Active NPI 1376786764 Individual Practitioner Female Practitioner

Melissa Ann Berghoff , PA-C

Physician Assistant • Boulder, CO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Melissa Berghoff, PA-C is a certified Physician Assistant practicing in Boulder, CO. With approximately 18 years of clinical experience since completing medical education in 2008, Melissa Berghoff delivers high-quality medical care to the local community at 2995 BASELINE RD.

Melissa Berghoff is affiliated with Boulder Community Health and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2995 Baseline Rd
Suite 210

Boulder, CO 803032318

Telephone 3034432544

Fax 3034436476

Associated Practice Facility / Clinic

🏢 Dakota Ridge Family Medicine, Pc Facility NPI 1720043888

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boulder, CO

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs +6.0 yrs vs City Avg

City Avg: 12.0 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

101 Specialists

Practicing in Boulder, CO (3810 Statewide)

Telehealth Adoption Rate

12.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

66.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Berghoff (18 Years) 18 Yrs

Boulder Specialty Average (12.0 Years) 12.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	42	$253.02	$84.87
99213 Established patient office or other outpatient visit, typically 15 minutes	47	42	$178.68	$70.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	28	$112.43	$61.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$259.92	$54.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	47	$236.00	$90.95
99213 Established patient office or other outpatient visit, typically 15 minutes	43	38	$167.00	$71.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$240.00	$50.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	18	$331.00	$106.80
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	15	15	$315.07	$282.57
G0008 Administration of influenza virus vaccine	14	13	$40.00	$31.04
G0009 Administration of pneumococcal vaccine	14	14	$40.00	$31.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$106.00	$56.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	47	$122.00	$63.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	36	$179.00	$91.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$214.00	$49.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$76.00	$53.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	53	43	$122.00	$64.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	31	$179.00	$85.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$214.00	$116.91
99441 Telephone medical discussion with physician, 5-10 minutes	17	14	$52.35	$46.36
99442 Telephone medical discussion with physician, 11-20 minutes	17	14	$89.00	$79.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$76.00	$38.67
G0008 Administration of influenza virus vaccine	12	12	$40.00	$17.50
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$22.00	$20.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	44	35	$120.64	$57.37
99442 Telephone medical discussion with physician, 11-20 minutes	29	24	$74.59	$63.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$177.48	$80.84
36415 Insertion of needle into vein for collection of blood sample	18	16	$15.00	$2.97
G0008 Administration of influenza virus vaccine	13	13	$40.00	$17.06
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$22.00	$19.37
G0009 Administration of pneumococcal vaccine	11	11	$40.00	$16.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	80	58	$112.00	$52.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	19	$163.00	$75.28
36415 Insertion of needle into vein for collection of blood sample	20	20	$15.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$214.00	$99.50
G0008 Administration of influenza virus vaccine	11	11	$40.00	$16.80
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$22.82	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	80	60	$112.00	$49.70
36415 Insertion of needle into vein for collection of blood sample	34	27	$15.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	23	$163.00	$71.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$214.00	$100.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	95	73	$112.00	$57.61
36415 Insertion of needle into vein for collection of blood sample	34	24	$15.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$163.00	$82.43
G0009 Administration of pneumococcal vaccine	11	11	$40.00	$25.63

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO PA.0002713

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

91921791 (CO)

Hospital & Practice Group Affiliations

Boulder Community Health

1645 Broadway, Boulder, CO 803026218

Phone: 3034158900

Boulder Community Health

1755 48th St, Boulder, CO 803012712

Phone: 3034157450

Practice Associates & Co-Workers

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

15 Associated Practitioners

Dr. Peter Ewing , MD

Family Medicine

NPI 1043275951

Doctor of Medicine (M.D.)

Dr. Alyssa Carlson , MD

Family Medicine

NPI 1205066388

Doctor of Medicine (M.D.)

Dr. Benjamin Scallon , MD

Internal Medicine

NPI 1376923250

Doctor of Medicine (M.D.)

Kelly Kolar , PA-C

Physician Assistant

NPI 1427550300

Physician Assistant (Certified)

Janet Stonington , PA

Physician Assistant - Medical

NPI 1457317174

Physician Assistant

Dr. Lise Muzny , MD

Family Medicine

NPI 1497710859

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active November 09, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 09, 2017

Registered at 2995 BASELINE RD, SUITE 210, BOULDER, CO 803032318 (Tel: 3034432544)

📍

Updated Business Mailing Address November 09, 2017

Registered at 5450 WESTERN AVE, SUITE B, BOULDER, CO 803012709 (Tel: 3034158900)

👤

Provider Name / Credentials Updated November 09, 2017

Recorded as MELISSA BERGHOFF, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2017

Physician Assistant (License #PA.0002713 in CO)

✅

NPI Profile Active November 09, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 09, 2015

Registered at 2995 BASELINE RD, SUITE 210, BOULDER, CO 803032318 (Tel: 3034432544)

📍

Updated Business Mailing Address November 09, 2015

Registered at 5450 WESTERN AVE, SUITE B, BOULDER, CO 803012709 (Tel: 3034154770)

👤

Provider Name / Credentials Updated November 09, 2015

Recorded as MELISSA BERGHOFF, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2015

Physician Assistant (License #PA.0002713 in CO)

🟢

Initial NPI Registration & Enumeration April 14, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376786764

Entity Type:

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

Enumeration Date: April 14, 2009

Last Update: November 09, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5450 Western Ave, Suite B

Boulder, CO 803012709

Phone: 3034158900

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.