BRET BAACK (MD) – Dermatology Physician, NPI 1780690487
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
112 PLASTIC AND RECONSTRUCTIVE SURGERY in CO
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Provider Addresses for BRET BAACK (MD)
1120, East Elizabeth Street, Fort Collins, Larimer County, Colorado, 80524, United States
G-2
FORT COLLINS, CO 805244044
Phone: (970) 484-6303
Fax: (970) 484-6908
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $163.
Total Amount is formed as General ($163) + Research ($0) + Ownership ($0) = $163.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Lilly USA, LLC ($61).
Total Amount
$163
General + Research + Ownership
Payments
8
Total payment records
General Amount
$163
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $61 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $30 |
| Janssen Biotech, Inc. | $24 |
| ABBVIE INC. | $19 |
| GENZYME CORPORATION | $15 |
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: 2012-07-24
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 |
|---|---|---|---|---|
| I20120724000953 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 31 | 30 | $0 |
| 11602 | Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm | 27 | 24 | $0 |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 18 | 18 | $0 |
| 12031 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less | 16 | 15 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 15 | 15 | $0 |
Insurance plans in this area (ZIP 80524)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PLASTIC AND RECONSTRUCTIVE SURGERY | CO | 11101 | Biopsy of each additional growth of skin and/or tissue | 16 | 11 |
| PLASTIC AND RECONSTRUCTIVE SURGERY | CO | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 75 | 73 |
| PLASTIC AND RECONSTRUCTIVE SURGERY | CO | 17003 | Destruction of 2-14 skin growths | 276 | 53 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CA | |
| Physician Assistant | NE | |
| Nurse Practitioner | TN | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO | |
| D E R M A T O L O G Y | CO | |
| - | TX | |
| Physician Assistant | CO |
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