DR. PAUL DEAN ROZEBOOM (MD) – Surgery Physician, NPI 1780104778
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
756 GENERAL SURGERY in CO
Provider Addresses for DR. PAUL DEAN ROZEBOOM (MD)
12631 E 17TH AVE RM 6111
AURORA, CO 800452527
Phone: (303) 724-2750
Type: Mailing
9399 CROWN CREST BLVD STE 220
PARKER, CO 801388508
Phone: (303) 805-1855
Type: Mailing
9399 CROWN CREST BLVD STE 325
PARKER, CO 801388572
Phone: (303) 805-1855
Fax: (303) 805-4421
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $2,260.
Total Amount is formed as General ($2,260) + Research ($0) + Ownership ($0) = $2,260.
Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,253).
Total Amount
$2,260
General + Research + Ownership
Payments
19
Total payment records
General Amount
$2,260
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,253 |
| Medtronic, Inc. | $332 |
| Medical Device Business Services, Inc. | $305 |
| W. L. Gore & Associates, Inc. | $205 |
| Ethicon US, LLC | $67 |
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: 2024-12-16
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 |
|---|---|---|---|---|
| I20241216002653 | I | General 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 80045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | CO | |
| Physician Assistant | CO | |
| General Surgery | SD | |
| Nurse Practitioner | CO | |
| General Surgery | CO | |
| General Surgery | CO | |
| Physician Assistant | CO | |
| General Surgery | CO | |
| - | CO | |
| Physician Assistant | CO |
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