WADE M CEOLA M.D.
NPI 1669429049
Neurological Surgery in Glenwood Spgs, CO
Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment
About Wade M Ceola M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WADE M CEOLA M.D. (NPI 1669429049) is an individual neurological surgery provider in Glenwood Spgs, Colorado, licensed in Colorado (53071) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).
NPPES Registry Identity
NPI1669429049
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameWADE M CEOLACredential: M.D.
Location Address1906 BLAKE AVEGlenwood Spgs, CO 81601-4227
Mailing Address1906 Blake AveGlenwood Spgs, CO 81601-4227 · (970) 384-6770 · Fax (970) 384-6610
Phone(970) 384-6770
Fax(970) 384-6610
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 30, 2006
Last NPPES UpdateMay 14, 2015
✔ NPI 1669429049 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses✔ Licensed in CO · 53071✔ Licensed in MO · 2001013105✔ Licensed in AR · E1615
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1906 BLAKE AVE, Glenwood Spgs, CO 81601
Other Identifiers 25
Other0600090MO · United Healthcare
Other02080001300MO · Qual Choice
Other143659MO · Blue Cross/choice
Medicaid205393804MO
Medicaid51383527CO
Medicare PIN5M325AR
Other2950416001MO · Cigna Healthcare
Other4188130001MO · Cigna Medicare
Other468970MO · Healthlink
Medicare UPINH36801MO
Medicare PIN389495YMEWCO
Other5M325AR · Arkansas First Source
Medicaid148899001AR
Medicare PIN140007287MO
OtherH36801MO · Usps (w/c)
Other5M325AR · Arkansas Bc/bs
Other5M325AR · Health Advantage
Medicare NSC006013401MO
Medicare PINMA3058009MO
Medicare PINMA3059009MO
Other0214842WA · Department Of Labor Wa
Other13751MO · Cox Health Plans Upi
Other18942MO · Cox Health Plans
Medicare PIN006013401MO
Medicare PINP00897353MO
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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
Wade M Ceola 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 ID7810941036
PECOS Enrollment IDI20050323001399
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.
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
49 services25 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
29 services11 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services26 patients
Fusion of additional segment of spine with partial removal of spine bone and disc 22634
This procedure involves merging an extra part of your spine with a partial removal of your spine bone and disc. It's done to provide stability, reduce pain, and correct deformities. It's like creating a natural bridge of bone that stabilizes the spine.
22 services12 patients
Fusion of spine in lower back with partial removal of spine bone and disc 22633
This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.
20 services20 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81601 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.
Reported Quality Measures
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
15%122 patients1/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
17%115 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
31%341 patients2/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
19%255 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%746 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
77%162 patients1/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
23%162 patients1/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
48%797 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%259 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
81%470 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
28%162 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
74%441 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
13%398 patients1/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 97% · 157 patients
85%157 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
95%470 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
35%470 patients2/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 162 patients
1%162 patients4/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
50%470 patients
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.
Radiology (Radiation Oncology)
1906 BLAKE AVE
GLENWOOD SPRINGS, CO 81601
GLENWOOD SPRINGS, CO 81601
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
1906 BLAKE AVE
GLENWOOD SPRINGS, CO 81601
GLENWOOD SPRINGS, CO 81601
Pediatrics (Pediatric Cardiology)
1906 BLAKE AVE
GLENWOOD SPRINGS, CO 81601
GLENWOOD SPRINGS, CO 81601
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 Wade Ceola's NPI number?
The NPI number for Wade Ceola is 1669429049. It was assigned to this individual provider in the NPPES registry on May 30, 2006.
Where is Wade Ceola located?
Wade Ceola practices at 1906 Blake Ave, Glenwood Spgs, CO 81601. The listed phone number is (970) 384-6770.
What is Wade Ceola's specialty?
The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.
Is Wade Ceola enrolled in Medicare?
Yes. Wade Ceola 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 Wade Ceola accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Wade Ceola 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 Wade Ceola was last updated on May 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Wade M Ceola, M.D. · NPI 1669429049
Neurological Surgery physician in Glenwood Spgs, Colorado. Individual provider, active in the CMS NPPES registry since May 30, 2006.
## Identity
- **NPI:** 1669429049 (Entity type: Individual)
- **Enumerated:** May 30, 2006
- **Primary specialty:** Neurological Surgery · taxonomy 207T00000X
- **State license:** 53071 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1906 BLAKE AVE, Glenwood Spgs, CO 81601-4227
- **Phone:** (970) 384-6770 · **Fax:** (970) 384-6610
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** May 14, 2015
- **Other identifiers:** Other 0600090 (MO); Other 02080001300 (MO); Other 143659 (MO); and 22 more
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Source: [NPI Profile](https://npiprofile.com/npi/1669429049) · Data from the CMS NPPES public registry.