Roy Tinguely, MD

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

• Pagosa Springs Medical Center Hospital · Pagosa Springs, CO · listed as Pagosa Springs Family Medical Center

Colleagues at Upper San Juan Health Service District

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 37 clinicians in the practice; 12 are shown here.

• Jacob W Abbas Professional Counselor · Pagosa Springs, CO
• Mrs. Shelby Marie Aragon, FNP-C Family Nurse Practitioner · Usaf Academy, CO
• Courtney Barnes, LCSW Clinical Social Worker · Pagosa Springs, CO
• Dr. William H Bentley, MD Neurology Physician · Denver, CO
• Dr. Robert Farrington Brown, MD Family Medicine Physician · Pagosa Springs, CO
• Dr. Julie Buchner, MD Family Medicine Physician · Pagosa Springs, CO
• Dr. Emilie McIntyre, MD Family Medicine Physician · Pagosa Springs, CO
• Marcia Jean Newth, LCSW Clinical Social Worker · Pagosa Springs, CO
• Dr. Corinne Reed, DO Family Medicine Physician · Pagosa Springs, CO
• Mindy Siegel, MD Orthopaedic Surgery Physician · Colorado Springs, CO
• Dr. Ryan David Stopher-Mitchell, DO Family Medicine Physician · Pagosa Springs, CO
• Phillip Andrew Zappone, FNP-C Family Nurse Practitioner · Pagosa Springs, CO

Other providers in Pagosa Springs

• Peter M Dziad, MD

  Individual Surgery Physician · NPI 1720081136

  95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 · (970) 731-3700

• Dr. David Scott Shaeffer, MD

  Individual Surgery Physician · NPI 1467657817

  27B Talisman Dr Unit 3, Pagosa Springs, CO 81147-7914 · (970) 372-0456