CHARLES RAY MD
NPI 1902915515
Radiology - Diagnostic Radiology in Aurora, CO
Quality Rating: 84.37 out of 100 score
NPI Status: Active since August 29, 2006
Contact Information
12605 E 16TH AVE
AURORA, CO
ZIP 80045
Phone: (720) 848-0000
- NPI Profile Information
- Primary Taxonomy
- Secondary Taxonomies
- Insurance Plans Accepted
- Medicare Participation & PECOS Status
- Areas of Expertise
- Physician Visit Costs
- Overall Quality Performance
- Hospital Affiliations - Privileges
- NPI Validation
- Other Providers Same Location
- Frequently Asked Questions
- Individual
- Male
- Years of Experience 37
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About CHARLES RAY
This page provides the complete NPI Profile along with additional information for Charles Ray, a provider established in Aurora, Colorado with a medical specialization in Radiology, focusing in diagnostic radiology and more than 37 years of experience. He graduated from Rush Medical College Of Rush University in 1989. The healthcare provider is registered in the NPI registry with number 1902915515 assigned on August 2006. The practitioner's primary taxonomy code is 2085R0202X with license number 13593071-1205 (UT). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1902915515
- Provider Name
- CHARLES RAY MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 12605 E 16TH AVE AURORA, CO 80045
- Location Phone
- (720) 848-0000
- Mailing Address
- PO BOX 110429 AURORA, CO 80042
- Mailing Phone
- (303) 493-7000
- Medical School Name
- RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
- Graduation Year
- 1989
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-29-2006
- Last Update Date
- 12-10-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 13593071-1205
- License State
- UT
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 2085R0204X | Allopathic & Osteopathic Physicians | Radiology | 37917 (CO) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- Rocky Mountain Bronze Standard Expanded - PPO
- Rocky Mountain Gold Standard - PPO
- Rocky Mountain Silver Standard - PPO
- ACCESS BRONZE - PPO
- ACCESS BRONZE HDHP - PPO
- ACCESS GOLD - PPO
- ACCESS GOLD HDHP - PPO
- ACCESS SILVER - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
65828551 | MEDICAID (05) | CO |
Medicare Participation & PECOS Enrollment Status
Charles Ray is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Charles Ray is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3375516271
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240413000181
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Fluoroscopic guidance for insertion or removal of central vein access device
Insertion of tunneled central venous tube for infusion (5 years or older)
Needle biopsy of kidney
Removal of tunneled central venous tube
Ultrasonic guidance for blood vessel access
Ultrasonic guidance for needle placement
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
This service was performed 28 times for 26 patientsThe insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.
This service was performed 12 times for 12 patientsA needle biopsy of the kidney is a medical procedure where a small sample of kidney tissue is removed using a special needle. This is done to examine the tissue under a microscope for any abnormalities. It helps in diagnosing potential kidney conditions.
This service was performed 11 times for 11 patientsA tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.
This service was performed 15 times for 14 patientsUltrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
This service was performed 33 times for 30 patientsUltrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
This service was performed 15 times for 15 patientsThis procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
This service was performed 62 times for 56 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.35 for a new patient copayment and $18.05 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 80045 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.43
- Minimum New Patient Price $58.06
- Maximum New Patient Price $174.82
- Average New Patient Copayment $22.35
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $43.7
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.2
- Minimum Established Patient Price $18.88
- Maximum Established Patient Price $142.79
- Average Established Patient Copayment $18.05
- Minimum Established Patient Copayment $4.72
- Maximum Established Patient Copayment $35.69
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 84.37, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
-
Final Score: 84.37 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
-
Quality Score: 54.79
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
-
Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 59.79
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 59.79
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Charles Ray is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
UNIVERSITY OF UTAH HOSPITALS AND CLINICS | 50 NORTH MEDICAL DRIVE SALT LAKE CITY, UT 84132 | (801) 581-2121 | Acute Care Hospitals |
Reviews for CHARLES RAY MD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 9 | 0 | 2 | 9 | 1 | 5 | 5 | 1 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 0 | 2 | 18 | 1 | 10 | 5 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 9 + 0 + 2 + 1 + 8 + 1 + 1 + 0 + 5 + 2 + 24 = 55 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 55 = 5 | 5 |
The NPI number 1902915515 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
ELIZABETH CERIMELE CRNA
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO
ZIP 80045
RUTH E PARKER CNM
Advanced Practice Midwife
12605 E 16TH AVE
UNIVERSITY OF COLORADO HOSPITAL
AURORA, CO
ZIP 80045
DR. JAMES EATON MD
Radiology
(Diagnostic Radiology)
12605 E 16TH AVE
AURORA, CO
ZIP 80045
ERIN WELCH MD
Dermatology
12605 E 16TH AVE
AURORA, CO
ZIP 80045
NEKO UPSON CNM
Advanced Practice Midwife
12605 E 16TH AVE
AURORA, CO
ZIP 80045
DR. ANGELA M DAVIES M.D.
Internal Medicine
(Hematology & Oncology)
12605 E 16TH AVE
AURORA, CO
ZIP 80045
MICHAEL JOBIN MD
Emergency Medicine
12605 E 16TH AVE
AURORA, CO
ZIP 80045
TODD GUTH MD
Emergency Medicine
12605 E 16TH AVE
AURORA, CO
ZIP 80045
JAVIER WAKSMAN MD
Internal Medicine
12605 E 16TH AVE
AURORA, CO
ZIP 80045
MONICA WAZIRI CRNA
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO
ZIP 80045
KENNETH TYLER MD
Psychiatry & Neurology
(Clinical Neurophysiology)
12605 E 16TH AVE
AURORA, CO
ZIP 80045
DANIEL MERRICK MD
Pathology
(Anatomic Pathology & Clinical Pathology)
12605 E 16TH AVE
AURORA, CO
ZIP 80045
DONNA LILLY CRNA
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO
ZIP 80045
SARAH CHILTON MD
Radiology
(Body Imaging)
12605 E 16TH AVE
AURORA, CO
ZIP 80045
BETTYANN HEPPLER CNM
Advanced Practice Midwife
12605 E 16TH AVE
AURORA, CO
ZIP 80045
KATHLEEN MITCHELL CRNA
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO
ZIP 80045
PRISCILLA NODINE CNM
Advanced Practice Midwife
12605 E 16TH AVE
AURORA, CO
ZIP 80045
DR. RICHARD ZANE MD
Emergency Medicine
12605 E 16TH AVE
AURORA, CO
ZIP 80045
MS. CHERYL A MCGINNIS CRNA
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO
ZIP 80045
JACQUELINE VASQUEZ CRNA
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO
ZIP 80045
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902915515, enumerated in the NPI registry as an "individual" on August 29, 2006
The provider is located at 12605 E 16th Ave Aurora, Co 80045 and the phone number is (720) 848-0000
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider has more than 37 years of experience. He graduated from Rush Medical College Of Rush University in 1989.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of July 06, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $89.43 with an average copayment of $22.35 for new patient appointments. Established patients should expect a typical charge of $72.2 and an average copayment of 18.05. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Fluoroscopic guidance for insertion or removal of central vein access device, Insertion of tunneled central venous tube for infusion (5 years or older), Needle biopsy of kidney, Removal of tunneled central venous tube, Ultrasonic guidance for blood vessel access, Ultrasonic guidance for needle placement and Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes.
The practitioner is affiliated to the following hospital(s): UNIVERSITY OF UTAH HOSPITALS AND CLINICS. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on August 29, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.