 2006
Last NPPES UpdateFebruary 20, 2023
NPPES CertifiedFebruary 20, 2023
NPI 1669421822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CO · 36666
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.
2923 GINNALA DR, Loveland, CO 80538

Other Identifiers 6

Other841328898006Rocky Mountain Health Pla
Other84132889809Secure Horizons
Other84132889809Pacificare
Medicaid01366665CO
Other84132889808Pacificare
Other84132889808Secure Horizons

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. Edwin Dale Risenhoover M.d. 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 ID1759399082
PECOS Enrollment IDI20110106000964
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 14

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.
446 services217 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
124 services124 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
89 services58 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.
88 services68 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
53 services53 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
53 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80538 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers19 claims37 services$5.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims15 services$1.09 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
4 suppliers11 claims420 services$8.48 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers15 claims15 services$16.83 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers62 claims62 services$87.25 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.

Psychiatry & Neurology (Neurology)
2923 GINNALA DR
LOVELAND, CO 80538
Internal Medicine
2923 GINNALA DR
LOVELAND, CO 80538
Internal Medicine
2923 GINNALA DR
LOVELAND, CO 80538
Family Medicine
2923 GINNALA DR
LOVELAND, CO 80538
Internal Medicine
2923 GINNALA DR
LOVELAND, CO 80538
Family Medicine
2923 GINNALA DR
LOVELAND, CO 80538
Physician Assistant
2923 GINNALA DR
LOVELAND, CO 80538
Clinic/Center (Multi-Specialty)
2923 GINNALA DR
LOVELAND, CO 80538

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 Edwin Risenhoover's NPI number?

The NPI number for Edwin Risenhoover is 1669421822. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Edwin Risenhoover located?

Edwin Risenhoover practices at 2923 Ginnala Dr, Loveland, CO 80538. The listed phone number is (970) 820-5000.

What is Edwin Risenhoover's specialty?

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

Is Edwin Risenhoover enrolled in Medicare?

Yes. Edwin Risenhoover 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 Edwin Risenhoover accept?

Health plans from Medica and UnitedHealthcare list Edwin Risenhoover 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 Edwin Risenhoover was last updated on February 20, 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.