KURT DOUGLAS NOTEBOOM (PA-C, ATC) – Physician Assistant, NPI 1124135264
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,161 PHYSICIAN ASSISTANT in CO
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Provider Addresses for KURT DOUGLAS NOTEBOOM (PA-C, ATC)
Boulder Medical Center, 80, Health Park Drive, Louisville, Boulder County, Colorado, 80027, United States
#230
LOUISVILLE, CO 800279584
Phone: (303) 665-2603
Fax: (303) 665-2605
Type: Location
8426, Zinnia Court, Leyden Junction, Arvada, Jefferson County, Colorado, 80005, United States
ARVADA, CO 800051100
Phone: (303) 952-9926
Fax: (303) 436-3054
Type: Mailing
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: 2012-12-28
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 |
|---|---|---|---|---|
| I20121228000157 | I | Physician Assistant | ND | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 70 | 46 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 56 | 56 | $0 |
| 20550 | Injection into tendon or ligament | 50 | 38 | $0 |
| 20600 | Aspiration and/or injection of fluid from small joint | 48 | 30 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 23 | 17 | $0 |
Insurance plans in this area (ZIP 80027)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | CO | 20610 | Aspiration and/or injection of large joint or joint capsule | 118 | 90 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ND | |
| Nurse Practitioner | ND | |
| - | ND | |
| - | ND | |
| P S Y C H I A T R Y | ND | |
| - | PA | |
| N E P H R O L O G Y | SD | |
| U R O L O G Y | MI | |
| Nurse Practitioner | ND | |
| H O S P I T A L I S T | ND |
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