SCOTT M SUNDHEIM
NPI 1972542181
Emergency Medicine in Loveland, CO
About Scott M Sundheim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SCOTT M SUNDHEIM (NPI 1972542181) is an individual emergency medicine provider in Loveland, Colorado, licensed in Colorado (44111) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Collins, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2001).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Scott M Sundheim 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.
Medicare Billing Reassignments
2Medicare enrollment records show Scott Sundheim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Collins, CO 80524
- Reassigned Medicare billing, Colorado enrollment
- 162 clinicians in this Medicare group
Douglas, WY 82633
- Reassigned Medicare billing, Wyoming enrollment
- 131 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80538 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Sundheim's NPI number?
The NPI number for Scott Sundheim is 1972542181. It was assigned to this individual provider in the NPPES registry on June 5, 2006.
Where is Scott Sundheim located?
Scott Sundheim practices at 2000 Boise Ave, Loveland, CO 80538. The listed phone number is (303) 306-7783.
What is Scott Sundheim's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Scott Sundheim enrolled in Medicare?
Yes. Scott Sundheim 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.
Which organizations bill Medicare for Scott Sundheim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Scott Sundheim reassigns Medicare benefits to 2 organizations: Poudre Valley Health Care Inc. (Fort Collins, CO) and Memorial Hospital Of Converse County (Douglas, WY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Sundheim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Scott Sundheim accept?
Health plans from Select Health list Scott Sundheim 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 Sundheim was last updated on May 18, 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.
# Scott M Sundheim · NPI 1972542181
Emergency Medicine physician in Loveland, Colorado. Individual provider, active in the CMS NPPES registry since June 5, 2006.
## Identity
- **NPI:** 1972542181 (Entity type: Individual)
- **Enumerated:** June 5, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 44111 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 2000 BOISE AVE, Loveland, CO 80538-5006
- **Phone:** (303) 306-7783 · **Fax:** (303) 306-7753
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Poudre Valley Health Care Inc. (NPI 1760492714, Fort Collins, CO); Memorial Hospital Of Converse County (NPI 1356496491, Douglas, WY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2001
## Record status
- **NPPES last updated:** May 18, 2020
- **Other identifiers:** Medicaid 80472320 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1972542181) · Data from the CMS NPPES public registry.