BROOKE ASHLEY CERKOVNIK (PA-C) – Physician Assistant, NPI 1881177079
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,166 PHYSICIAN ASSISTANT in CO
Provider Addresses for BROOKE ASHLEY CERKOVNIK (PA-C)
47th Street, Boulder, Boulder County, Colorado, 80303-1229, United States
BOULDER, CO 803011817
Phone: (303) 888-8100
Type: Mailing
1260 Doctors Ln Ste A
Fort Collins, CO 80524
Phone: (970) 399-7744
Type: Location
3434 47th St Ste 200
Boulder, CO 803011817
Phone: (303) 888-8100
Type: Location
1613 Stampede Ave
Cody, WY 824144710
Phone: (307) 587-1155
Fax: (307) 587-1166
Type: Location
1715 Iron Horse Dr
Longmont, CO 805019753
Phone: (970) 399-7744
Type: Location
2900 12th Ave N
Billings, MT 591017506
Phone: (406) 238-6820
Type: Location
1613 STAMPEDE AVE
CODY, WY 824144710
Phone: (307) 587-1155
Fax: (307) 587-1166
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $508.
Total Amount is formed as General ($508) + Research ($0) + Ownership ($0) = $508.
Last reported payment date: 2024-06-21 • Largest payer in this snapshot: ABBVIE INC. ($107).
Total Amount
$508
General + Research + Ownership
Payments
21
Total payment records
General Amount
$508
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $107 |
| Sun Pharmaceutical Industries Inc. | $60 |
| Incyte Corporation | $58 |
| UCB, Inc. | $47 |
| PFIZER INC. | $35 |
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: 2024-04-05
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 |
|---|---|---|---|---|
| I20200422001328 | I | Physician Assistant | CO | TBD |
| I20240405003776 | I | Physician Assistant | WY | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 281 | 72 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 157 | 134 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 106 | 98 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 54 | 51 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 25 | 24 | $0 |
Insurance plans in this area (ZIP 80301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | WY | |
| Physician Assistant | WY |
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