DR. DIANE LUCY KALLGREN (M.D.) – Dermatology Physician, NPI 1144214016

DR. DIANE LUCY KALLGREN (M.D.) is a healthcare provider. based in Boulder, Colorado. specializing in Dermatology Physician. They hold the professional credentials M.D.. They hold a License No. 33197 (CO). The NPI Number for DR. DIANE LUCY KALLGREN (M.D.) is 1144214016

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. DIANE LUCY KALLGREN (M.D.)
NPI
1144214016
Phone
(303) 444-8100
Address
3434 47TH ST
Enumeration Date
7 September 2005
Last Update Date
27 August 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
3034448100
Graduation Year
1984 (42 years ago)
PAC ID
2567454531
Group Practice PAC ID
2668487489
Professional Enrollment ID
I20060216000444
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. DIANE LUCY KALLGREN (M.D.)

  • Pinnacle Physical Therapy & Pilates of Boulder, 3434, 47th Street, Boulder, Boulder County, Colorado, 80301, United States

    #200

    BOULDER, CO 803011880

    Phone: (303) 444-8100

    Fax: (303) 444-8113

    Mailing address matches the actual address.

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.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 80301)

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Provider's Procedures

DR. DIANE LUCY KALLGREN (M.D.) performs procedures in Dermatology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCO11101Biopsy of each additional growth of skin and/or tissue2319
DERMATOLOGYCO17003Destruction of 2-14 skin growths846188

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: 2668487489View full group profile
NameSpecialtyState
MRS. SUSAN LYNN RANCIS (PA-C)
-CO
MRS. AMANDA LAUREN LAPOINTE (PA-C)
-CO

Reviews

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Frequently asked questions

Is there an official ID for DR. DIANE LUCY KALLGREN (M.D.) in U.S. healthcare records?
The official identifier for DR. DIANE LUCY KALLGREN (M.D.) is NPI 1144214016.
Would DR. DIANE LUCY KALLGREN (M.D.) appear as active to a payer?
You can treat DR. DIANE LUCY KALLGREN (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. DIANE LUCY KALLGREN (M.D.)'s focus?
For DR. DIANE LUCY KALLGREN (M.D.), the primary taxonomy reads as Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DIANE LUCY KALLGREN (M.D.)?
Directory geography for DR. DIANE LUCY KALLGREN (M.D.) centers on Boulder, Colorado.
When was this NPI issued?
Enumeration for DR. DIANE LUCY KALLGREN (M.D.) is noted as September 7, 2005 where the registry provides it.

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