MR. CORY R PETICOLAS (FNP-C) – Family Nurse Practitioner, NPI 1073235180
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,198 NURSE PRACTITIONER in CO
Provider Addresses for MR. CORY R PETICOLAS (FNP-C)
6107 S WESTVIEW ST
LITTLETON, CO 801202837
Phone: (720) 280-2595
Type: Mailing
2801 PURCELL ST
BRIGHTON, CO 806013551
Phone: (303) 558-0515
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-10-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221031000015 | I | Nurse Practitioner | CO | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 39 | 38 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 37 | 37 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 14 | 14 | $0 |
| 81002 | Urinalysis, manual test | 11 | 11 | $0 |
Insurance plans in this area (ZIP 80120)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | OK | |
| Physician Assistant | IL | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | CO | |
| Family Practice | TX | |
| Nurse Practitioner | CO |
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