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DR. MARCELO KUGELMAS M.D
NPI 1992819130
Internal Medicine - Gastroenterology in Englewood, CO

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
86.85/100
CMS Quality Rating
499 E HAMPDEN AVE, STE 420, ENGLEWOOD, CO 80113(303) 788-8888(866) 896-1158 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Marcelo Kugelmas M.d NPPES

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

DR. MARCELO KUGELMAS M.D (NPI 1992819130) is an individual gastroenterology provider in Englewood, Colorado, licensed in Colorado (38784) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1992819130
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MARCELO KUGELMASCredential: M.D
Location Address499 E HAMPDEN AVE, STE 420Englewood, CO 80113-2780
Mailing Address499 E Hampden Ave Ste 420Englewood, CO 80113-2794 · (303) 788-8888 · Fax (866) 896-1158
Phone(303) 788-8888
Fax(866) 896-1158
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateAugust 17, 2006
Last NPPES UpdateOctober 31, 2023
NPPES CertifiedOctober 31, 2023
✔ NPI 1992819130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CO · 38784
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
499 E HAMPDEN AVE, Englewood, CO 80113
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Other Names 1

Professional Name (2)Dr. Marcelo Kugelmas

Other Identifiers 1

Medicaid41779525CO

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. Marcelo Kugelmas 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 ID4880682806
PECOS Enrollment IDI20040506000094
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 10

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.

Ultrasound scan of organ tissue for measuring elasticity 76981
An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.
165 services165 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
46 services45 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.
44 services36 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
44 services42 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.
42 services40 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80113 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.

86.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality69.94
Promoting Interoperability100
Improvement Activities40
Cost86.23

Reported Quality Measures

Advance Care Plan
25%245 patients2/55-star benchmark: 100%
Age Appropriate Screening Colonoscopy
Lower rates are better for this measure.
0%231 patients
Appropriate follow-up interval based on pathology findings in screening colonoscopy
80%70 patients
Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
91%79 patients
Closing the Referral Loop: Receipt of Specialist Report
10%31 patients1/55-star benchmark: 87%
Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
99%151 patients
Colorectal Cancer Screening
82%326 patients4/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
89%1,191 patients4/55-star benchmark: 100%
e-Prescribing
100%204 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
19%510 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 1% · 210 patients
0%210 patients
Provide Patients Electronic Access to Their Health Information
93%194 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 240 patients
Patients totalRate: 1% · 240 patients
1%240 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. JEFFREY C WAGNER M.D.
Psychiatry & Neurology (Clinical Neurophysiology)
499 E HAMPDEN AVE, SUITE 360
ENGLEWOOD, CO 80113
Arapahoe County (303) 781-4485
DR. IRA J. KOWAL M.D. P.C.
Internal Medicine (Cardiovascular Disease)
499 E HAMPDEN AVE, SUITE 250
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-6678
DR. EDWARD B ARENSON M.D.
Pediatrics (Pediatric Hematology-Oncology)
499 E HAMPDEN AVE, STE 450
ENGLEWOOD, CO 80113
Arapahoe County (720) 389-7749
ELIZABETH PEREZ
499 E HAMPDEN AVE, SUITE 220
ENGLEWOOD, CO 80113
Arapahoe County (303) 783-8844
DR. JOHN F WOLZ MD
Surgery
499 E HAMPDEN AVE, SUITE 380
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-5300
MEAGAN MURGEL APRN
Nurse Practitioner (Family)
499 E HAMPDEN AVE, SUITE 360
ENGLEWOOD, CO 80113
Arapahoe County (303) 781-4485
H J THOMAS ORTHOPAEDICS LTD
Specialist
499 E HAMPDEN AVE, SUITE 140
ENGLEWOOD, CO 80113
Arapahoe County (720) 556-5044
JUDD JENSEN M.D.
Psychiatry & Neurology (Neurology)
499 E HAMPDEN AVE, STE 360
ENGLEWOOD, CO 80113
Arapahoe County (303) 781-4485

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 Marcelo Kugelmas's NPI number?

The NPI number for Marcelo Kugelmas is 1992819130. It was assigned to this individual provider in the NPPES registry on August 17, 2006. The provider is also known as Dr. Marcelo Kugelmas.

Where is Marcelo Kugelmas located?

Marcelo Kugelmas practices at 499 E Hampden Ave Ste 420, Englewood, CO 80113. The listed phone number is (303) 788-8888.

What is Marcelo Kugelmas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Marcelo Kugelmas enrolled in Medicare?

Yes. Marcelo Kugelmas 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.

When was this NPI record last updated?

The NPPES record for Marcelo Kugelmas was last updated on October 31, 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.