DR. CHARLES ERNEST FUENZALIDA MD
NPI 1730175688
Internal Medicine - Cardiovascular Disease in Aurora, CO

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment
94.16/100
CMS Quality Rating
1444 S POTOMAC ST, SUITE 300, AURORA, CO 80012(303) 750-0822(303) 750-1298 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2022, Sep 19, 2017 (2 updates tracked since 2017).

About Dr. Charles Ernest Fuenzalida Md NPPES

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

DR. CHARLES ERNEST FUENZALIDA MD (NPI 1730175688) is an individual cardiovascular disease provider in Aurora, Colorado, licensed in Colorado (25164) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Wesley Medical Center, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1730175688
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. CHARLES ERNEST FUENZALIDACredential: MD
Location Address1444 S POTOMAC ST, SUITE 300Aurora, CO 80012-4508
Mailing Address4900 S Monaco St, Suite 210Denver, CO 80237-3486 · (303) 750-0822 · Fax (303) 750-1298
Fax(303) 750-1298
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateSeptember 26, 2005
Last NPPES UpdateJanuary 26, 20222 updates tracked since enumeration
NPI 1730175688 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 · 25164
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.
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License 25164 (CO)
1444 S POTOMAC ST, Aurora, CO 80012

Other Identifiers 12

Medicaid01251644CO
Medicaid100171260CKS
Medicaid1730175688WY
Other271395YN6LCO · Medicare
Medicaid1982948089NE
Medicaid10026281000NE
Medicaid10026281200NE
Medicaid10026280600NE
Medicaid10026280700NE
Medicaid10026280800NE
Medicaid35476273NM
Medicaid10026283100NE

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. Charles Ernest Fuenzalida 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 ID8921911900
PECOS Enrollment IDI20040413000763, I20190528001340
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 28

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.
1,642 services1,206 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
484 services152 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.
428 services294 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.
424 services269 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
349 services39 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
255 services130 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wesley Medical Center

Acute Care Hospitals · Wichita, KS
5/5 CMS rating
OwnershipProprietary
CMS Certification Number170123
Location550 N Hillside StreetWichita, KS 67214 · Sedgwick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80012 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.

94.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality89.35
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
79%498 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%1,886 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
89%850 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
49%1,173 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
39%803 patients3/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%474 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 880 patients
Patients totalRate: 0% · 880 patients
0%880 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.

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 suppliers15 claims15 services$68.69 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.

Clinical Medical Laboratory
1444 S POTOMAC ST, STE 300
AURORA, CO 80012
Occupational Therapist
1444 S POTOMAC ST, SUITE 210
AURORA, CO 80012
Nurse Practitioner
1444 S POTOMAC ST, SUITE 300
AURORA, CO 80012
Obstetrics & Gynecology
1444 S POTOMAC ST, SUITE100
AURORA, CO 80012
Family Medicine
1444 S POTOMAC ST, SUITE 200
AURORA, CO 80012
Internal Medicine (Cardiovascular Disease)
1444 S POTOMAC ST, SUITE 300
AURORA, CO 80012
Internal Medicine (Cardiovascular Disease)
1444 S POTOMAC ST, #300
AURORA, CO 80012
Nurse Practitioner
1444 S POTOMAC ST, SUITE 300
DENVER, CO 80012

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 Charles Fuenzalida's NPI number?

The NPI number for Charles Fuenzalida is 1730175688. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Charles Fuenzalida located?

Charles Fuenzalida practices at 1444 S Potomac St Suite 300, Aurora, CO 80012. The listed phone number is (303) 750-0822.

What is Charles Fuenzalida's specialty?

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

Is Charles Fuenzalida enrolled in Medicare?

Yes. Charles Fuenzalida 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 Charles Fuenzalida accept?

Health plans from UnitedHealthcare list Charles Fuenzalida 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.

Is Charles Fuenzalida affiliated with any hospitals?

According to CMS data, Charles Fuenzalida is affiliated with Wesley Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Fuenzalida was last updated on January 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.