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SCOTT MICHAEL GOLEMBESKI M.D.
NPI 1942589213
Surgery in Denver, CO

Active since August 04, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4545 E 9TH AVE STE 460, DENVER, CO 80220(303) 388-2922 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 21, 2022, Aug 12, 2021 (2 updates tracked since 2021).

About Scott Michael Golembeski M.d. NPPES

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

SCOTT MICHAEL GOLEMBESKI M.D. (NPI 1942589213) is an individual surgery provider in Denver, Colorado, licensed in Colorado (DR.0056891) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2011).

NPPES Registry Identity

NPI1942589213
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSCOTT MICHAEL GOLEMBESKICredential: M.D.
Location Address4545 E 9TH AVE STE 460Denver, CO 80220-3904
Mailing Address1960 N Ogden St, Suite 400Denver, CO 80218-3666 · (303) 318-1540 · Fax (303) 318-2481
Phone(303) 388-2922
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2011
Enumeration DateAugust 4, 2011
Last NPPES UpdateJanuary 21, 20222 updates tracked since enumeration
NPPES CertifiedAugust 12, 2021
✔ NPI 1942589213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CO · DR.0056891
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TL-4069 (CO)
4545 E 9TH AVE STE 460, Denver, CO 80220
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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

Scott Michael Golembeski 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 ID8224251897
PECOS Enrollment IDI20160816001015
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 6

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.

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.
64 services64 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
40 services18 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
22 services22 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
21 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 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.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80220 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
100%257 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.

Other Providers at the Same Location NPPES 3

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

DR. LISA SHAWN SCHATZ M.D.
Colon & Rectal Surgery
4545 E 9TH AVE STE 460
DENVER, CO 80220
Denver County (303) 388-2922
HEALTHONE CLINIC SERVICES - BARIATRIC MEDICINE LLC
Colon & Rectal Surgery
4545 E 9TH AVE STE 460
DENVER, CO 80220
Denver County (303) 388-2922
DR. ROBERT MACLEAN MACDONALD M.D.
Surgery
4545 E 9TH AVE STE 460
DENVER, CO 80220
Denver County (303) 388-2922

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 Scott Golembeski's NPI number?

The NPI number for Scott Golembeski is 1942589213. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Where is Scott Golembeski located?

Scott Golembeski practices at 4545 E 9th Ave Ste 460, Denver, CO 80220. The listed phone number is (303) 388-2922.

What is Scott Golembeski's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Scott Golembeski enrolled in Medicare?

Yes. Scott Golembeski 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 Scott Golembeski accept?

Health plans from UnitedHealthcare list Scott Golembeski 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 Scott Golembeski was last updated on January 21, 2022. 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.