DR. ALLAN DOUGLAS III NANNEY (MD) – Neurological Surgery Physician, NPI 1013238419

DR. ALLAN DOUGLAS III NANNEY (MD) is a healthcare provider. based in Boulder, Colorado. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. 125055764 (IL). The NPI Number for DR. ALLAN DOUGLAS III NANNEY (MD) is 1013238419

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALLAN DOUGLAS III NANNEY (MD)
NPI
1013238419
Phone
(704) 519-9162
Address
6653 LOOKOUT RD # A103
Enumeration Date
20 June 2010
Last Update Date
12 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Secondary Phone
3037838855
Graduation Year
2009 (17 years ago)
PAC ID
7810295482
Group Practice PAC ID
2769488329
Professional Enrollment ID
I20160927002152
Address ID
CO801132885EN500XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:15State licenses:2Digital endpointsOther names

187 NEUROSURGERY in CO

Provider Addresses for DR. ALLAN DOUGLAS III NANNEY (MD)

  • 6653 LOOKOUT RD # A103

    BOULDER, CO 803013362

    Phone: (704) 519-9162

    Type: Mailing

  • 9195 GRANT ST STE 205

    THORNTON, CO 802294386

    Phone: (303) 783-8844

    Fax: (303) 783-2002

    Type: Location

  • 259 BEACON LITE RD STE 103

    MONUMENT, CO 801329110

    Phone: (704) 519-9162

    Type: Location

  • 2222 N Nevada Ave Ste 5001

    Colorado Springs, CO 809076865

    Phone: (719) 776-3580

    Fax: (719) 776-3599

    Type: Location

  • 259 Beacon Lite Rd Ste 103

    Monument, CO 801329110

    Phone: (704) 519-9162

    Type: Location

  • 676 N Saint Clair St

    Suite 2210

    Chicago, IL 606112927

    Phone: (704) 519-9162

    Type: Location

  • 3501 S CLARKSON ST

    ENGLEWOOD, CO 801133916

    Phone: (303) 783-8844

    Fax: (303) 783-2002

    Type: Mailing

  • 2222 N NEVADA AVE STE 5001

    COLORADO SPRINGS, CO 809076865

    Phone: (719) 776-3580

    Fax: (719) 776-3599

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $281.

Total Amount is formed as General ($281) + Research ($0) + Ownership ($0) = $281.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Globus Medical, Inc. ($168).

Total Amount

$281

General + Research + Ownership

Payments

6

Total payment records

General Amount

$281

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-04-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160927002152INeurosurgeryCOTBD
I20240409001677INeurosurgerySCTBD

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 80301)

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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: 2769488329View full group profile
NameSpecialtyState
N E U R O S U R G E R YCO
Physician AssistantCO
Physician AssistantCO
N E U R O S U R G E R YCO
Physician AssistantFL
Physician AssistantCO
N E U R O S U R G E R YCO
N E U R O S U R G E R YCO
Physician AssistantID

Reviews

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Frequently asked questions

Does DR. ALLAN DOUGLAS III NANNEY (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. ALLAN DOUGLAS III NANNEY (MD) uses 1013238419.
Can I rely on DR. ALLAN DOUGLAS III NANNEY (MD) being an active provider?
As of the registry snapshot, DR. ALLAN DOUGLAS III NANNEY (MD) is marked active.
What taxonomy line describes DR. ALLAN DOUGLAS III NANNEY (MD)?
For research purposes, treat DR. ALLAN DOUGLAS III NANNEY (MD) as Neurological Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. ALLAN DOUGLAS III NANNEY (MD) based?
DR. ALLAN DOUGLAS III NANNEY (MD) is tied to Boulder, Colorado in the data we show; additional addresses may exist on the full record.
Why does DR. ALLAN DOUGLAS III NANNEY (MD) have multiple addresses?
8 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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