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Active NPI 1720747934 Individual Practitioner Male Practitioner

Daniel Fettig , PA

Physician Assistant • Boulder, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Daniel Fettig, PA is a certified Physician Assistant practicing in Boulder, CO. With approximately 6 years of clinical experience since graduating from George Washington University School Of Medicine in 2020, Daniel Fettig delivers high-quality medical care to the local community at 5387 MANHATTAN CIR STE 201.

Daniel Fettig is affiliated with Creekside Physical Medicine Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, onabotulinumtoxina, 1 unit, therapy procedure using functional activities, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5387 Manhattan Cir Ste 201

Boulder, CO 803034283

Telephone 3034942707

Medicare Profile & Education

Medical School

George Washington University School Of Medicine

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boulder, CO

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 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

In-Person Office Visits Only

Medicare Pricing Discount
58.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fettig (6 Years) 6 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
J0585 Injection, onabotulinumtoxina, 1 unit
4,501 11 $8.10 $6.25
97530 Therapy procedure using functional activities
362 16 $45.00 $26.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
262 22 $214.92 $109.30
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle
190 14 $300.00 $49.80
64400 Injection of anesthetic agent, trigeminal nerve
151 12 $173.00 $108.25
20553 Injection of trigger points, 3 or more muscles
148 11 $128.00 $25.86
64405 Injection of anesthetic agent, greater occipital nerve
148 11 $162.00 $47.86
98929 Osteopathic manipulative treatment, 9-10 body regions
108 12 $137.00 $71.48
64612 Injection of chemical for paralysis of nerve muscles on side of face
37 11 $253.00 $176.91
64616 Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box
37 11 $199.70 $87.93
64646 Injection of chemical for paralysis of nerve muscles on trunk, 1-5 muscles
37 11 $244.21 $68.48

Medical Specialties & State Licenses

CMS Verified: 2021-12-15
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO 0006373

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.

Hospital & Practice Group Affiliations

Creekside Physical Medicine Pllc

5387 Manhattan Cir, Boulder, CO 803034284

Creekside Physical Medicine Pllc

5387 Manhattan Cir, Boulder, CO 803034283

Phone: 3034942705

Practice Associates & Co-Workers

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

2 Associated Practitioners
Haley Kershaw , PA-C

Physician Assistant

NPI 1568005510

Physician Assistant (Certified)

Natalie Garner

Physician Assistant

NPI 1740152362

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 15, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2021

Registered at 5387 MANHATTAN CIR STE 201, BOULDER, CO 803034283 (Tel: 3034942707)

📍
Updated Business Mailing Address December 15, 2021

Registered at 10449 GARLAND DR, WESTMINSTER, CO 800217355 (Tel: 3036534375)

👤
Provider Name / Credentials Updated December 15, 2021

Recorded as DANIEL FETTIG, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2021

Physician Assistant (License #0006373 in CO)

🟢
Initial NPI Registration & Enumeration December 15, 2021

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: 1720747934
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2021
Last Update: December 15, 2021
Sole Proprietor: No

Mailing Address

10449 Garland Dr

Westminster, CO 800217355

Phone: 3036534375

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.