TIN TIN Legal Business Name Last Name First Name Provider Degree Specialty MSSP CPC+ *This roster reflects those BMG physicians who are participating in an APM through MACRA. If you name is not listed then by default you are in MIPs 900733283 Banner Health Physicians Colorado, LLC Adler Sidney MD OBSTETRICS GYNECOLOGY X 900733283 Banner Health Physicians Colorado, LLC Ahn Jane DO OBSTETRICS GYNECOLOGY X 900733283 Banner Health Physicians Colorado, LLC Al Adsani Patricia MD PSYCHIATRY & NEUROLO X 900733283 Banner Health Physicians Colorado, LLC Allen James MD INFECTIOUS DISEASES X 900733283 Banner Health Physicians Colorado, LLC Allen Neil MD OBSTETRICS GYNECOLOGY X 900733283 Banner Health Physicians Colorado, LLC Atwood Thomas DPM PODIATRY X 900733283 Banner Health Physicians Colorado, LLC Balstad Alexis MD OBSTETRICS GYNECOLOGY X 900733283 Banner Health Physicians Colorado, LLC Bandi Srinivas MD NEUROLOGY X 900733283 Banner Health Physicians Colorado, LLC Bar Noffar MD ANESTHESIOLOGY X 900733283 Banner Health Physicians Colorado, LLC Barbera Antonino MD OBSTETRICS GYNECOLOGY X 900733283 Banner Health Physicians Colorado, LLC Barker Lance DO INTERNAL MEDICINE X X 900733283 Banner Health Physicians Colorado, LLC Barner Kristen MD NEUROLOGY X 900733283 Banner Health Physicians Colorado, LLC Beck Susan MD URGENT CARE PROVIDER X 900733283 Banner Health Physicians Colorado, LLC Beckmann James MD CARDIOLOGY X 900733283 Banner Health Physicians Colorado, LLC Bhaskaran Dinesh MD CARDIOTHORACIC SURGERY X 900733283 Banner Health Physicians Colorado, LLC Blatt David MD NEUROSURGERY X 900733283 Banner Health Physicians Colorado, LLC Blomquist Thomas MD GENERAL SURGERY X 900733283 Banner Health Physicians Colorado, LLC Bower Regina MD NEUROLOGY X 900733283 Banner Health Physicians Colorado, LLC Brandon Lorin DPM PODIATRY X 900733283 Banner Health Physicians Colorado, LLC Brown Bridget MD PEDIATRICS X 900733283 Banner Health Physicians Colorado, LLC Bruce Robert MD PEDIATRICS X 900733283 Banner Health Physicians Colorado, LLC Budensiek Richard DO FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Cabrera Anthony MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Carlson Anjalee MD PEDIATRICS X 900733283 Banner Health Physicians Colorado, LLC Carter Susan MD OBSTETRICS GYNECOLOGY X 900733283 Banner Health Physicians Colorado, LLC Chapel Harold MD CARDIOLOGY X
900733283 Banner Health Physicians Colorado, LLC Chmura Kathryn MD PEDIATRICS X 900733283 Banner Health Physicians Colorado, LLC Collins Jerome MD GENERAL SURGERY X 900733283 Banner Health Physicians Colorado, LLC Cook Jay MD RADIOLOGY,DIAGNOSTIC X 841440050 North Colorado Family Medicine Cook Jeffrey MD FAMILY PRACTICE X 900733283 Banner Health Physicians Colorado, LLC Coonrod Ellie DO OBSTETRICS GYNECOLOGY X 841440050 North Colorado Family Medicine Coonrod Rita MD FAMILY PRACTICE W/OB CARE X 900733283 Banner Health Physicians Colorado, LLC Corcoran-Kelly Susan MD URGENT CARE PROVIDER X 900733283 Banner Health Physicians Colorado, LLC Cowan Alison MD OBSTETRICS GYNECOLOGY X 841440050 North Colorado Family Medicine Craig Kyle MD FAMILY PRACTICE X 900733283 Banner Health Physicians Colorado, LLC Crane John MD OBSTETRICS GYNECOLOGY X 900733283 Banner Health Physicians Colorado, LLC Crylen Curtis MD UROLOGY X 900733283 Banner Health Physicians Colorado, LLC Culver William MD ALLERGY/IMMUNOLOGY X 900733283 Banner Health Physicians Colorado, LLC Decker Molly DO GENERAL SURGERY X 900733283 Banner Health Physicians Colorado, LLC Deeter Lyndsay MD TRAUMA SURGEON X 900733283 Banner Health Physicians Colorado, LLC Dickson Ann MD URGENT CARE PROVIDER X 900733283 Banner Health Physicians Colorado, LLC Ditto Marsha MD ANESTHESIOLOGY X 900733283 Banner Health Physicians Colorado, LLC Doft Anthony MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Dong Lin Wang MD CARDIOLOGY X 900733283 Banner Health Physicians Colorado, LLC Drury John MD CARDIOVASCULAR DISEASE X 900733283 Banner Health Physicians Colorado, LLC Dupuis Colleen DO SPORTS MEDICINE X 900733283 Banner Health Physicians Colorado, LLC Englert Thomas MD GYNECOLOGY X 900733283 Banner Health Physicians Colorado, LLC Ethington Bradley DO PEDIATRICS X 841440050 North Colorado Family Medicine Fahrenholtz Herbert MD FAMILY PRACTICE W/OB CARE X 900733283 Banner Health Physicians Colorado, LLC Fenton Darrel DO ORTHOPEDIC SURGERY X 900733283 Banner Health Physicians Colorado, LLC Finnoff Gregory DO URGENT CARE PROVIDER X 841440050 North Colorado Family Medicine Fischer Joshua MD FAMILY PRACTICE W/OB CARE X 900733283 Banner Health Physicians Colorado, LLC Flake Zachary MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Freitas Diego MD INTERNAL MEDICINE X X 900733283 Banner Health Physicians Colorado, LLC Gallion Anne MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Garcia Giovanna MD INTERNAL MEDICINE X X 900733283 Banner Health Physicians Colorado, LLC Gardner Eric MD ORTHOPEDIC SURGERY X 900733283 Banner Health Physicians Colorado, LLC Gibbons Beth MD NEUROSURGERY X 900733283 Banner Health Physicians Colorado, LLC Golden Gregory DO PULMONARY DISEASE X 900733283 Banner Health Physicians Colorado, LLC Grady Shauna DO INTERNAL MEDICINE X X
900733283 Banner Health Physicians Colorado, LLC Gregory Joseph MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Gryboski Cynthia MD CARDIOLOGY X 900733283 Banner Health Physicians Colorado, LLC Hager Barbara MD NEUROLOGY X 900733283 Banner Health Physicians Colorado, LLC Harding Amanda MD PEDIATRICS X 900733283 Banner Health Physicians Colorado, LLC Harkabus Michael MD GENERAL SURGERY X 900733283 Banner Health Physicians Colorado, LLC Harms Thomas MD URGENT CARE PROVIDER X 900733283 Banner Health Physicians Colorado, LLC Harrod Charles MD INTERNAL MEDICINE X X 900733283 Banner Health Physicians Colorado, LLC Hatch Jason MD INTERVENTIONAL CARDIOLOGY X 900733283 Banner Health Physicians Colorado, LLC Heaston Daniel MD ORTHOPEDIC SURGERY X 900733283 Banner Health Physicians Colorado, LLC Herrera Maria MD PULMONARY DISEASE X 900733283 Banner Health Physicians Colorado, LLC Hirsch Cecilia MD CARDIOVASCULAR DISEASE X 900733283 Banner Health Physicians Colorado, LLC Hoffmann Julie MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Hollos Lori MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Howell Elizabeth MD OBSTETRICS GYNECOLOGY X 900733283 Banner Health Physicians Colorado, LLC Huff Jenna MD OBSTETRICS GYNECOLOGY X 900733283 Banner Health Physicians Colorado, LLC Hurst Paul MD CARDIOLOGY X 900733283 Banner Health Physicians Colorado, LLC Isley Courtney MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Janata Robert MD PULMONARY DISEASE X 900733283 Banner Health Physicians Colorado, LLC Janata Kelli MD PULMONARY DISEASE X 900733283 Banner Health Physicians Colorado, LLC Jarrett Aaron MD FAMILY PRACTICE W/OB CARE X X 841440050 North Colorado Family Medicine Jeffers Wayne MD FAMILY PRACTICE W/OB CARE X 900733283 Banner Health Physicians Colorado, LLC Joshi Natasha DO PULMONARY DISEASE X 900733283 Banner Health Physicians Colorado, LLC Kary Jonathan MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Keeler Bradford MD GENERAL SURGERY X 900733283 Banner Health Physicians Colorado, LLC Kenigsberg Thomas MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Kessinger Trina MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Kilzer Helen MD HOSPICE AND PALLIATI X X 900733283 Banner Health Physicians Colorado, LLC Kim Michael MD CARDIOLOGY X 900733283 Banner Health Physicians Colorado, LLC Koh Kilsan MD GENERAL SURGERY X 900733283 Banner Health Physicians Colorado, LLC Kukafka David MD PULMONARY DISEASE X 900733283 Banner Health Physicians Colorado, LLC Kumar Nirmala MD ENDOCRINOLOGY X 900733283 Banner Health Physicians Colorado, LLC Kurth Jay DO FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Le Khoi MD GENERAL SURGERY X 900733283 Banner Health Physicians Colorado, LLC Lefler Lindsay MD PEDIATRICS X
900733283 Banner Health Physicians Colorado, LLC Lembitz Deanne MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Ling Jinyi DO INTERNAL MEDICINE X X 900733283 Banner Health Physicians Colorado, LLC Little Holly MD OBSTETRICS GYNECOLOGY X 900733283 Banner Health Physicians Colorado, LLC Lyons Maurice DO CARDIOTHORACIC SURGERY X 900733283 Banner Health Physicians Colorado, LLC Magruder Joy MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Main Jennifer MD INTERNAL MEDICINE X X 900733283 Banner Health Physicians Colorado, LLC Marler Mckay MD PEDIATRICS X 900733283 Banner Health Physicians Colorado, LLC Marsh Randall MD CARDIOLOGY X 900733283 Banner Health Physicians Colorado, LLC Mason Robert MD FAMILY PRACTICE W/OB CARE X X 900733283 Banner Health Physicians Colorado, LLC Mccabe Lentz Jennifer MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Mcdonald Danielle DO FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Mcwilliams Ryan MD GASTROENTEROLOGY X 900733283 Banner Health Physicians Colorado, LLC Milano William MD URGENT CARE PROVIDER X 900733283 Banner Health Physicians Colorado, LLC Mills Angela MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Moffatt Victoria MD INTERNAL MEDICINE X X 900733283 Banner Health Physicians Colorado, LLC Nalla Srijaya Soujanya MD OBSTETRICS GYNECOLOGY X 900733283 Banner Health Physicians Colorado, LLC Noce Nicholas MD ORTHOPEDIC SURGERY X 900733283 Banner Health Physicians Colorado, LLC Norman Jennifer MD PEDIATRICS X 841440050 North Colorado Family Medicine Ogden Samuel MD FAMILY PRACTICE X 900733283 Banner Health Physicians Colorado, LLC Ogren Jason MD GENERAL SURGERY X 900733283 Banner Health Physicians Colorado, LLC Paddack John MD UROLOGY X 900733283 Banner Health Physicians Colorado, LLC Pankey Janeva MD HOSPICE AND PALLIATI X X 900733283 Banner Health Physicians Colorado, LLC Pariseau Christian MD PEDIATRICS X 900733283 Banner Health Physicians Colorado, LLC Parker Hugh MD CARDIOLOGY X 900733283 Banner Health Physicians Colorado, LLC Patel Bhavik MD CARDIOTHORACIC SURGERY X 900733283 Banner Health Physicians Colorado, LLC Pazik Thomas MD ORTHOPEDIC SURGERY X 900733283 Banner Health Physicians Colorado, LLC Perez Ramon DO ORTHOPEDIC SURGERY X 900733283 Banner Health Physicians Colorado, LLC Pfahnl Arnold MD ELECTROPHYSIOLOGY X 900733283 Banner Health Physicians Colorado, LLC Pharris Jennifer DO FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Puls David DO FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Rath Gary MD CARDIOLOGY X 900733283 Banner Health Physicians Colorado, LLC Reynoso Lance MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Rhoads Phillip MD INTERNAL MED/PEDIATRICS X X 900733283 Banner Health Physicians Colorado, LLC Richards Kenneth MD CARDIOTHORACIC SURGERY X
900733283 Banner Health Physicians Colorado, LLC Rieniets Kimberly DO ENDOCRINOLOGY X 900733283 Banner Health Physicians Colorado, LLC Risenhoover Edwin MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Ritsema David MD UROLOGY X 900733283 Banner Health Physicians Colorado, LLC Rommereim MadDaphne MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Rosenblatt Mark MD GASTROENTEROLOGY X 900733283 Banner Health Physicians Colorado, LLC Rowan Shane MD ELECTROPHYSIOLOGY X 841440050 North Colorado Family Medicine Ruff Joy MD FAMILY PRACTICE X 900733283 Banner Health Physicians Colorado, LLC Sadler Corinn MD ENDOCRINOLOGY X 900733283 Banner Health Physicians Colorado, LLC Saltz Samuel DO GENERAL SURGERY X 900733283 Banner Health Physicians Colorado, LLC Sanderford Kelly MD ORTHOPEDIC SURGERY X 900733283 Banner Health Physicians Colorado, LLC Schaefer Rebecca MD URGENT CARE PROVIDER X 900733283 Banner Health Physicians Colorado, LLC Schaffer Scott MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Schmieg Ashley DO FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Schmitt Joseph MD NEUROLOGY X 900733283 Banner Health Physicians Colorado, LLC Schoelkopf Lawrence MD GENERAL SURGERY X 900733283 Banner Health Physicians Colorado, LLC Schutte Sarah MD OBSTETRICS GYNECOLOGY X 900733283 Banner Health Physicians Colorado, LLC Shedd Michael MD PULMONARY DISEASE X 900733283 Banner Health Physicians Colorado, LLC Shenkenberg Amy MD URGENT CARE PROVIDER X 900733283 Banner Health Physicians Colorado, LLC Sheppard MaddeDena MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Sherif Ahmed MD GASTROENTEROLOGY X 900733283 Banner Health Physicians Colorado, LLC Shihabi Ahmad MD CARDIOLOGY X 900733283 Banner Health Physicians Colorado, LLC Sides Steven MD ORTHOPEDIC SURGERY X 900733283 Banner Health Physicians Colorado, LLC Slack Kenneth MD OBSTETRICS GYNECOLOGY X 900733283 Banner Health Physicians Colorado, LLC Smith Brett DO PSYCHIATRY X 841440050 North Colorado Family Medicine Smith David MD FAMILY PRACTICE W/OB CARE X 900733283 Banner Health Physicians Colorado, LLC Snodgrass David MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Snyder Garrett MD ORTHOPEDIC SURGERY X 900733283 Banner Health Physicians Colorado, LLC Speed James MD ENDOCRINOLOGY X 900733283 Banner Health Physicians Colorado, LLC Statz Lila MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Stoltz Michelle MD OBSTETRICS GYNECOLOGY X 900733283 Banner Health Physicians Colorado, LLC Storey Kirsten DO INTERNAL MEDICINE X X 900733283 Banner Health Physicians Colorado, LLC Stotts Matthew MD GASTROENTEROLOGY X 900733283 Banner Health Physicians Colorado, LLC Strom Kurt MD UROLOGY X 900733283 Banner Health Physicians Colorado, LLC Sultan Mohamed MD GASTROENTEROLOGY X
900733283 Banner Health Physicians Colorado, LLC Summers James DO OBSTETRICS GYNECOLOGY X 900733283 Banner Health Physicians Colorado, LLC Sunderman Steve MD INTERNAL MEDICINE X X 900733283 Banner Health Physicians Colorado, LLC Taylor Grant MD FAMILY PRACTICE X X 900733283 Banner Health Physicians Colorado, LLC Tello Robert MD INTERNAL MEDICINE X X 900733283 Banner Health Physicians Colorado, LLC Teruel Katherine MD PEDIATRICS X 900733283 Banner Health Physicians Colorado, LLC Tullis Gene MD CARDIOTHORACIC SURGERY X 900733283 Banner Health Physicians Colorado, LLC Vickerman Robert MD GENERAL SURGERY X 841440050 North Colorado Family Medicine Walker Justin MD FAMILY PRACTICE X 900733283 Banner Health Physicians Colorado, LLC Waln Curtis MD INTERNAL MEDICINE X X 841440050 North Colorado Family Medicine Ware Asa MD FAMILY PRACTICE X 900733283 Banner Health Physicians Colorado, LLC Weir Robert MD GENERAL SURGERY X 900733283 Banner Health Physicians Colorado, LLC Weitenberner Nicholas MD ANESTHESIOLOGY X 900733283 Banner Health Physicians Colorado, LLC Wikiel Krzysztof MD GENERAL SURGERY X 900733283 Banner Health Physicians Colorado, LLC Williams Richard MD ORTHOPEDIC SURGERY X 900733283 Banner Health Physicians Colorado, LLC Wingerson Eric DO GASTROENTEROLOGY X 900733283 Banner Health Physicians Colorado, LLC Wolach James MD UROLOGY X *This roster reflects those BMG physicians who are participating in an APM through MACRA. If you name is not listed then by default you are in MIPs