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Active NPI 1013108299 Individual Practitioner Male Practitioner

Dr. Richard Thomas Ethridge , MD

Surgery - Plastic and Reconstructive Surgery • Fort Collins, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Richard Ethridge, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Fort Collins, CO. With approximately 23 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 2003, Dr. Ethridge delivers high-quality medical care to the local community at 1100 POUDRE RIVER DR UNIT A.

Dr. Ethridge is affiliated with Advanced Dermatology Of Colorado Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm, new 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

1100 Poudre River Dr Unit A

Fort Collins, CO 805243557

Telephone 9704846303
Fax 7048430369
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Fort Collins, CO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +1.7 yrs vs City Avg
City Avg: 21.3 Yrs
State Avg: 23.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Fort Collins, CO (64 Statewide)

Telehealth Adoption Rate
33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ethridge (23 Years) 23 Yrs
Fort Collins Specialty Average (21.3 Years) 21.3 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
280 236 $201.00 $57.32
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
253 229 $1719.00 $464.50
99202 New patient office or other outpatient visit, typically 20 minutes
247 247 $258.00 $73.23
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less
172 159 $2711.00 $757.80
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)
108 103 $3553.00 $1014.28
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs
96 90 $1558.00 $406.18
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less
76 74 $2730.00 $769.62
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm
64 62 $3278.00 $937.11
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs
54 50 $3099.00 $872.63
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less
29 29 $2529.00 $679.54
13101 Complicated repair of wound of trunk, 2.6-7.5 cm
22 20 $1464.00 $386.68
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm
19 19 $1420.00 $384.87
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm
15 15 $1805.00 $504.32
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less
15 13 $460.00 $127.77
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less
12 12 $600.00 $169.57
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
11 11 $1009.00 $142.48

Medical Specialties & State Licenses

CMS Verified: 2020-01-23
Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License CO DR.0063642

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License TX M5152

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Myutmb 768289543
768289543

Hospital & Practice Group Affiliations

Advanced Dermatology Of Colorado Pc

1100 Poudre River Dr, Fort Collins, CO 805243557

Phone: 9704843050

Practice Associates & Co-Workers

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

6 Associated Practitioners
Tiffany Serell , PA-C, MS

Physician Assistant - Medical

NPI 1104856079

Physician Assistant (Certified), Master of Science

Rachel Brown , PA

Physician Assistant - Medical

NPI 1164969648

Physician Assistant

NPI 1316977374

Doctor of Medicine (M.D.)

Kirsten Dekoster , PA-C

Physician Assistant

NPI 1447036173

Physician Assistant (Certified)

NPI 1780690487

Doctor of Medicine (M.D.)

NPI 1871814236

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 23, 2020

Registered at 1100 POUDRE RIVER DR UNIT A, FORT COLLINS, CO 805243557 (Tel: 9704846303)

📍
Updated Business Mailing Address January 23, 2020

Registered at 151 SOUTHHALL LN STE 300, MAITLAND, FL 327517172 (Tel: 9704846303)

NPI Profile Active January 26, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2010

Registered at 1622 8TH AVE, SUITE 130, FORT WORTH, TX 761044154 (Tel: 8179215566)

📍
Updated Business Mailing Address January 26, 2010

Registered at 1622 8TH AVE, SUITE 130, FORT WORTH, TX 761044154 (Tel: 8179215566)

👤
Provider Name / Credentials Updated January 26, 2010

Recorded as RICHARD ETHRIDGE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2010

Surgery (License #M5152 in TX)

🟢
Initial NPI Registration & Enumeration August 05, 2007

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: 1013108299
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2007
Last Update: January 23, 2020
Sole Proprietor: Yes

Mailing Address

151 Southhall Ln Ste 300

Maitland, FL 327517172

Phone: 9704846303

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.