DR. MICHAEL W ALLEN (DO) – Family Medicine Physician, NPI 1003892761

DR. MICHAEL W ALLEN (DO) is a healthcare provider. based in Fort lupton, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. DR.0041745 (CO). The NPI Number for DR. MICHAEL W ALLEN (DO) is 1003892761

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL W ALLEN (DO)
NPI
1003892761
Phone
(303) 286-4560
Address
203 S ROLLIE AVE
Enumeration Date
15 December 2005
Last Update Date
15 July 2016

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
3037763250
Graduation Year
2001 (25 years ago)
PAC ID
9739157884
Group Practice PAC ID
3173433398
Professional Enrollment ID
I20040917000279
Address ID
CO805016027LO220XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,661 FAMILY PRACTICE in CO

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Provider Addresses for DR. MICHAEL W ALLEN (DO)

  • 203, Rollie Avenue, Fort Lupton, Weld County, Colorado, 80621, United States

    BILLING DEPT - CREDENTIALIST

    FORT LUPTON, CO 806211508

    Phone: (303) 286-4560

    Fax: (303) 286-4589

    Type: Mailing

  • Salud Clinic, 220, East Rogers Road, Longmont, Boulder County, Colorado, 80501, United States

    LONGMONT, CO 805016027

    Phone: (303) 776-3250

    Fax: (303) 682-9269

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-06-19 • Largest payer in this snapshot: PFIZER INC. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$14
View all Open Payments →|Open Payments Risk Radar →

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: 2004-09-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040917000279IFamily PracticeCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80621)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173433398View full group profile
NameSpecialtyState
Family PracticeWY
-CO
Family PracticeCO
Clinical Social WorkerCO
Family PracticeCO
-CO
Physician AssistantCO
-CO
-CO
Physician AssistantCO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to DR. MICHAEL W ALLEN (DO)?
The federal identifier for DR. MICHAEL W ALLEN (DO) is NPI 1003892761.
Does this profile mean DR. MICHAEL W ALLEN (DO) is currently active?
Yes — DR. MICHAEL W ALLEN (DO) appears active in the national provider directory.
What kind of provider is DR. MICHAEL W ALLEN (DO)?
The page reflects Family Medicine Physician for DR. MICHAEL W ALLEN (DO). Clinical services aligned with this taxonomy classification.
Where is DR. MICHAEL W ALLEN (DO)'s primary listing?
We display Fort Lupton, Colorado because that is what the record indicates for DR. MICHAEL W ALLEN (DO).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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