DR. RICHARD JOHN ZOGALA M.D.
NPI 1962842955
Internal Medicine - Rheumatology in Grand Junction, CO

Active since July 05, 2013PECOS EnrolledAccepts Medicare Assignment
32.83/100
CMS Quality Rating
603 28 1/4 RD, GRAND JUNCTION, CO 81506(970) 644-3840(970) 644-3916 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2020, Feb 4, 2020, Nov 26, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Richard John Zogala M.d. NPPES

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

DR. RICHARD JOHN ZOGALA M.D. (NPI 1962842955) is an individual rheumatology provider in Grand Junction, Colorado, licensed in Colorado (DR.0061360) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Junction, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1962842955
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. RICHARD JOHN ZOGALACredential: M.D.
Location Address603 28 1/4 RDGrand Junction, CO 81506
Mailing AddressPo Box 1727Grand Junction, CO 81502-1727 · (970) 263-2619 · Fax (970) 263-2691
Fax(970) 644-3916
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 5, 2013
Last NPPES UpdateFebruary 25, 20204 updates tracked since enumeration
NPI 1962842955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in CO · DR.0061360
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
603 28 1/4 RD, Grand Junction, CO 81506

Secondary Practice Location 1

Location 12020 N 12th StGrand Junction, CO 81501-2914 · Phone (970) 644-3940 · Fax (970) 644-3916

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. Richard John Zogala 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 ID5092043059
PECOS Enrollment IDI20190828004234
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 9

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.
863 services315 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
400 services63 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.
91 services79 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
45 services35 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.
45 services43 patients
Aspiration and/or injection of fluid from medium joint using ultrasound guidance 20606
This is a procedure where a needle is guided by ultrasound into a medium-sized joint, like a knee or shoulder. The needle can be used to remove fluid, which can relieve pressure and pain, or to inject medication to help with inflammation and discomfort.
19 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81506 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.

32.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality31.46
Promoting Interoperability0
Improvement Activities20
Cost52.97

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.

Nurse Practitioner
603 28 1/4 RD
GRAND JUNCTION, CO 81506
Nurse Practitioner (Family)
603 28 1/4 RD
GRAND JUNCTION, CO 81506
Nurse Practitioner
603 28 1/4 RD
GRAND JUNCTION, CO 81506
Pediatrics
603 28 1/4 RD
GRAND JUNCTION, CO 81506
Plastic Surgery
603 28 1/4 RD
GRAND JUNCTION, CO 81506
Family Medicine
603 28 1/4 RD
GRAND JUNCTION, CO 81506
Counselor (Professional)
603 28 1/4 RD
GRAND JUNCTION, CO 81506
Nurse Practitioner (Family)
603 28 1/4 RD
GRAND JUNCTION, CO 81506

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 Richard Zogala's NPI number?

The NPI number for Richard Zogala is 1962842955. It was assigned to this individual provider in the NPPES registry on July 5, 2013.

Where is Richard Zogala located?

Richard Zogala practices at 603 28 1/4 Rd, Grand Junction, CO 81506. The listed phone number is (970) 644-3840.

What is Richard Zogala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Richard Zogala enrolled in Medicare?

Yes. Richard Zogala 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 Richard Zogala accept?

Health plans from University of Utah Health Plans list Richard Zogala 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 Richard Zogala was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.