JERALD WALTER KOEPKE (MD) – Specialist, NPI 1477524957
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JERALD WALTER KOEPKE (MD)
6169 S BALSAM WAY
SUITE 360
LITTLETON, CO 801233062
Phone: (303) 971-0311
Fax: (303) 948-0339
Type: Mailing
125 Rampart Way Ste 200
Denver, CO 802306429
Phone: (720) 858-7550
Fax: (720) 858-7615
Type: Location
5920 S Estes St Ste 120
Littleton, CO 801238618
Phone: (303) 971-0311
Fax: (303) 948-0339
Type: Location
125 Rampart Way, 125, Rampart Way, Rampart Campus, Denver, Denver County, Colorado, 80230, United States
SUITE 200
DENVER, CO 802306406
Phone: (720) 858-7600
Fax: (720) 858-7605
Type: Location
125 RAMPART WAY STE 200
DENVER, CO 802306429
Phone: (720) 858-7550
Fax: (720) 858-7615
Type: Mailing
9331 S COLORADO BLVD STE 100
HIGHLANDS RANCH, CO 801267465
Phone: (303) 795-8177
Fax: (303) 797-2166
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2023-11-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($46).
Total Amount
$46
General + Research + Ownership
Payments
1
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $46 |
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: 2010-06-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100607000908 | I | Allergy/Immunology | CO | TBD |
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.
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 80123)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | CO | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 40 | 36 |
| ALLERGY/IMMUNOLOGY | CO | 95004 | Injection of allergenic extracts into skin, accessed through the skin | 1699 | 37 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| - | CO | |
| Nurse Practitioner | CO | |
| Pediatric Medicine | CO | |
| - | CO | |
| Nurse Practitioner | CO | |
| - | CO | |
| A L L E R G Y/ I M M U N O L O G Y | CO | |
| A L L E R G Y/ I M M U N O L O G Y | CO | |
| A L L E R G Y/ I M M U N O L O G Y | CO |
Reviews
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