DAGMARA DANEK

NPI 1235635251 · Ophthalmology · Anthem

Provider Status Assessment

Verified Active

Strong multi-source corroboration of active practice across 10 carrier networks with confirmed Colorado DORA license.

Confidence: High

Evidence: 9638 items from 16 sources

Signals: 6 supporting · 0 opposing · 1 missing

Resolution: All evidence sources corroborate active practice. 6 supporting signals with no contradictions across 8 evaluated sources.

Data Source Signals

✓

NPPES

DENVER, 80206

Freshness: Unknown

✓

Network Status

Listed with 10 carriers

anthem_co — in_network (commercial)
uhc_colorado_co — in_network (commercial)
uhc_insurance_co — in_network (commercial)
uhc_services_co — in_network (commercial)
uhc_umr_co — in_network (commercial)
uhc_surest_co — in_network (commercial)
uhc_rmhmo_co — in_network (commercial)
cigna_co — in_network (commercial)
aetna_co — in_network (commercial)
kaiser_co — in_network (commercial)

✓

DORA License

Active

—

Medicare

Not enrolled in Medicare (PECOS)

53 beneficiaries

$5,238.22 total payment

Specialty: Ophthalmology

✗

Care Compare

Address mismatch with NPPES

DENVER, 80204
LAKEWOOD, 80228
LONGMONT, 80501

System Reasoning

Claim Under Evaluation

Provider is actively practicing and appropriately listed in carrier networks

Evidence Evaluated

FHIR Directory: No active FHIR endpoint despite carrier listings

NPPES Registry: Active NPI, registered in DENVER

Colorado DORA License: License status: Active

Medicare Billing: 57 services, 53 beneficiaries

Federal Exclusion Check: No federal exclusions found (OIG LEIE, SAM.gov)

Carrier Networks: Listed in 10 carrier networks

CMS Care Compare: Found in Care Compare with 3 locations

PECOS Enrollment: PECOS enrollment status unknown

Trust Evaluation

identity:0.75Strong

licensure:0.90Strong

activity:1.00

Dimension Scores

Composite0.86

Identity0.75 — Moderate

Active NPI with specialty classification

Licensure0.90 — Strong

Active Colorado DORA license confirmed

Activity1.00 — Strong

Active Medicare billing confirmed

Reachability0.60 — Moderate

Single address source (NPPES)

Network1.00 — Strong

Listed in multiple carrier networks

Why is this provider classified as “verified active”?

Strong multi-source corroboration of active practice. All dimensions above 0.55 with evidence depth ≥ 5. Active license confirmed.

Carrier Network Listings

10 networks across 5 carriers

Strong network presence across 10 carrier networks with corroborating federal activity signals.

Anthem(1 network)

1 DOI 6C-3

Anthem Blue Cross Blue ShieldDOI 6C-3

View carrier →

UnitedHealthcare(6 networks)

2 DOI 6C-34 Federal TiC

UnitedHealthcare of ColoradoDOI 6C-3

View carrier →

UnitedHealthcare InsuranceFederal TiC

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UnitedHealthcare ServicesFederal TiC

View carrier →

Related Investigations

All providers in Anthem Blue Cross Blue Shield networkView →All Ophthalmology providers statewideView →All providers in DENVER 80206View →All providers classified as Verified ActiveView →

Known Addresses

NPPESDENVER, 80206

Care CompareDENVER, 80204

Care CompareLAKEWOOD, 80228

Care CompareLONGMONT, 80501

Evidence

9638 items across 22 assertions from 16 sources

Connected Records

Practice Address

DENVER, 80206

NPPES, cms_care_compare

Carrier Network Listing

Listed in 10 carrier networks

TiC: Anthem Blue Cross Blue Shield, TiC: UnitedHealthcare Services, TiC: UnitedHealthcare Insurance, TiC: UnitedHealthcare (UMR), TiC: UnitedHealthcare Colorado, TiC: UnitedHealthcare (Surest), TiC: UnitedHealthcare (Rocky Mountain HMO), TiC: Cigna, TiC: Aetna, TiC: Kaiser Permanente

Colorado License

Active

DORA

NPI Registration

Status: active

NPPES Deactivation

Order/Referring Eligibility

Record found

cms_order_refer

Medicare Billing

57 services

cms_medicare

entity_type

Record found

NPPES

Federal Exclusion Check

No exclusion found

OIG LEIE + SAM.gov

Evidence Lineage

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shield9543 records ·weight 0.80 · Latest: Mar 14, 2026

Colorado License StatusTrust: 0.95

↓DORA5 records ·weight 0.98 · Latest: Mar 6, 2026

Matched via: license_number

Colorado License StatusTrust: 0.95

↓DORAweight 0.98 · Mar 13, 2026

Matched via: license_number

Carrier Network ListingTrust: 0.80

↓TiC: UnitedHealthcare Services12 records ·weight 0.80 · Latest: Mar 12, 2026

Carrier Network ListingTrust: 0.80

↓

Timeline

Mar 14, 2026Carrier listing: Anthem Blue Cross Blue Shield

Mar 13, 2026DORA license check: Active

Mar 13, 2026DORA license check: Expired

Mar 12, 2026Carrier listing: UnitedHealthcare Services

Mar 12, 2026Carrier listing: UnitedHealthcare Insurance

Mar 12, 2026NPPES record: active

Mar 12, 2026Carrier listing: UnitedHealthcare (UMR)

Mar 12, 2026Carrier listing: UnitedHealthcare Colorado

Mar 11, 2026Carrier listing: UnitedHealthcare (Surest)

Mar 11, 2026Carrier listing: UnitedHealthcare (Rocky Mountain HMO)

Mar 11, 2026

Evidence

Loading evidence lineage...

Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.

—

PECOS Enrollment

No PECOS data

reachability:0.60Moderate

System Determination

Verified Active

Composite score: 0.858

Strong multi-source corroboration of active practice across 10 carrier networks with confirmed Colorado DORA license.

UnitedHealthcare UMRFederal TiC

View carrier →

UnitedHealthcare SurestFederal TiC

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UnitedHealthcare Rocky Mountain HMODOI 6C-3

View carrier →

Cigna(1 network)

1 DOI 6C-3

CignaDOI 6C-3

View carrier →

Aetna(1 network)

1 DOI 6C-3

AetnaDOI 6C-3

View carrier →

Kaiser Permanente(1 network)

1 DOI 6C-3

Kaiser PermanenteDOI 6C-3

View carrier →

Evidence

9638 items across 22 assertions from 16 sources

Connected Records

Practice Address

DENVER, 80206

NPPES, cms_care_compare

Carrier Network Listing

Listed in 10 carrier networks

Colorado License

Active

DORA

NPI Registration

Status: active

NPPES Deactivation

Order/Referring Eligibility

Record found

cms_order_refer

Medicare Billing

57 services

cms_medicare

entity_type

Record found

NPPES

Federal Exclusion Check

No exclusion found

OIG LEIE + SAM.gov

Evidence Lineage

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shield9543 records ·weight 0.80 · Latest: Mar 14, 2026

Colorado License StatusTrust: 0.95

↓DORA5 records ·weight 0.98 · Latest: Mar 6, 2026

Matched via: license_number

Colorado License StatusTrust: 0.95

↓DORAweight 0.98 · Mar 13, 2026

Matched via: license_number

Carrier Network ListingTrust: 0.80

↓TiC: UnitedHealthcare Services12 records ·weight 0.80 · Latest: Mar 12, 2026

Carrier Network ListingTrust: 0.80

↓

Timeline

Mar 14, 2026Carrier listing: Anthem Blue Cross Blue Shield

Mar 13, 2026DORA license check: Active

Mar 13, 2026DORA license check: Expired

Mar 12, 2026Carrier listing: UnitedHealthcare Services

Mar 12, 2026Carrier listing: UnitedHealthcare Insurance

Mar 12, 2026NPPES record: active

Mar 12, 2026Carrier listing: UnitedHealthcare (UMR)

Mar 12, 2026Carrier listing: UnitedHealthcare Colorado

Mar 11, 2026Carrier listing: UnitedHealthcare (Surest)

Mar 11, 2026Carrier listing: UnitedHealthcare (Rocky Mountain HMO)

Mar 11, 2026

TiC: UnitedHealthcare Insurance

weight 0.80 · Latest: Mar 12, 2026

NPI Registration StatusTrust: 0.90

↓NPPES Deactivationweight 0.85 · Mar 12, 2026

Carrier Network ListingTrust: 0.80

↓TiC: UnitedHealthcare (UMR)30 records ·weight 0.80 · Latest: Mar 12, 2026

Carrier Network ListingTrust: 0.80

↓TiC: UnitedHealthcare Colorado3 records ·weight 0.80 · Latest: Mar 12, 2026

Carrier Network ListingTrust: 0.80

↓TiC: UnitedHealthcare (Surest)6 records ·weight 0.80 · Latest: Mar 11, 2026

Carrier Network ListingTrust: 0.80

↓TiC: UnitedHealthcare (Rocky Mountain HMO)3 records ·weight 0.80 · Latest: Mar 11, 2026

Practice LocationTrust: 0.85

↓NPPES2 records ·weight 0.85 · Latest: Mar 11, 2026

Practice LocationTrust: 0.85

↓NPPES2 records ·weight 0.85 · Latest: Mar 11, 2026

Practice LocationTrust: 0.80

↓NPPES2 records ·weight 0.85 · Latest: Mar 11, 2026

↓cms_care_compareweight 0.80 · Mar 6, 2026

Order/Referring EligibilityTrust: 0.95

↓cms_order_referweight 0.95 · Mar 11, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Cigna11 records ·weight 0.80 · Latest: Mar 11, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Aetnaweight 0.80 · Mar 11, 2026

Practice LocationTrust: 0.85

↓cms_care_compareweight 0.80 · Mar 6, 2026

↓NPPESweight 0.85 · Mar 5, 2026

Practice LocationTrust: 0.80

↓cms_care_compareweight 0.80 · Mar 6, 2026

Medicare Billing ActivityTrust: 0.90

↓cms_medicareweight 0.70 · Mar 6, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Kaiser Permanenteweight 0.80 · Mar 5, 2026

entity_typeTrust: 0.85

↓NPPESweight 0.85 · Mar 5, 2026

Provider SpecialtyTrust: 0.85

↓NPPESweight 0.85 · Mar 5, 2026

Practice address: DENVER, 80206

Mar 11, 2026Practice address: DENVER, 80207

Mar 11, 2026Practice address: DENVER, 80204

Mar 11, 2026Order/Referring Eligibility: record found

Mar 11, 2026Carrier listing: Cigna

Mar 11, 2026Carrier listing: Aetna

Mar 6, 2026Practice address: LAKEWOOD, 80228

Mar 6, 2026Practice address: LONGMONT, 80501

Mar 6, 2026Practice address: DENVER, 80204

Mar 6, 2026Medicare billing: 57 services

Showing 20 of 24 evidence events.