DR. THOMAS C COBURN (M.D.) – Family Medicine Physician, NPI 1073562237

DR. THOMAS C COBURN (M.D.) is a healthcare provider. based in Johnstown, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 36057 (CO). The NPI Number for DR. THOMAS C COBURN (M.D.) is 1073562237

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS C COBURN (M.D.)
NPI
1073562237
Phone
(970) 669-8881
Address
4795 Larimer Parkway
Enumeration Date
8 May 2006
Last Update Date
3 February 2020

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
9707243442
Graduation Year
1989 (37 years ago)
PAC ID
3173652161
Group Practice PAC ID
7517871544
Professional Enrollment ID
I20100601000599
Address ID
CO804590399KR214XXSTXX400

Contacts

Secure Messaging
tcoburn100092@directe.centura.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,661 FAMILY PRACTICE in CO

Provider Addresses for DR. THOMAS C COBURN (M.D.)

  • 4795 Larimer Parkway

    Johnstown, CO 805349021

    Phone: (970) 669-8881

    Fax: (970) 669-4200

    Type: Location

  • 4795, Larimer Parkway, Johnstown, Larimer County, Colorado, 80534, United States

    JOHNSTOWN, CO 805349021

    Phone: (970) 669-8881

    Fax: (970) 669-4200

    Type: Mailing

  • 214, South 4th Street, Kremmling, Grand County, Colorado, 80459, United States

    KREMMLING, CO 804590399

    Phone: (970) 887-5800

    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: 2010-06-01

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
I20100601000599IFamily 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 80534)

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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: 7517871544View full group profile
NameSpecialtyState
Nurse PractitionerCO
Family PracticeKS
-CO
Physician AssistantCO
Family PracticeCO
Nurse PractitionerCO
-TX
H O S P I T A L I S TCO
Nurse PractitionerCO
N E U R O S U R G E R YTX

Reviews

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Frequently asked questions

Can I cross-check DR. THOMAS C COBURN (M.D.) using NPI 1073562237?
NPI 1073562237 belongs to DR. THOMAS C COBURN (M.D.); compare other details if you need extra assurance.
Is DR. THOMAS C COBURN (M.D.) still an active registrant?
DR. THOMAS C COBURN (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with DR. THOMAS C COBURN (M.D.)?
DR. THOMAS C COBURN (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. THOMAS C COBURN (M.D.) associated with Johnstown?
Public fields place DR. THOMAS C COBURN (M.D.) around Johnstown, Colorado. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. THOMAS C COBURN (M.D.) is noted as May 8, 2006 where the registry provides it.

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