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RAY M QUENNEVILLE PA
NPI 1730153875
Physician Assistant in Fort Collins, CO

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
4674 SNOW MESA DR STE 140, FORT COLLINS, CO 80528(970) 482-0213 Get Directions Write a Review

NPPES record last updated: November 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ray M Quenneville Pa NPPES

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

RAY M QUENNEVILLE PA (NPI 1730153875) is an individual physician assistant in Fort Collins, Colorado and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1730153875
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRAY M QUENNEVILLECredential: PA
Location Address4674 SNOW MESA DR STE 140Fort Collins, CO 80528-8614
Mailing Address8121 Islander CtWindsor, CO 80528-8973
Phone(970) 482-0213
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 15, 2006
Last NPPES UpdateNovember 12, 2014
✔ NPI 1730153875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4674 SNOW MESA DR STE 140, Fort Collins, CO 80528
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Other Identifiers 1

Medicare UPINVAD 000

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

Ray M Quenneville Pa 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 ID8426076720
PECOS Enrollment IDI20140813000856
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80528 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
$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.

Referred Medical Equipment & Supplies CMS DME claims

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

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
2 suppliers14 claims15 services$84.81 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 5

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

BENDER MEDICAL GROUP
Nurse Practitioner (Family)
4674 SNOW MESA DR STE 140
FORT COLLINS, CO 80528
Larimer County (970) 252-5000
ALLISON MADDOX SCHINDLER PA-C
Physician Assistant (Medical)
4674 SNOW MESA DR STE 140
FT COLLINS, CO 80528
Larimer County (970) 482-0213
SAMANTHA ELIZABETH DAVIS FNP-C
Nurse Practitioner (Family)
4674 SNOW MESA DR STE 140
FORT COLLINS, CO 80528
Larimer County (970) 225-5000
MRS. TERESA SIPOLA APN
Nurse Practitioner (Family)
4674 SNOW MESA DR STE 140
FORT COLLINS, CO 80528
Larimer County (970) 482-0213
BENDER MEDICAL GROUP
Family Medicine
4674 SNOW MESA DR STE 140
FORT COLLINS, CO 80528
Larimer County (970) 225-5000

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 Ray Quenneville's NPI number?

The NPI number for Ray Quenneville is 1730153875. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Ray Quenneville located?

Ray Quenneville practices at 4674 Snow Mesa Dr Ste 140, Fort Collins, CO 80528. The listed phone number is (970) 482-0213.

What is Ray Quenneville's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ray Quenneville enrolled in Medicare?

Yes. Ray Quenneville 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 Ray Quenneville was last updated on November 12, 2014. 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.