DR. BRAD ROBIN BAACK (M.D.) – Dermatology Physician, NPI 1104856061
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
364 DERMATOLOGY in CO
Provider Addresses for DR. BRAD ROBIN BAACK (M.D.)
515 E 1st St
Salida, CO 812012805
Phone: (719) 539-5338
Fax: (603) 888-7984
Type: Location
3480 Wolverine Dr Ste F
Montrose, CO 814014965
Phone: (970) 252-7444
Fax: (970) 252-3446
Type: Location
234 N Main St Ste 2B
Gunnison, CO 812302434
Phone: (970) 641-1456
Fax: (603) 888-7984
Type: Location
1350 Tulip St Ste 2
Longmont, CO 805013140
Phone: (970) 342-2222
Fax: (970) 342-2233
Type: Location
4795 LARIMER PKWY
JOHNSTOWN, CO 805349021
Phone: (970) 342-2222
Fax: (970) 342-2233
Type: Mailing
1850 MOUNTAIN VIEW AVE
LONGMONT, CO 805013212
Phone: (720) 494-3118
Fax: (970) 237-8035
Type: Mailing
East Elizabeth Street, Fort Collins, Larimer County, Colorado, 80524-3233, United States
SUITE G-2
FORT COLLINS, CO 805244044
Phone: (970) 484-6303
Fax: (970) 484-6908
Type: Mailing
4700 EXCHANGE CT STE 110
BOCA RATON, FL 334314450
Phone: (561) 948-0291
Fax: (561) 859-0429
Type: Mailing
4795 LARIMER PKWY STE 150
JOHNSTOWN, CO 805349588
Phone: (970) 342-2222
Fax: (970) 342-2233
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 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: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($111).
Total Amount
$281
General + Research + Ownership
Payments
14
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
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-12-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20091228000454 | I | Dermatology | CO | TBD |
| I20200910002590 | I | Dermatology | WY | TBD |
| I20241204001871 | I | Dermatology | NE | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 531 | 109 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 223 | 187 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 182 | 159 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 177 | 157 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 141 | 141 | $0 |
Insurance plans in this area (ZIP 81201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO | |
| Physician Assistant | CO | |
| Pathology, Dermatology | FL | |
| Physician Assistant | CO |
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