SUSAN PUCKETT (P.A.) – Medical Physician Assistant, NPI 1972588358
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,166 PHYSICIAN ASSISTANT in CO
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Provider Addresses for SUSAN PUCKETT (P.A.)
Broadway, The Hill, Boulder, Boulder County, Colorado, 80802, United States
BOULDER, CO 803043573
Phone: (303) 440-3073
Fax: (303) 440-3170
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 10 Open Payments records for all available years, with a total value of $283.
Total Amount is formed as General ($283) + Research ($0) + Ownership ($0) = $283.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: GENZYME CORPORATION ($105).
Total Amount
$283
General + Research + Ownership
Payments
10
Total payment records
General Amount
$283
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $105 |
| Novo Nordisk Inc | $80 |
| AERIN MEDICAL INC. | $28 |
| PFIZER INC. | $20 |
| ABBVIE INC. | $19 |
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: 2010-04-28
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 |
|---|---|---|---|---|
| I20100428000337 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 617 | 505 | $0 |
| 92504 | Exam of ear using a microscope | 342 | 288 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 123 | 115 | $0 |
| 69210 | Removal of impacted ear wax | 79 | 77 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 67 | 67 | $0 |
Insurance plans in this area (ZIP 80304)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | CO | 94727 | Determination of lung volumes using gas dilution or washout | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | CO | |
| Family Practice | WA | |
| - | CO | |
| Family Practice | CO | |
| Pediatric Medicine, Gastroenterology | CO | |
| Internal Medicine | CO | |
| G A S T R O E N T E R O L O G Y | CO | |
| - | AZ | |
| Family Practice | CO | |
| Physician Assistant | CO |
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