ANDREW BOULOS (DO) – Pulmonary Disease Physician, NPI 1689010100
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
411 PULMONARY DISEASE in CO
Provider Addresses for ANDREW BOULOS (DO)
2222 N NEVADA AVE STE 4004
COLORADO SPRINGS, CO 809076832
Phone: (719) 471-7064
Type: Location
400 N PEPPER AVE STE 204
COLTON, CA 923241801
Phone: (909) 580-6266
Type: Mailing
1600 N GRAND AVE STE 140
PUEBLO, CO 810032755
Phone: (719) 564-1542
Fax: (719) 566-0916
Type: Location
2222 N Nevada Ave Ste 4004
Colorado Springs, CO 809076832
Phone: (719) 471-7064
Type: Location
400 N Pepper Ave Ste 204
Colton, CA 923241801
Phone: (909) 580-6266
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 147 Open Payments records for all available years, with a total value of $6,715.
Total Amount is formed as General ($6,715) + Research ($0) + Ownership ($0) = $6,715.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Pulmonx Corporation ($3,411).
Total Amount
$6,715
General + Research + Ownership
Payments
147
Total payment records
General Amount
$6,715
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pulmonx Corporation | $3,411 |
| GENZYME CORPORATION | $471 |
| AstraZeneca Pharmaceuticals LP | $421 |
| Inspire Medical Systems, Inc. | $226 |
| Actelion Pharmaceuticals US, Inc. | $188 |
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: 2020-07-24
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 |
|---|---|---|---|---|
| I20200724000701 | I | Pulmonary Disease | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 175 | 88 | $0 |
| 99291 | Critical care, first 30-74 minutes | 148 | 79 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 133 | 75 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 121 | 120 | $0 |
| 94726 | Test to determine lung volumes using sensors | 87 | 87 | $0 |
Insurance plans in this area (ZIP 80907)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| - | CO | |
| - | CO | |
| - | MO | |
| O T O L A R Y N G O L O G Y | CO | |
| Physician Assistant | CO | |
| - | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO |
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