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MICHAEL J. GUESE
NPI 1669513628
Internal Medicine in Denver, CO

Active since February 10, 2007PECOS EnrolledAccepts Medicare Assignment
87.51/100
CMS Quality Rating
850 E HARVARD AVE, STE 365, DENVER, CO 80210(303) 722-2724 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael J. Guese NPPES

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

MICHAEL J. GUESE (NPI 1669513628) is an individual internal medicine provider in Denver, Colorado, licensed in Colorado (24675) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (1979).

NPPES Registry Identity

NPI1669513628
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL J. GUESE
Location Address850 E HARVARD AVE, STE 365Denver, CO 80210-5076
Mailing Address850 E Harvard Ave, Ste 365Denver, CO 80210-5076 · (303) 722-2724 · Fax (303) 722-3121
Phone(303) 722-2724
Sole ProprietorYes
Medical School CMSCreighton University School Of MedicineGraduated 1979
Enumeration DateFebruary 10, 2007
Last NPPES UpdateNovember 4, 2021
NPPES CertifiedNovember 4, 2021
✔ NPI 1669513628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CO · 24675
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
850 E HARVARD AVE, Denver, CO 80210
Open in Google Maps ↗

Other Identifiers 1

Medicaid01246750CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Michael J. Guese 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 ID3274567177
PECOS Enrollment IDI20050920001263
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 5

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 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.
285 services146 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
118 services15 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.
116 services72 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.
111 services111 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.
27 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80210 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.

87.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.81
Promoting Interoperability85.36
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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
3 suppliers12 claims24 services$6.58 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims11 services$23.11 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 suppliers46 claims47 services$72.11 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier26 claims26 services$33.93 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.

PETER G. HOVLAND, M.D.,PHD.
Ophthalmology
850 E HARVARD AVE, SUITE 155
DENVER, CO 80210
Denver County (303) 778-1910
MONICA BUELT PA-C
Physician Assistant
850 E HARVARD AVE, SUITE 505
DENVER, CO 80210
Denver County (303) 744-1961
DR. RICHARD RAYMOND BURY M.D.
Specialist
850 E HARVARD AVE, SUITE 325
DENVER, CO 80210
Denver County (303) 778-5989
DR. MERRITT C RUDOLPH MD PC
Specialist
850 E HARVARD AVE, STE 405
DENVER, CO 80210
Denver County (303) 722-4683
BIJAN ROSHAN MD
Internal Medicine (Nephrology)
850 E HARVARD AVE, SUITE # 565
DENVER, CO 80210
Denver County (303) 777-3333
DR. ROBERT D COUCHMAN DMD, MS
Dentist
850 E HARVARD AVE, SUITE #485
DENVER, CO 80210
Denver County (303) 757-2080
DR. EDWARD K RACZKA
Podiatrist (Primary Podiatric Medicine)
850 E HARVARD AVE, SUITE 385
DENVER, CO 80210
Denver County (303) 762-1200
TERRY S DUNN MD
Obstetrics & Gynecology
850 E HARVARD AVE, SUITE 285
DENVER, CO 80210
Denver County (303) 282-0006

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 Guese's NPI number?

The NPI number for Michael Guese is 1669513628. It was assigned to this individual provider in the NPPES registry on February 10, 2007.

Where is Michael Guese located?

Michael Guese practices at 850 E Harvard Ave Ste 365, Denver, CO 80210. The listed phone number is (303) 722-2724.

What is Michael Guese's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Guese enrolled in Medicare?

Yes. Michael Guese 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 Michael Guese accept?

Health plans from UnitedHealthcare list Michael Guese 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 Guese was last updated on November 4, 2021. 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.