DR. MADELINE RONAN GARZA
NPI 1992200240
Psychiatry & Neurology - Neurology in Littleton, CO

Active since March 28, 2018PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
8155 PINEY RIVER AVE STE 100, LITTLETON, CO 80125(303) 265-3390(720) 516-0237 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2023, May 27, 2022, Mar 28, 2018 (3 updates tracked since 2018).

About Dr. Madeline Ronan Garza NPPES

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

DR. MADELINE RONAN GARZA (NPI 1992200240) is an individual neurology provider in Littleton, Colorado, licensed in Colorado (DR.0068590) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1992200240
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MADELINE RONAN GARZA
Location Address8155 PINEY RIVER AVE STE 100Littleton, CO 80125-8729
Mailing Address8155 Piney River Ave Ste 100Littleton, CO 80125-8729 · (303) 265-3390 · Fax (720) 516-0237
Fax(720) 516-0237
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 28, 2018
Last NPPES UpdateAugust 29, 20233 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
NPI 1992200240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in CO · DR.0068590
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
8155 PINEY RIVER AVE STE 100, Littleton, CO 80125

Secondary Practice Location 1

Location 11635 Aurora CtAurora, CO 80045-2541 · Phone (720) 848-0000

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. Madeline Ronan Garza 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 ID7315293453
PECOS Enrollment IDI20220617001223
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
41 services28 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
39 services19 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.
25 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services25 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services15 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80125 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.

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 13

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

Social Worker (Clinical)
8155 PINEY RIVER AVE STE 100
LITTLETON, CO 80125
Social Worker (Clinical)
8155 PINEY RIVER AVE STE 100
LITTLETON, CO 80125
Nurse Practitioner (Family)
8155 PINEY RIVER AVE STE 100
LITTLETON, CO 80125
Family Medicine
8155 PINEY RIVER AVE STE 100
LITTLETON, CO 80125
Physical Therapist
8155 PINEY RIVER AVE STE 100
LITTLETON, CO 80125
Psychiatry & Neurology (Neurology)
8155 PINEY RIVER AVE STE 100
LITTLETON, CO 80125
Physician Assistant
8155 PINEY RIVER AVE STE 100
LITTLETON, CO 80125
Physical Therapist
8155 PINEY RIVER AVE STE 100
LITTLETON, CO 80125

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 Madeline Garza's NPI number?

The NPI number for Madeline Garza is 1992200240. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Madeline Garza located?

Madeline Garza practices at 8155 Piney River Ave Ste 100, Littleton, CO 80125. The listed phone number is (303) 265-3390.

What is Madeline Garza's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Madeline Garza enrolled in Medicare?

Yes. Madeline Garza 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 Madeline Garza accept?

Health plans from Medica and UnitedHealthcare list Madeline Garza 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 Madeline Garza was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.