DAVID LINDBLAD (EMPA-C) – Physician Assistant, NPI 1073593596

DAVID LINDBLAD (EMPA-C) is a healthcare provider. based in Fort carson, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials EMPA-C. They hold a License No. PA.0001746 (CO). The NPI Number for DAVID LINDBLAD (EMPA-C) is 1073593596

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DAVID LINDBLAD (EMPA-C)
NPI
1073593596
Phone
(719) 526-7526
Address
1650 Cochrane Cir
Enumeration Date
19 January 2006
Last Update Date
18 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7197765000
Graduation Year
1998 (28 years ago)
PAC ID
9931204633
Group Practice PAC ID
4688583974
Professional Enrollment ID
I20070424000582
Address ID
CO809095533CO1400XBOUL300
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

4,161 PHYSICIAN ASSISTANT in CO

Provider Addresses for DAVID LINDBLAD (EMPA-C)

  • 1650 Cochrane Cir

    EMS

    Fort Carson, CO 809134603

    Phone: (719) 526-7526

    Type: Location

  • Evans Army Community Hospital, 1650, West Cochrane Circle, Fort Carson, El Paso County, Colorado, 80913, United States

    EMS

    FORT CARSON, CO 809134603

    Phone:

    Type: Mailing

  • Voyager Parkway, Colorado Springs, El Paso County, Colorado, 80921, United States

    COLORADO SPRINGS, CO 809217648

    Phone: (719) 219-0333

    Fax: (719) 219-0320

    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: 2007-04-24

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
I20070424000582IPhysician AssistantCOTBD

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 80913)

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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: 4688583974View full group profile

Reviews

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Frequently asked questions

What number should I use to identify DAVID LINDBLAD (EMPA-C) for billing?
Administrative and clinical systems typically use NPI 1073593596 for DAVID LINDBLAD (EMPA-C).
Should I treat DAVID LINDBLAD (EMPA-C) as an active provider?
Patients and plans typically see DAVID LINDBLAD (EMPA-C) as active in the national extract.
What services align with DAVID LINDBLAD (EMPA-C)'s listing?
DAVID LINDBLAD (EMPA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to DAVID LINDBLAD (EMPA-C)?
DAVID LINDBLAD (EMPA-C) shows a connection to Fort Carson, Colorado in registry-derived data.
Why is information missing for DAVID LINDBLAD (EMPA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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