RONALD WINFIELD JR. HARTLEY (MD) – Specialist, NPI 1649208646
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
113 PLASTIC AND RECONSTRUCTIVE SURGERY in CO
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Provider Addresses for RONALD WINFIELD JR. HARTLEY (MD)
1215 SPRUCE ST STE 201
BOULDER, CO 803024839
Phone: (303) 443-2277
Fax: (303) 443-7124
Type: Mailing
Loveland Post Office, 200, Loveland–Madeira Road, Loveland, Hamilton County, Ohio, 45140, United States
LOVELAND, CO 805370643
Phone: (970) 663-2742
Fax: (970) 667-0847
Type: Mailing
2525, 4th Street, Boulder, Boulder County, Colorado, 80304, United States
STE 202
BOULDER, CO 803043966
Phone: (303) 443-2277
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $700.
Total Amount is formed as General ($700) + Research ($0) + Ownership ($0) = $700.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Mentor Worldwide LLC ($223).
Total Amount
$700
General + Research + Ownership
Payments
22
Total payment records
General Amount
$700
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mentor Worldwide LLC | $223 |
| ABBVIE INC. | $166 |
| Medtronic, Inc. | $130 |
| REVANCE THERAPEUTICS, INC. | $94 |
| Integra LifeSciences Corporation | $33 |
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: 2010-12-14
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 |
|---|---|---|---|---|
| I20101214000962 | I | Plastic And Reconstructive Surgery | 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 80302)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | CA | |
| - | CO | |
| Plastic And Reconstructive Surgery | CA |
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