Active NPI 1003948142 Individual Practitioner Female Practitioner

Carol Cropp , MSPT

Physical Therapist • Boulder, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Carol Cropp, MSPT is a certified Physical Therapist practicing in Boulder, CO. With approximately 31 years of clinical experience since completing medical education in 1995, Carol Cropp delivers high-quality medical care to the local community at 2935 BASELINE RD STE 300.

Carol Cropp is affiliated with Advanced Spine And Rehabilitation and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure to re-educate brain-to-nerve-to-muscle function, each, therapy procedure using manual technique, each, therapy procedure using functional activities. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2935 Baseline Rd Ste 300

Boulder, CO 803032367

Telephone 3034442951

Associated Practice Facility / Clinic

🏢 Boulder Sports Acupuncture Facility NPI 1568694099

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Boulder, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +15.1 yrs vs City Avg

City Avg: 15.9 Yrs

State Avg: 14.6 Yrs

Regional Practice Density

302 Specialists

Practicing in Boulder, CO (6420 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cropp (31 Years) 31 Yrs

Boulder Specialty Average (15.9 Years) 15.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,189	101	$68.98	$29.10
97140 Therapy procedure using manual technique, each 15 minutes	568	72	$78.31	$20.91
97530 Therapy procedure using functional activities	131	41	$72.62	$33.49
97116 Walking training to 1 or more areas, each 15 minutes	114	34	$73.92	$23.53
97164 Re-evaluation for physical therapy, typically 20 minutes	112	55	$123.03	$70.30
97535 Training for self-care or home management, each 15 minutes	79	40	$63.60	$30.42
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	73	12	$57.78	$8.95
97161 Evaluation of physical therapy, typically 20 minutes	52	45	$193.68	$101.14
97162 Evaluation for physical therapy, typically 30 minutes	32	28	$213.04	$101.20
97035 Application of ultrasound, each 15 minutes	26	16	$55.92	$10.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,427	111	$60.28	$29.84
97140 Therapy procedure using manual technique, each 15 minutes	616	84	$68.61	$21.26
97530 Therapy procedure using functional activities	263	65	$62.82	$33.45
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	160	29	$49.96	$9.27
97164 Re-evaluation for physical therapy, typically 20 minutes	124	63	$107.32	$71.07
97161 Evaluation of physical therapy, typically 20 minutes	48	40	$168.13	$102.49
97162 Evaluation for physical therapy, typically 30 minutes	39	31	$185.73	$102.56
97535 Training for self-care or home management, each 15 minutes	24	16	$57.86	$29.76
97035 Application of ultrasound, each 15 minutes	24	14	$50.48	$10.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,436	109	$57.49	$30.20
97140 Therapy procedure using manual technique, each 15 minutes	917	84	$65.26	$23.41
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	164	22	$48.15	$9.48
97535 Training for self-care or home management, each 15 minutes	109	55	$53.00	$29.17
97164 Re-evaluation for physical therapy, typically 20 minutes	97	53	$102.53	$71.21
97035 Application of ultrasound, each 15 minutes	66	22	$46.60	$11.05
97530 Therapy procedure using functional activities	40	18	$60.52	$32.40
97161 Evaluation of physical therapy, typically 20 minutes	39	33	$161.40	$103.05
97162 Evaluation for physical therapy, typically 30 minutes	36	31	$177.54	$103.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,131	96	$57.49	$30.46
97140 Therapy procedure using manual technique, each 15 minutes	694	79	$65.26	$23.40
97530 Therapy procedure using functional activities	343	58	$60.52	$34.61
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	136	31	$48.15	$10.03
97164 Re-evaluation for physical therapy, typically 20 minutes	88	51	$102.53	$71.13
97035 Application of ultrasound, each 15 minutes	60	21	$46.60	$11.26
97162 Evaluation for physical therapy, typically 30 minutes	46	39	$177.54	$103.72
97012 Application of mechanical traction to 1 or more areas	36	12	$54.36	$12.10
97161 Evaluation of physical therapy, typically 20 minutes	24	24	$161.40	$103.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	625	70	$57.40	$31.19
97140 Therapy procedure using manual technique, each 15 minutes	330	47	$65.26	$23.91
97530 Therapy procedure using functional activities	135	30	$60.52	$34.17
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	80	22	$48.15	$10.51
97035 Application of ultrasound, each 15 minutes	59	21	$46.60	$11.41
97161 Evaluation of physical therapy, typically 20 minutes	32	31	$161.40	$88.46
97164 Re-evaluation for physical therapy, typically 20 minutes	29	21	$102.53	$61.06
97162 Evaluation for physical therapy, typically 30 minutes	15	13	$177.54	$88.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	876	87	$57.49	$30.14
97140 Therapy procedure using manual technique, each 15 minutes	472	63	$65.26	$23.02
97530 Therapy procedure using functional activities	392	70	$60.52	$34.62
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	243	47	$48.15	$10.54
97035 Application of ultrasound, each 15 minutes	98	31	$46.60	$10.89
97164 Re-evaluation for physical therapy, typically 20 minutes	72	49	$102.53	$58.47
97161 Evaluation of physical therapy, typically 20 minutes	67	55	$161.40	$86.03
97012 Application of mechanical traction to 1 or more areas	59	15	$54.36	$12.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97530 Therapy procedure using functional activities	909	110	$60.52	$35.46
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	897	112	$57.49	$29.24
97140 Therapy procedure using manual technique, each 15 minutes	594	82	$65.26	$22.84
97035 Application of ultrasound, each 15 minutes	209	49	$46.60	$10.70
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	200	54	$48.15	$10.89
97012 Application of mechanical traction to 1 or more areas	93	13	$54.36	$12.11
97124 Therapy procedure using massage, each 15 minutes	79	29	$67.26	$25.69
97161 Evaluation of physical therapy, typically 20 minutes	77	66	$161.40	$85.28
97164 Re-evaluation for physical therapy, typically 20 minutes	76	53	$102.53	$57.64
97162 Evaluation for physical therapy, typically 30 minutes	15	13	$177.54	$85.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,064	111	$57.49	$28.14
97530 Therapy procedure using functional activities	838	104	$60.52	$29.84
97140 Therapy procedure using manual technique, each 15 minutes	692	95	$65.26	$23.16
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	354	67	$48.15	$10.11
97035 Application of ultrasound, each 15 minutes	142	42	$46.60	$9.93
97164 Re-evaluation for physical therapy, typically 20 minutes	80	56	$102.53	$54.22
97161 Evaluation of physical therapy, typically 20 minutes	70	59	$161.40	$80.36
97012 Application of mechanical traction to 1 or more areas	60	15	$54.36	$12.54
97162 Evaluation for physical therapy, typically 30 minutes	12	12	$177.54	$80.44

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License CO 5439

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pt License #

5439 (CO)

Hospital & Practice Group Affiliations

Advanced Spine And Rehabilitation

343 W Drake Rd, Fort Collins, CO 805262880

Phone: 9702049635

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Joelle Wisler , MSPT

Physical Therapist

NPI 1427180561

Master of Science in Physical Therapy

Chad Williams , PT

Physical Therapist

NPI 1467614719

Physical Therapist

Sephra Albert , CMT

Massage Therapist

NPI 1487835039

Certified Massage Therapist

Chris West , MPT

Physical Therapist

NPI 1659403772

Master of Physical Therapy

Allison Jones , CMT

Massage Therapist

NPI 1730369224

Certified Massage Therapist

Joseph Costello

Massage Therapist

NPI 1992979710

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 2935 BASELINE RD STE 300, BOULDER, CO 803032367 (Tel: 3034442951)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1203 STEIN ST, LAFAYETTE, CO 800261833

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as CAROL CROPP, MSPT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physical Therapist (License #5439 in CO)

🟢

Initial NPI Registration & Enumeration March 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1003948142

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 12, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1203 Stein St

Lafayette, CO 800261833

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.