Unknown Individual – Physician Assistant, NPI 1255393088
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1906 BLAKE AVE
GLENWOOD SPRINGS, CO 816014227
Phone: (970) 384-6770
Fax: (970) 384-6765
Type: Mailing
660, Golden Ridge Road, Golden, Jefferson County, Colorado, 80401, United States
SUITE 250
GOLDEN, CO 804019541
Phone: (303) 233-1223
Fax: (303) 233-8755
Type: Mailing
NPPES updates history
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 75 | 63 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 47 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 37 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 34 | 34 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 20 | 20 | $0 |
Insurance plans in this area (ZIP 81601)
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Group practice members
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| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| Orthopedic Surgery | CO | |
| Physician Assistant | CO | |
| Orthopedic Surgery | FL | |
| Physician Assistant | CO | |
| Orthopedic Surgery | PA | |
| Physician Assistant | NY | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| - | CO |
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