ANDREW FRED OPP PROUSE M.D.
NPI 1912206780
Internal Medicine - Cardiovascular Disease in Denver, CO

Active since March 20, 2011PECOS EnrolledAccepts Medicare Assignment
91.11/100
CMS Quality Rating
777 BANNOCK ST, DENVER, CO 80204(303) 436-6000 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2023, Jun 26, 2018, May 1, 2018 (3 updates tracked since 2018).

About Andrew Fred Opp Prouse M.d. NPPES

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

ANDREW FRED OPP PROUSE M.D. (NPI 1912206780) is an individual cardiovascular disease provider in Denver, Colorado, licensed in Colorado (DR.0060817) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2011).

NPPES Registry Identity

NPI1912206780
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameANDREW FRED OPP PROUSECredential: M.D.
Location Address777 BANNOCK STDenver, CO 80204
Mailing Address777 Bannock St # 2Denver, CO 80204-4507 · (303) 602-3899
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2011
Enumeration DateMarch 20, 2011
Last NPPES UpdateJuly 6, 20233 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
NPI 1912206780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in CO · DR.0060817 Licensed in CO · TL.0005795
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.
777 BANNOCK ST, Denver, CO 80204

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

Andrew Fred Opp Prouse 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 ID9335363571
PECOS Enrollment IDI20180717000839
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 26

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 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.
265 services138 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
222 services217 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
214 services212 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
163 services94 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
97 services97 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
96 services96 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80204 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.

91.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.23
Promoting Interoperability88
Improvement Activities40
Cost73.49

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 Nurse Specialist (Psychiatric/Mental Health)
777 BANNOCK ST
DENVER, CO 80204
Anesthesiology
777 BANNOCK ST
DENVER, CO 80204
Nurse Practitioner
777 BANNOCK ST
DENVER, CO 80204
Hospitalist
777 BANNOCK ST
DENVER, CO 80204
Social Worker (Clinical)
777 BANNOCK ST
DENVER, CO 80204
Nurse Practitioner
777 BANNOCK ST
DENVER, CO 80204
Physician Assistant
777 BANNOCK ST
DENVER, CO 80204
Family Medicine
777 BANNOCK ST
DENVER, CO 80204

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 Andrew Prouse's NPI number?

The NPI number for Andrew Prouse is 1912206780. It was assigned to this individual provider in the NPPES registry on March 20, 2011.

Where is Andrew Prouse located?

Andrew Prouse practices at 777 Bannock St, Denver, CO 80204. The listed phone number is (303) 436-6000.

What is Andrew Prouse's specialty?

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

Is Andrew Prouse enrolled in Medicare?

Yes. Andrew Prouse 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 Andrew Prouse accept?

Health plans from UnitedHealthcare list Andrew Prouse 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 Andrew Prouse was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.