MR. JOHN K. III COLBY (P.A.-C) – Surgical Physician Assistant, NPI 1891797528
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,161 PHYSICIAN ASSISTANT in CO
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Provider Addresses for MR. JOHN K. III COLBY (P.A.-C)
5706, Pine Terrace, Village of Weston, Marathon County, Wisconsin, 54476, United States
WESTON, WI 544761981
Phone: (715) 355-7300
Type: Mailing
Children's Hospital Colorado Emergency Department (ED), 13123, East 16th Avenue, Aurora, Adams County, Colorado, 80045, United States
AURORA, CO 800457106
Phone: (720) 848-0000
Type: Location
1400 E BOULDER ST STE 500
COLORADO SPRINGS, CO 809095533
Phone: (719) 364-6487
Type: Mailing
4125 Briargate Pkwy
Colorado Springs, CO 809207804
Phone: (720) 848-0000
Type: Location
13123 E 16th Ave
Aurora, CO 800457106
Phone: (720) 848-0000
Type: Location
2400 Pine Ridge Blvd
Wausau, WI 544017803
Phone: (715) 847-2022
Fax: (715) 847-2775
Type: Location
PO BOX 110429
AURORA, CO 800420429
Phone:
Type: Mailing
4125 BRIARGATE PKWY
COLORADO SPRINGS, CO 809207804
Phone: (720) 848-0000
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: 2017-11-13
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 |
|---|---|---|---|---|
| I20171113000747 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 54476)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| - | CO | |
| - | CO | |
| - | MO | |
| O T O L A R Y N G O L O G Y | CO | |
| Physician Assistant | CO | |
| - | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO |
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