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JOHN ANDREW MENGSHOL MD
NPI 1932255544
Internal Medicine - Gastroenterology in Louisville, CO

Active since January 26, 2007PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
382 S ARTHUR AVE, B146, LOUISVILLE, CO 80027(303) 604-5000 Get Directions Write a Review

NPPES record last updated: June 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2016, Jan 22, 2016 (2 updates tracked since 2016).

About John Andrew Mengshol Md NPPES

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

JOHN ANDREW MENGSHOL MD (NPI 1932255544) is an individual gastroenterology provider in Louisville, Colorado, licensed in Colorado (44034) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Geisel School Of Medicine At Dartmouth (2003).

NPPES Registry Identity

NPI1932255544
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJOHN ANDREW MENGSHOLCredential: MD
Location Address382 S ARTHUR AVE, B146Louisville, CO 80027-3094
Mailing Address382 S Arthur Ave, B146Louisville, CO 80027-3094 · (303) 604-5000
Phone(303) 604-5000
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2003
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJune 28, 20162 updates tracked since enumeration
✔ NPI 1932255544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CO · 44034
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
382 S ARTHUR AVE, Louisville, CO 80027
Open in Google Maps ↗

Accepted Insurance

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

John Andrew Mengshol 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 ID1658422555
PECOS Enrollment IDI20090707000254
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 10

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.
85 services73 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
63 services62 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
60 services60 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
60 services60 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
38 services38 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80027 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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

MR. ERIC JUSTIN SWARTZ CRNA
Nurse Anesthetist, Certified Registered
382 S ARTHUR AVE
LOUISVILLE, CO 80027
Boulder County (303) 604-5000
CATHERINE BRADY PA
Physician Assistant (Medical)
382 S ARTHUR AVE
LOUISVILLE, CO 80027
Boulder County (404) 257-0799
EMILY STEWART PA-C
Physician Assistant (Medical)
382 S ARTHUR AVE
LOUISVILLE, CO 80027
Boulder County (303) 604-5000
DR. AMY LARA FAYLING M.D.
Pathology (Anatomic Pathology)
382 S ARTHUR AVE
LOUISVILLE, CO 80027
Boulder County (303) 604-5000

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 John Mengshol's NPI number?

The NPI number for John Mengshol is 1932255544. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is John Mengshol located?

John Mengshol practices at 382 S Arthur Ave B146, Louisville, CO 80027. The listed phone number is (303) 604-5000.

What is John Mengshol's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is John Mengshol enrolled in Medicare?

Yes. John Mengshol 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 John Mengshol accept?

Health plans from Medica list John Mengshol 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 John Mengshol was last updated on June 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.