MRS. MARY JOSEPHINE BYRON (PA-C) – Surgical Physician Assistant, NPI 1366500779

MRS. MARY JOSEPHINE BYRON (PA-C) is a healthcare provider. based in Boulder, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA-3218 (CO). The NPI Number for MRS. MARY JOSEPHINE BYRON (PA-C) is 1366500779

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARY JOSEPHINE BYRON (PA-C)
NPI
1366500779
Phone
(303) 442-2395
Address
5450 WESTERN AVE STE B
Enumeration Date
5 December 2006
Last Update Date
9 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7207335260
Graduation Year
1999 (27 years ago)
PAC ID
8426228305
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20110901000305
Address ID
CO801047419CA4404XLNXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,166 PHYSICIAN ASSISTANT in CO

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Provider Addresses for MRS. MARY JOSEPHINE BYRON (PA-C)

  • Western Avenue, Boulder, Boulder County, Colorado, 80303-1229, United States

    BOULDER, CO 803012709

    Phone: (303) 442-2395

    Fax: (303) 442-1073

    Type: Mailing

  • 525, North Foote Avenue, Colorado Springs, El Paso County, Colorado, 80909, United States

    STE 302

    COLORADO SPRINGS, CO 809094501

    Phone: (719) 365-5445

    Fax: (719) 365-5530

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $461.

Total Amount is formed as General ($461) + Research ($0) + Ownership ($0) = $461.

Last reported payment date: 2024-02-08 • Largest payer in this snapshot: Baxter Healthcare ($266).

Total Amount

$461

General + Research + Ownership

Payments

5

Total payment records

General Amount

$461

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-09-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110901000305IPhysician AssistantCOTBD

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 80301)

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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: 9638208549View full group profile

Reviews

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Frequently asked questions

Is MRS. MARY JOSEPHINE BYRON (PA-C) listed with a National Provider Identifier?
Yes — MRS. MARY JOSEPHINE BYRON (PA-C) has NPI 1366500779 on file in the registry.
Is MRS. MARY JOSEPHINE BYRON (PA-C) still an active registrant?
MRS. MARY JOSEPHINE BYRON (PA-C) carries an active NPI according to the public dataset.
How would a patient describe MRS. MARY JOSEPHINE BYRON (PA-C)'s focus?
For MRS. MARY JOSEPHINE BYRON (PA-C), the primary taxonomy reads as Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MRS. MARY JOSEPHINE BYRON (PA-C) associated with Boulder?
Public fields place MRS. MARY JOSEPHINE BYRON (PA-C) around Boulder, Colorado. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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