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SCOTT M SUNDHEIM
NPI 1972542181
Emergency Medicine in Loveland, CO

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
2000 BOISE AVE, LOVELAND, CO 80538(303) 306-7783(303) 306-7753 Get Directions Write a Review

NPPES record last updated: May 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1972542181
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSCOTT M SUNDHEIM
Location Address2000 BOISE AVELoveland, CO 80538-5006
Mailing AddressPo Box 173817Denver, CO 80217-3817 · (303) 306-7783 · Fax (303) 306-7753
Phone(303) 306-7783
Fax(303) 306-7753
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2001
Enumeration DateJune 5, 2006
Last NPPES UpdateMay 18, 2020
NPPES CertifiedMay 18, 2020
✔ NPI 1972542181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CO · 44111
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2000 BOISE AVE, Loveland, CO 80538
Open in Google Maps ↗

Secondary Practice Location 1

Location 11025 Pennock Pl Ste 121Fort Collins, CO 80524-3257 · Phone (970) 495-8980 · Fax (970) 495-8988

Other Identifiers 1

Medicaid80472320CO

Accepted Insurance

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

PECOS PAC ID8426025511
PECOS Enrollment IDI20060621000184
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.

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.

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
$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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

EUGENE JOSEPH REINERSMAN
Emergency Medicine
2000 BOISE AVE
LOVELAND, CO 80538
Larimer County (970) 635-4071
JENNIFER L VAN HORN AOCNS
Nurse Practitioner (Primary Care)
2000 BOISE AVE
LOVELAND, CO 80538
Larimer County (970) 820-4351
DEBORAH JEAN MOTL
Registered Nurse (Medical-Surgical)
2000 BOISE AVE
LOVELAND, CO 80538
Larimer County (916) 295-4519
JACLYN GONZALES PHARMD
Pharmacist
2000 BOISE AVE
LOVELAND, CO 80538
Larimer County (970) 820-6853
SCOTT A. GERARDY CRNA
Nurse Anesthetist, Certified Registered
2000 BOISE AVE
LOVELAND, CO 80538
Larimer County (970) 669-4640
ALAN W LLOYD M.D.
Anesthesiology
2000 BOISE AVE
LOVELAND, CO 80538
Larimer County (970) 350-6399
DR. DALE L HAND PHARM.D.
Pharmacist (Pharmacotherapy)
2000 BOISE AVE
LOVELAND, CO 80538
Larimer County (970) 622-1770
NCMC SPECIALTY CLINIC
Clinic/Center (Multi-Specialty)
2000 BOISE AVE
LOVELAND, CO 80538
Larimer County (970) 820-2409

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.

What insurance does Scott Sundheim accept?

Health plans from Medica 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.