DAVID MARC NORDSTROM (MD) – Internal Medicine Physician, NPI 1215932942

DAVID MARC NORDSTROM (MD) is a healthcare provider. based in Colorado springs, Colorado. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 27606 (CO). The NPI Number for DAVID MARC NORDSTROM (MD) is 1215932942

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DAVID MARC NORDSTROM (MD)
NPI
1215932942
Phone
(719) 632-7669
Address
4110 BRIARGATE PKWY
Enumeration Date
17 June 2005
Last Update Date
15 May 2014

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
7196327669
Graduation Year
1981 (45 years ago)
PAC ID
8921035437
Group Practice PAC ID
5395633747
Professional Enrollment ID
I20050726000637
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

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Provider Addresses for DAVID MARC NORDSTROM (MD)

  • Colorado Springs Orthopoedic Group, 4110, Briargate Parkway, Colorado Springs, El Paso County, Colorado, 80920, United States

    SUITE 300

    COLORADO SPRINGS, CO 809207835

    Phone: (719) 632-7669

    Fax: (719) 632-0088

    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.

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: 2005-07-26

PECOS data refreshed: 2026-06-15

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
I20050726000637IInternal MedicineCOTBD

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 80920)

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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: 5395633747View full group profile
NameSpecialtyState
Physician AssistantFL
Physical Therapist In Private PracticePA
Orthopedic SurgeryCO
Physical Therapist In Private PracticeFL
Orthopedic SurgeryCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Orthopedic SurgeryCO
Orthopedic SurgeryCO
Occupational Therapist In Private PracticeCO

Reviews

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Frequently asked questions

What number should I use to identify DAVID MARC NORDSTROM (MD) for billing?
Administrative and clinical systems typically use NPI 1215932942 for DAVID MARC NORDSTROM (MD).
Does the public listing show DAVID MARC NORDSTROM (MD) as active?
DAVID MARC NORDSTROM (MD)'s NPI record reflects an active status in NPPES.
What does the directory say DAVID MARC NORDSTROM (MD) does?
Insurance directories may phrase it differently, but here DAVID MARC NORDSTROM (MD) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DAVID MARC NORDSTROM (MD) tied to Colorado Springs, Colorado?
If you are local to Colorado Springs, Colorado, DAVID MARC NORDSTROM (MD) may be relevant to your search.
Who maintains DAVID MARC NORDSTROM (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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