DR. MICHAEL J PTASNIK M.D.,F.A.C.C.
NPI 1952307829
Internal Medicine - Cardiovascular Disease in Lakewood, CO

Active since June 24, 2005PECOS EnrolledAccepts Medicare Assignment
74.49/100
CMS Quality Rating
11700 W 2ND PL, SUITE 350, LAKEWOOD, CO 80228(303) 595-2727(303) 595-2626 Get Directions Write a Review

NPPES record last updated: December 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael J Ptasnik M.d.,f.a.c.c. NPPES

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

DR. MICHAEL J PTASNIK M.D.,F.A.C.C. (NPI 1952307829) is an individual cardiovascular disease provider in Lakewood, Colorado, licensed in Colorado (20647) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (1975).

NPPES Registry Identity

NPI1952307829
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MICHAEL J PTASNIKCredential: M.D.,F.A.C.C.
Location Address11700 W 2ND PL, SUITE 350Lakewood, CO 80228-1710
Mailing Address11700 W 2nd Pl, Suite 350Lakewood, CO 80228-1710 · (303) 595-2727 · Fax (303) 595-2626
Fax(303) 595-2626
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1975
Enumeration DateJune 24, 2005
Last NPPES UpdateDecember 12, 2013
NPI 1952307829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CO · 20647
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.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 20647 (CO)
11700 W 2ND PL, Lakewood, CO 80228

Other Identifiers 3

Medicare UPIN300797
Medicaid01206473CO
Medicare UPIND23814CO

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

Dr. Michael J Ptasnik M.d.,f.a.c.c. 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 ID6800708918
PECOS Enrollment IDI20041026000140
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 12

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
561 services278 patients
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.
442 services251 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.
62 services55 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.
61 services43 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.
50 services45 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
48 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80228 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.

74.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.38
Promoting Interoperability78
Improvement Activities40
Cost58.69

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers27 claims27 services$60.69 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$30.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
11700 W 2ND PL, SUITE 280
LAKEWOOD, CO 80228
Physician Assistant (Surgical)
11700 W 2ND PL, ST ANTHONY MEDICAL PLAZA 2, SUITE 280
LAKEWOOD, CO 80228
Internal Medicine (Interventional Cardiology)
11700 W 2ND PL, SUITE 350
LAKEWOOD, CO 80228
Radiology (Diagnostic Radiology)
11700 W 2ND PL
LAKEWOOD, CO 80228
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
11700 W 2ND PL, STE 325
LAKEWOOD, CO 80228
Audiologist
11700 W 2ND PL, SUITE 435
LAKEWOOD, CO 80228
Thoracic Surgery (Cardiothoracic Vascular Surgery)
11700 W 2ND PL, MOB 2 STE 210
LAKEWOOD, CO 80228
Physician Assistant (Surgical)
11700 W 2ND PL, SUITE 280
LAKEWOOD, CO 80228

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 Michael Ptasnik's NPI number?

The NPI number for Michael Ptasnik is 1952307829. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Michael Ptasnik located?

Michael Ptasnik practices at 11700 W 2nd Pl Suite 350, Lakewood, CO 80228. The listed phone number is (303) 595-2727.

What is Michael Ptasnik's specialty?

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

Is Michael Ptasnik enrolled in Medicare?

Yes. Michael Ptasnik 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 Michael Ptasnik accept?

Health plans from UnitedHealthcare list Michael Ptasnik 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 Michael Ptasnik was last updated on December 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.