MRS. KAITLIN MITSUKO FORD (M.D.) – Diagnostic Radiology Physician, NPI 1700375250
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
933 DIAGNOSTIC RADIOLOGY in CO
Provider Addresses for MRS. KAITLIN MITSUKO FORD (M.D.)
2008 CARIBOU DR
FORT COLLINS, CO 805254325
Phone: (970) 484-4757
Fax: (970) 484-4759
Type: Mailing
1024 S LEMAY AVE
FORT COLLINS, CO 805243929
Phone: (970) 495-7000
Type: Location
SBCH, MEDICAL EDUCATION OFFICE
400 W PUEBLO STREET
SANTA BARBARA, CA 93105
Phone: (805) 569-7315
Fax: (805) 569-8358
Type: Location
1760 E Ken Pratt Blvd Ste 202
Longmont, CO 805045311
Phone: (720) 718-8503
Type: Location
1024 Central Park Dr
Steamboat Springs, CO 804878813
Phone: (970) 879-1322
Type: Location
16990 Village Center Dr E
Parker, CO 801349376
Phone: (720) 516-9191
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-05-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20240516003755 | I | Diagnostic Radiology | WY | TBD |
| I20240521001105 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 131 | 111 | $0 |
| 71046 | X-ray of chest, 2 views | 15 | 15 | $0 |
| 71260 | Ct scan of chest with contrast | 13 | 13 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 12 | 12 | $0 |
Insurance plans in this area (ZIP 80525)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | LA | |
| - | NV | |
| Interventional Radiology, Diagnostic Radiology | CO | |
| Diagnostic Radiology | CT | |
| Interventional Radiology, Diagnostic Radiology | WA | |
| - | CO | |
| Interventional Radiology, Diagnostic Radiology | CO | |
| Diagnostic Radiology | CO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.