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LORI WERTHEIMER MD
NPI 1972543965
Pediatrics in Monument, CO

Active since June 07, 2006PECOS Enrolled
192 FRONT ST, MONUMENT, CO 80132(719) 488-6998(719) 488-8270 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lori Wertheimer Md NPPES

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

LORI WERTHEIMER MD (NPI 1972543965) is an individual pediatrics provider in Monument, Colorado, licensed in Colorado (31067) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972543965
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLORI WERTHEIMERCredential: MD
Location Address192 FRONT STMonument, CO 80132-6738
Mailing Address192 Front StMonument, CO 80132-6738 · (719) 488-6998 · Fax (719) 488-8270
Phone(719) 488-6998
Fax(719) 488-8270
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1972543965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CO · 31067
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
192 FRONT ST, Monument, CO 80132
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Other Identifiers 1

Medicaid01310671CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lori Wertheimer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lori Wertheimer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optumcare Colorado Medical Group, LLC
0.6 mi
Family Medicine
550 W HIGHWAY 105
Monument, CO 80132
  • Reassigned Medicare billing, Colorado enrollment
  • 314 clinicians in this Medicare group
NPI 1215568597 (719) 488-9860
Poudre Valley Medical Group, LLC
92 mi
General Practice
2695 ROCKY MOUNTAIN AVE, SUITE 150
Loveland, CO 80538
  • Reassigned Medicare billing, Colorado enrollment
  • 2,596 clinicians in this Medicare group
NPI 1366763260 (970) 624-4420

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 80132 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.

Other Providers at the Same Location NPPES

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

KATHY JEAN PETERSON CPNP
Nurse Practitioner (Pediatrics)
192 FRONT ST
MONUMENT, CO 80132
El Paso County (719) 488-6998

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 Lori Wertheimer's NPI number?

The NPI number for Lori Wertheimer is 1972543965. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Lori Wertheimer located?

Lori Wertheimer practices at 192 Front St, Monument, CO 80132. The listed phone number is (719) 488-6998.

What is Lori Wertheimer's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lori Wertheimer enrolled in Medicare?

Yes. Lori Wertheimer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lori Wertheimer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Wertheimer reassigns Medicare benefits to 2 organizations: Optumcare Colorado Medical Group, LLC (Monument, CO) and Poudre Valley Medical Group, LLC (Loveland, CO). 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 Lori Wertheimer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lori Wertheimer accept?

Health plans from Select Health and UnitedHealthcare list Lori Wertheimer 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 Lori Wertheimer was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.