KELLY JEAN CUSHING (D.O.) – Hospitalist Physician, NPI 1710910831

KELLY JEAN CUSHING (D.O.) is a healthcare provider. based in Boulder, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. DR.0056124 (CO). The NPI Number for KELLY JEAN CUSHING (D.O.) is 1710910831

Main info

Female
22 Years Of Experience
Name
KELLY JEAN CUSHING (D.O.)
NPI
1710910831
Phone
(303) 415-7000
Address
4801 Riverbend Rd Ste 300
Enumeration Date
9 July 2006
Last Update Date
25 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
9830284710
Professional Enrollment ID
I20160111001760
Address ID
CO803031133BO4747XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,661 FAMILY PRACTICE in CO

Provider Addresses for KELLY JEAN CUSHING (D.O.)

  • 4801 Riverbend Rd Ste 300

    Boulder, CO 803012613

    Phone: (303) 415-7000

    Type: Location

  • Foothills Hospital, 4747, Arapahoe Avenue, Boulder, Boulder County, Colorado, 80301, United States

    BOULDER, CO 803031133

    Phone: (303) 415-7610

    Fax: (303) 415-7618

    Type: Location

  • PO BOX 9049

    BOULDER, CO 803019049

    Phone: (303) 415-7610

    Fax: (303) 415-7618

    Type: Mailing

  • 5450, Western Avenue, Boulder, Boulder County, Colorado, 80301, United States

    BOULDER, CO 803012709

    Phone: (303) 415-7610

    Fax: (303) 415-7618

    Type: Mailing

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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-06-21 • Largest payer in this snapshot: Medline Industries LP ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medline Industries LP$18
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: 2016-01-11

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
I20160111001760IFamily PracticeCOTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes294151$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8079$0
99239Hospital discharge day management, more than 30 minutes7575$0
99291Critical care, first 30-74 minutes2017$0
View full utilization report →

Insurance plans in this area (ZIP 80301)

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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.

Frequently asked questions

Is there an official ID for KELLY JEAN CUSHING (D.O.) in U.S. healthcare records?
The official identifier for KELLY JEAN CUSHING (D.O.) is NPI 1710910831.
Would KELLY JEAN CUSHING (D.O.) appear as active to a payer?
You can treat KELLY JEAN CUSHING (D.O.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with KELLY JEAN CUSHING (D.O.)?
KELLY JEAN CUSHING (D.O.)'s record emphasizes Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Is KELLY JEAN CUSHING (D.O.) associated with Boulder?
Public fields place KELLY JEAN CUSHING (D.O.) around Boulder, Colorado. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for KELLY JEAN CUSHING (D.O.) is noted as July 9, 2006 where the registry provides it.

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