MR. THOMAS DOUGLASS JUOPPERI (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1972782159

MR. THOMAS DOUGLASS JUOPPERI (PHYSICIAN ASSISTANT) is a healthcare provider. based in Monument, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. 3887 (CO). The NPI Number for MR. THOMAS DOUGLASS JUOPPERI (PHYSICIAN ASSISTANT) is 1972782159

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MR. THOMAS DOUGLASS JUOPPERI (PHYSICIAN ASSISTANT)
NPI
1972782159
Phone
(719) 445-9852
Address
1150 W BAPTIST RD
Enumeration Date
24 October 2007
Last Update Date
18 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7048861780
Graduation Year
2007 (19 years ago)
PAC ID
7113001322
Group Practice PAC ID
9830540558
Professional Enrollment ID
I20220408001107
Address ID
NC280278218CO391XXNWXX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

4,166 PHYSICIAN ASSISTANT in CO

Provider Addresses for MR. THOMAS DOUGLASS JUOPPERI (PHYSICIAN ASSISTANT)

  • 1150 W BAPTIST RD

    MONUMENT, CO 809212424

    Phone: (719) 445-9852

    Fax: (719) 426-9796

    Type: Mailing

  • PO BOX 2521

    DURHAM, NC 277152521

    Phone: (719) 244-4619

    Type: Mailing

  • 104 HUFFMAN MILL RD

    BURLINGTON, NC 272155113

    Phone: (336) 506-1720

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-04-08

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
I20220408001107IPhysician AssistantNCTBD

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
99203New patient office or other outpatient visit, 30-44 minutes2323$0
99204New patient office or other outpatient visit, 45-59 minutes2121$0
81003Automated urinalysis test1717$0
99213Established patient office or other outpatient visit, 20-29 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 80921)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830540558View full group profile
NameSpecialtyState
Nurse PractitionerNC
Physician AssistantNC
Physician AssistantNC
Physician AssistantNC
Physician AssistantNC
Nurse PractitionerNC
Physician AssistantNC
Family PracticeNC
Physician AssistantNC
Physician AssistantNY

Reviews

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Frequently asked questions

Is MR. THOMAS DOUGLASS JUOPPERI (PHYSICIAN ASSISTANT) listed with a National Provider Identifier?
Yes — MR. THOMAS DOUGLASS JUOPPERI (PHYSICIAN ASSISTANT) has NPI 1972782159 on file in the registry.
Would MR. THOMAS DOUGLASS JUOPPERI (PHYSICIAN ASSISTANT) appear as active to a payer?
You can treat MR. THOMAS DOUGLASS JUOPPERI (PHYSICIAN ASSISTANT) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MR. THOMAS DOUGLASS JUOPPERI (PHYSICIAN ASSISTANT)?
At a glance, MR. THOMAS DOUGLASS JUOPPERI (PHYSICIAN ASSISTANT) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MR. THOMAS DOUGLASS JUOPPERI (PHYSICIAN ASSISTANT) located near Monument?
MR. THOMAS DOUGLASS JUOPPERI (PHYSICIAN ASSISTANT) currently maps to Monument, Colorado in this extract.
Can I trust this NPI listing for MR. THOMAS DOUGLASS JUOPPERI (PHYSICIAN ASSISTANT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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