MR. HISMAN H PERCIVAL (MD) – Surgery Physician, NPI 1457354763

MR. HISMAN H PERCIVAL (MD) is a healthcare provider. based in Pueblo, Colorado. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 48086 (CO). The NPI Number for MR. HISMAN H PERCIVAL (MD) is 1457354763

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
MR. HISMAN H PERCIVAL (MD)
NPI
1457354763
Phone
(719) 545-8240
Address
1600 N GRAND AVE
Enumeration Date
31 May 2005
Last Update Date
19 July 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7207335260
Graduation Year
1990 (36 years ago)
PAC ID
4688617947
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20091216000234
Address ID
CO801047419CA4404XLNXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

756 GENERAL SURGERY in CO

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Provider Addresses for MR. HISMAN H PERCIVAL (MD)

  • North Grand Avenue, Pueblo, Pueblo County, Colorado, 81003, United States

    SUITE 430

    PUEBLO, CO 810032700

    Phone: (719) 545-8240

    Fax: (719) 545-4319

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $237.

Total Amount is formed as General ($237) + Research ($0) + Ownership ($0) = $237.

Last reported payment date: 2024-05-28 • Largest payer in this snapshot: Boston Scientific Corporation ($140).

Total Amount

$237

General + Research + Ownership

Payments

2

Total payment records

General Amount

$237

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-28

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: 2009-12-16

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
I20091216000234IGeneral SurgeryCOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2928$0
99204New patient office or other outpatient visit, 45-59 minutes1717$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 81003)

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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

Does MR. HISMAN H PERCIVAL (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. HISMAN H PERCIVAL (MD) uses 1457354763.
Can I rely on MR. HISMAN H PERCIVAL (MD) being an active provider?
As of the registry snapshot, MR. HISMAN H PERCIVAL (MD) is marked active.
What taxonomy line describes MR. HISMAN H PERCIVAL (MD)?
For research purposes, treat MR. HISMAN H PERCIVAL (MD) as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does MR. HISMAN H PERCIVAL (MD) serve?
MR. HISMAN H PERCIVAL (MD)'s listing highlights Pueblo, Colorado; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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