BASIN CLINIC INC – Family Medicine Physician, NPI 1114974037
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BASIN CLINIC INC
421 W ADAMS ROAD
NATURITA, CO 81422
Phone: (970) 865-2665
Fax: (970) 865-2674
Type: Location
421 ADAMS ST
NATURITA, CO 814225018
Phone: (970) 865-2665
Fax: (970) 865-2674
Type: Location
PO BOX 340
NATURITA, CO 814220340
Phone: (970) 865-2665
Fax: (970) 865-2674
Type: Mailing
2233, East Main Street, Montrose, Montrose County, Colorado, 81401, United States
MONTROSE, CO 814013831
Phone: (970) 765-0818
Fax: (970) 497-8410
Type: Mailing
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: 2013-07-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-10-31 (141 days away).
Enrollment records
2
Earliest due date
2026-10-31
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 |
|---|---|---|---|---|
| O20040331000883 | O | Clinic/Group Practice | CO | 2026-10-31 |
| O20130717000688 | O | Rural Health Clinic | CO | TBD |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
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 81422)
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