DR. MARCELO KUGELMAS (M.D) – Gastroenterology Physician, NPI 1992819130
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
369 GASTROENTEROLOGY in CO
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Provider Addresses for DR. MARCELO KUGELMAS (M.D)
499 E HAMPDEN AVE STE 420
ENGLEWOOD, CO 801132794
Phone: (303) 788-8888
Fax: (866) 896-1158
Type: Mailing
10103, RidgeGate Parkway, Lone Tree, Douglas County, Colorado, 80124, United States
STE 312
LONE TREE, CO 801245520
Phone: (303) 788-8888
Fax: (303) 790-2567
Type: Mailing
Walgreens, 499, East Hampden Avenue, Englewood, Arapahoe County, Colorado, 80113, United States
STE 420
ENGLEWOOD, CO 801132780
Phone: (303) 788-8888
Fax: (866) 896-1158
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 288 Open Payments records for all available years, with a total value of $211,622.
Total Amount is formed as General ($211,622) + Research ($0) + Ownership ($0) = $211,622.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Gilead Sciences, Inc. ($56,008).
Total Amount
$211,622
General + Research + Ownership
Payments
288
Total payment records
General Amount
$211,622
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $56,008 |
| INTERCEPT PHARMACEUTICALS, INC. | $45,571 |
| Novo Nordisk Inc | $28,228 |
| Ipsen Biopharmaceuticals, Inc | $20,081 |
| Madrigal Pharmaceuticals | $18,464 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-05-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040506000094 | I | Gastroenterology | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 76981 | Ultrasound scan of organ tissue for measuring elasticity | 92 | 92 | $0 |
| G0500 | 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 | 65 | 64 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 51 | 44 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 48 | 48 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 37 | $0 |
Insurance plans in this area (ZIP 80113)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | CO | 45385 | Removal of polyps or growths of large bowel using an endoscope | 44 | 43 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | CO | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| Gastroenterology, Internal Medicine | CO | |
| G A S T R O E N T E R O L O G Y | CO | |
| G A S T R O E N T E R O L O G Y | CO | |
| - | CO | |
| G A S T R O E N T E R O L O G Y | NY | |
| G A S T R O E N T E R O L O G Y | CO | |
| Certified Registered Nurse Anesthetist (Crna) | CO | |
| Registered Dietitian Or Nutrition Professional | CO |
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