Marcelo Kugelmas, M.D
NPI 1992819130 · Gastroenterology Physician · Englewood, CO
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marcelo Kugelmas, M.D is a Gastroenterology Physician provider in Englewood, CO (NPI 1992819130).
Provider details
- NPI number
- 1992819130
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 38784 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
444 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Ultrasound Scan of Organ Tissue for Measuring Elasticity76981 | 165 | $105 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 46 | $247 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 44 | $126 |
| 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 MonitoG0500 | 44 | $6 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 42 | $89 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 71 | 29 |
| Azathioprine | 70 | 18 |
| Ursodiol | 44 | 14 |
| Sod Sulf/Pot Chloride/Mag Sulfbrand: Sutab | 39 | 38 |
| Carvedilol | 32 | 12 |
| Adalimumabbrand: Humira(cf) Pen | 26 | — |
| Mesalaminebrand: Mesalamine Dr | 14 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$128,389 across 153 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-17
- Last updated
- 2023-10-31
- Certified
- 2023-10-31
Frequently asked questions
- What is Marcelo Kugelmas's NPI number?
- Marcelo Kugelmas's National Provider Identifier (NPI) is 1992819130, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marcelo Kugelmas's specialty?
- Marcelo Kugelmas is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Marcelo Kugelmas located?
- Marcelo Kugelmas's practice location on file with NPPES is 499 E Hampden Ave, Englewood, CO 80113-2780.
- What is Marcelo Kugelmas's phone number?
- The practice phone number listed in the NPPES registry for Marcelo Kugelmas is (303) 788-8888.
- Does Marcelo Kugelmas accept Medicare?
- Marcelo Kugelmas is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marcelo Kugelmas's NPI active?
- Yes — Marcelo Kugelmas's NPI (1992819130) is active in the NPPES registry as of the last update on 2023-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.