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ALEXANDER URQUHART MD
NPI 1942310719
Internal Medicine - Medical Oncology in Edwards, CO

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
62.62/100
CMS Quality Rating
322 BEARD CREEK RD, EDWARDS, CO 81632(970) 476-2451 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alexander Urquhart Md NPPES

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

ALEXANDER URQUHART MD (NPI 1942310719) is an individual medical oncology provider in Edwards, Colorado, licensed in Colorado (38378) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (1997).

NPPES Registry Identity

NPI1942310719
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameALEXANDER URQUHARTCredential: MD
Location Address322 BEARD CREEK RDEdwards, CO 81632-6433
Mailing AddressPo Box 876Aurora, CO 80040-0876 · (303) 493-7000
Phone(970) 476-2451
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1997
Enumeration DateAugust 30, 2006
Last NPPES UpdateNovember 15, 2021
NPPES CertifiedNovember 15, 2021
✔ NPI 1942310719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in CO · 38378
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
322 BEARD CREEK RD, Edwards, CO 81632
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Other Identifiers 1

Medicaid14231832CO

Accepted Insurance

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

Alexander Urquhart 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 ID5496746869
PECOS Enrollment IDI20040524000534
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 7

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.
317 services175 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
152 services127 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
92 services73 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.
53 services53 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81632 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
$174.82 typical visit price
range $58.06 – $174.82
Typical copayment $43.70 (range $14.51 – $43.70)
Most-billed visit code 99205
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.

62.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.54
Improvement Activities40
Cost18.43

Other Providers at the Same Location NPPES 19

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

VAIL CLINIC INC
General Acute Care Hospital
322 BEARD CREEK RD
EDWARDS, CO 81632
Eagle County (970) 569-7429
ROBBIN MILLER
Registered Nurse (Oncology)
322 BEARD CREEK RD
EDWARDS, CO 81632
Eagle County (970) 569-7613
KATIE JONES FNP
Nurse Practitioner (Family)
322 BEARD CREEK RD
EDWARDS, CO 81632
Eagle County (970) 476-2451
COLLEEN DEIRDRE IHNKEN N.P.
Nurse Practitioner
322 BEARD CREEK RD
EDWARDS, CO 81632
Eagle County (970) 949-6100
VAIL CLINIC INC
General Acute Care Hospital
322 BEARD CREEK RD
EDWARDS, CO 81632
Eagle County (970) 569-7429
PATRICK KEOGH
Emergency Medicine
322 BEARD CREEK RD, SUITE 200
EDWARDS, CO 81632
Eagle County (970) 926-6340
SHELLY SCHWARTZ APRN
Nurse Practitioner
322 BEARD CREEK RD
EDWARDS, CO 81632
Eagle County (970) 569-7429
VAIL CLINIC, INC.
Pharmacy (Clinic Pharmacy)
322 BEARD CREEK RD
EDWARDS, CO 81632
Eagle County (970) 569-7676

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 Alexander Urquhart's NPI number?

The NPI number for Alexander Urquhart is 1942310719. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Alexander Urquhart located?

Alexander Urquhart practices at 322 Beard Creek Rd, Edwards, CO 81632. The listed phone number is (970) 476-2451.

What is Alexander Urquhart's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Alexander Urquhart enrolled in Medicare?

Yes. Alexander Urquhart 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 Alexander Urquhart accept?

Health plans from UnitedHealthcare list Alexander Urquhart 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 Alexander Urquhart was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.