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Active NPI 1457766487 Individual Practitioner Male Practitioner

Dr. Nickolas Evangelos Poulos , DO

Dermatology • Gunnison, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nickolas Poulos, DO is a certified Dermatology practicing in Gunnison, CO. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Poulos delivers high-quality medical care to the local community at 711 N TAYLOR ST.

Dr. Poulos is affiliated with Gunnison Valley Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, destruction of up to 14 skin growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

711 N Taylor St

Gunnison, CO 812302208

Telephone 9706419482
Fax 9706424798
Associated Practice Facility / Clinic
🏢 Gunnison Valley Hospital Facility NPI 1932109048

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Gunnison, CO

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs Matches City Avg
City Avg: 12.0 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Gunnison, CO (321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Poulos (12 Years) 12 Yrs
Gunnison 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
99213 Established patient office or other outpatient visit, typically 15 minutes
134 100 $185.34 $91.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
125 83 $261.01 $129.03
17003 Destruction of precancer skin growth, 2-14 growths
113 13 $13.90 $6.84
17110 Destruction of up to 14 skin growths
108 79 $236.34 $115.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
95 95 $226.59 $112.19
11102 Tangential biopsy of single skin lesion
33 30 $208.27 $90.23
17000 Destruction of skin growth
24 19 $139.90 $61.80

Medical Specialties & State Licenses

CMS Verified: 2025-06-11
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License CO DR.0059273

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License FL OS13474

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

State License CO DR.0059273

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Dermatology - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

State License FL OS13474

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
9000176165 (CO)
Commercial Insurance / Payer ID Kaiser Commercial Number
029298 (CO)

Hospital & Practice Group Affiliations

Gunnison Valley Hospital

711 N Taylor St, Gunnison, CO 812302208

Phone: 9706413927

Secondary Practice Locations

1650 Cochrane Cir Bldg 75001

Fort Carson, CO 809134613

Phone: 7195267185

6140 Sw 70th St Fl 2

South Miami, FL 331433419

Phone: 3052847524

10350 E Dakota Ave

Denver, CO 802471314

Phone: 3033384545

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003268129

Doctor of Medicine (M.D.)

Madeline Mccarthy

Massage Therapist

NPI 1013575216
NPI 1053520734

Doctor of Pharmacy (Pharm.D.)

Amy Monitello , CRNA

Nurse Anesthetist, Certified Registered

NPI 1073752267

Certified Registered Nurse Anesthetist

Dr. Scott Mccorvey , MD

Emergency Medicine

NPI 1073959870

Doctor of Medicine (M.D.)

Dr. Ann Treisman , MD

Family Medicine

NPI 1093243982

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

21 Historical Events
📍
Updated Practice Location March 13, 2025

Registered at 711 N TAYLOR ST, GUNNISON, CO 812302208 (Tel: 9706419482)

📍
Updated Business Mailing Address March 13, 2025

Registered at 711 N TAYLOR ST, GUNNISON, CO 812302208 (Tel: 9706413927)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2025

Dermatology (License #OS13474 in FL)

📍
Updated Practice Location April 29, 2019

Registered at 6071 E WOODMEN RD STE 230, COLORADO SPRINGS, CO 809232607 (Tel: 7195050105)

📍
Updated Business Mailing Address April 29, 2019

Registered at 6071 E WOODMEN RD STE 230, COLORADO SPRINGS, CO 809232607 (Tel: 7195050105)

📍
Updated Business Mailing Address January 22, 2019

Registered at 6071 E WOODMEN RD STE 220, COLORADO SPRINGS, CO 809232611 (Tel: 9704452580)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2019

Dermatology (License #DR.0059273 in CO)

📍
Updated Practice Location November 19, 2018

Registered at 6071 E WOODMEN RD STE 220, COLORADO SPRINGS, CO 809232611 (Tel: 9704452580)

📍
Updated Business Mailing Address November 19, 2018

Registered at 6160 BESTVIEW WAY, COLORADO SPRINGS, CO 809185678 (Tel: 9544452580)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2018

Dermatology (License #OS13474 in FL)

NPI Profile Active September 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2017

Registered at 4970 W ATLANTIC BLVD, MARGATE, FL 330635300 (Tel: (954) 977-0270)

📍
Updated Business Mailing Address September 26, 2017

Registered at 4970 W ATLANTIC BLVD, MARGATE, FL 330635300 (Tel: (954) 977-0270)

👤
Provider Name / Credentials Updated September 26, 2017

Recorded as NICKOLAS POULOS, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2017

General Practice (License #DR.0059273 in CO)

NPI Profile Active July 19, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2015

Registered at 7031 SW 62ND AVE, SOUTH MIAMI, FL 331434701 (Tel: 3052847761)

📍
Updated Business Mailing Address July 19, 2015

Registered at 7031 SW 62ND AVE, SOUTH MIAMI, FL 331434701 (Tel: 3052847761)

👤
Provider Name / Credentials Updated July 19, 2015

Recorded as NICKOLAS POULOS, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2015

General Practice (License #OS13474 in FL)

🟢
Initial NPI Registration & Enumeration June 28, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1457766487
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2014
Last Update: June 11, 2025
Sole Proprietor: No

Mailing Address

711 N Taylor St

Gunnison, CO 812302208

Phone: 9706413927

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.