Active NPI 1134120884 Individual Practitioner Male Practitioner

Dr. Eric R Jamrich , MD

Orthopaedic Surgery • Lone Tree, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Eric Jamrich, MD is a certified Orthopaedic Surgery practicing in Lone Tree, CO. With approximately 37 years of clinical experience since graduating from Columbia University College Of Physicians And Surgeons in 1989, Dr. Jamrich delivers high-quality medical care to the local community at 10103 RIDGEGATE PKWY.

Dr. Jamrich is affiliated with Healthone Clinic Services-Surgical Specialties Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of lower and sacral spine, minimum of 4 views, x-ray of lower and sacral spine, 2-3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10103 Ridgegate Pkwy

Lone Tree, CO 801245520

Telephone 3032258120

Fax 3032258130

Associated Practice Facility / Clinic

🏢 Pediatrix Medical Group Of Colorado Facility NPI 1346269438

Medicare Profile & Education

Medical School

Columbia University College Of Physicians And Surgeons

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Lone Tree, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +17.9 yrs vs City Avg

City Avg: 19.1 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

26 Specialists

Practicing in Lone Tree, CO (505 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jamrich (37 Years) 37 Yrs

Lone Tree Specialty Average (19.1 Years) 19.1 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	209	149	$153.51	$92.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	148	113	$98.85	$58.11
72110 X-ray of lower and sacral spine, minimum of 4 views	123	116	$172.89	$53.82
72100 X-ray of lower and sacral spine, 2-3 views	111	62	$130.26	$41.43
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	99	43	$855.92	$251.49
22614 Fusion of additional segment of spine	81	24	$1234.00	$385.11
72050 X-ray of upper spine, 4 or 5 views	65	65	$168.46	$55.32
63053 Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	45	27	$665.18	$225.81
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	43	26	$1581.58	$476.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$327.29	$169.85
72040 X-ray of upper spine, 2-3 views	41	28	$129.10	$40.93
22633 Fusion of spine in lower back with partial removal of spine bone and disc	37	37	$5871.05	$1796.13
72082 X-ray of entire middle and lower spine, 2-3 views	34	26	$210.32	$73.33
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	34	34	$888.53	$253.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$225.27	$113.97
22842 Placement of stabilizing device to back, 3-6 spine bone segments	29	29	$2411.07	$749.77
20939 Harvest of bone marrow for spine surgery graft	22	22	$230.91	$70.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$223.00	$131.09
22843 Placement of stabilizing device to back, 7-12 spine bone segments	15	15	$2579.60	$805.65
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	11	$3366.25	$816.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	189	141	$129.29	$91.09
72100 X-ray of lower and sacral spine, 2-3 views	148	81	$114.57	$42.19
72110 X-ray of lower and sacral spine, minimum of 4 views	144	135	$151.03	$54.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	142	110	$73.28	$53.20
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	142	59	$855.63	$253.56
22614 Fusion of additional segment of spine	112	34	$1151.29	$387.97
72050 X-ray of upper spine, 4 or 5 views	69	63	$147.03	$55.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$301.58	$169.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	51	$200.81	$130.91
72040 X-ray of upper spine, 2-3 views	49	30	$109.29	$41.82
22633 Fusion of spine in lower back with partial removal of spine bone and disc	48	47	$5244.17	$1806.90
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	48	27	$1365.00	$479.17
63053 Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	47	26	$682.17	$226.51
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	45	44	$1256.07	$255.59
22842 Placement of stabilizing device to back, 3-6 spine bone segments	42	42	$2208.05	$756.27
72082 X-ray of entire middle and lower spine, 2-3 views	37	30	$150.24	$74.17
20939 Harvest of bone marrow for spine surgery graft	31	30	$260.52	$70.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$192.86	$113.03
63048 Partial removal of spine bone with release of spinal cord and/or nerves	19	13	$624.00	$208.85
22848 Insertion of instrumentation to pelvic bones	18	18	$1035.83	$356.49
72070 X-ray of middle spine, 2 views	14	11	$101.00	$34.78
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	13	13	$4939.69	$1647.08
99441 Telephone medical discussion with physician, 5-10 minutes	13	13	$92.00	$54.34
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	11	$40.00	$24.24
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$3171.00	$749.02
22600 Fusion of spine in neck by posterior approach	12	12	$3678.00	$1157.41
22843 Placement of stabilizing device to back, 7-12 spine bone segments	11	11	$2394.00	$810.90

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	357	215	$60.00	$45.95
99213 Established patient office or other outpatient visit, typically 15 minutes	194	148	$90.00	$84.79
72110 X-ray of lower and sacral spine, minimum of 4 views	173	166	$75.00	$53.87
72100 X-ray of lower and sacral spine, 2-3 views	165	85	$75.00	$41.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	139	139	$260.00	$166.72
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	134	57	$1000.00	$252.47
72050 X-ray of upper spine, 4 or 5 views	76	71	$100.00	$56.49
72040 X-ray of upper spine, 2-3 views	67	34	$75.00	$41.19
72082 X-ray of entire middle and lower spine, 2-3 views	65	37	$75.00	$74.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$180.00	$113.41
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	55	30	$800.00	$488.25
22614 Fusion of additional segment of spine	52	27	$850.00	$373.31
63053 Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	51	28	$800.00	$190.12
20939 Harvest of bone marrow for spine surgery graft	49	47	$400.00	$68.65
22633 Fusion of spine in lower back with partial removal of spine bone and disc	41	41	$4000.00	$1845.29
22849 Reinsertion of spinal fixation device	38	37	$2600.00	$755.74
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	37	37	$3000.00	$254.02
22842 Placement of stabilizing device to back, 3-6 spine bone segments	25	25	$1800.00	$749.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$160.00	$127.56
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	22	15	$800.00	$358.22
22848 Insertion of instrumentation to pelvic bones	19	19	$900.00	$354.14
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	18	18	$4000.00	$1540.67
20931 Donor bone graft for spine surgery	17	16	$377.00	$108.68
72070 X-ray of middle spine, 2 views	16	13	$75.00	$34.69
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	11	11	$3100.00	$826.22

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	383	230	$60.00	$45.16
99213 Established patient office or other outpatient visit, typically 15 minutes	163	131	$90.00	$84.57
72100 X-ray of lower and sacral spine, 2-3 views	149	78	$75.00	$41.55
72110 X-ray of lower and sacral spine, minimum of 4 views	149	147	$75.00	$53.10
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	134	53	$1000.00	$258.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$260.00	$171.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$182.35	$114.34
72050 X-ray of upper spine, 4 or 5 views	66	63	$100.00	$55.63
63057 Release of middle or lower spinal cord and/or nerves	65	33	$700.00	$320.55
20939 Harvest of bone marrow for spine surgery graft	57	54	$400.00	$70.00
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	54	26	$800.00	$496.03
72040 X-ray of upper spine, 2-3 views	49	27	$75.00	$39.90
63056 Release of lower spinal cord and/or nerves	40	40	$3000.00	$782.63
72082 X-ray of entire middle and lower spine, 2-3 views	34	18	$75.00	$73.83
22614 Fusion of additional segment of spine	33	12	$850.00	$391.44
22633 Fusion of spine in lower back with partial removal of spine bone and disc	32	32	$4000.00	$1872.40
22849 Reinsertion of spinal fixation device	28	26	$2600.00	$734.50
72070 X-ray of middle spine, 2 views	22	18	$75.00	$34.19
22848 Insertion of instrumentation to pelvic bones	20	20	$900.00	$361.37
22842 Placement of stabilizing device to back, 3-6 spine bone segments	20	20	$1800.00	$763.08
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	18	18	$3100.00	$808.08
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	11	11	$4000.00	$1612.77

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	518	254	$60.06	$37.86
72100 X-ray of lower and sacral spine, 2-3 views	143	94	$75.00	$39.51
72110 X-ray of lower and sacral spine, minimum of 4 views	142	141	$75.18	$49.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$180.00	$108.76
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	106	47	$1000.00	$260.94
72050 X-ray of upper spine, 4 or 5 views	72	70	$100.00	$51.77
99213 Established patient office or other outpatient visit, typically 15 minutes	64	57	$90.00	$72.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$260.00	$168.61
72040 X-ray of upper spine, 2-3 views	50	32	$75.00	$39.52
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	45	24	$800.00	$514.15
20939 Harvest of bone marrow for spine surgery graft	42	41	$400.00	$70.90
63056 Release of lower spinal cord and/or nerves	40	36	$3000.00	$847.40
22633 Fusion of spine in lower back with partial removal of spine bone and disc	39	38	$4000.00	$1822.97
63057 Release of middle or lower spinal cord and/or nerves	38	21	$700.00	$330.98
72082 X-ray of entire middle and lower spine, 2-3 views	30	22	$75.00	$70.27
22842 Placement of stabilizing device to back, 3-6 spine bone segments	27	27	$1800.00	$792.13
22849 Reinsertion of spinal fixation device	27	25	$2600.00	$708.12
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	13	13	$4000.00	$1592.69
20931 Donor bone graft for spine surgery	13	12	$377.00	$97.29
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$3000.00	$865.19

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	534	269	$60.00	$45.66
72100 X-ray of lower and sacral spine, 2-3 views	238	142	$75.00	$37.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	170	170	$180.00	$109.50
72110 X-ray of lower and sacral spine, minimum of 4 views	132	129	$75.00	$51.91
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	126	54	$1000.00	$270.95
72040 X-ray of upper spine, 2-3 views	100	50	$75.00	$37.09
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	63	33	$800.00	$519.65
20939 Harvest of bone marrow for spine surgery graft	63	62	$400.00	$69.27
72050 X-ray of upper spine, 4 or 5 views	63	63	$99.60	$51.15
99213 Established patient office or other outpatient visit, typically 15 minutes	59	55	$90.00	$74.94
22633 Fusion of spine in lower back with partial removal of spine bone and disc	51	50	$4000.00	$1923.64
63048 Partial removal of spine bone with release of spinal cord and/or nerves	48	26	$600.00	$221.43
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	38	36	$3000.00	$679.97
22849 Reinsertion of spinal fixation device	34	32	$2600.00	$764.51
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	33	20	$800.00	$417.86
22842 Placement of stabilizing device to back, 3-6 spine bone segments	32	30	$1800.00	$801.02
20931 Donor bone graft for spine surgery	28	27	$377.00	$117.06
72082 X-ray of entire middle and lower spine, 2-3 views	27	23	$75.00	$65.92
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	26	26	$4000.00	$1762.51
63056 Release of lower spinal cord and/or nerves	24	24	$3000.00	$906.96
63057 Release of middle or lower spinal cord and/or nerves	24	14	$700.00	$334.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$260.00	$165.78

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	579	294	$60.00	$44.51
72100 X-ray of lower and sacral spine, 2-3 views	269	143	$75.00	$35.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	169	169	$180.00	$109.30
72110 X-ray of lower and sacral spine, minimum of 4 views	112	110	$75.00	$49.63
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	104	49	$1000.00	$259.15
72040 X-ray of upper spine, 2-3 views	95	55	$75.00	$33.82
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	69	39	$800.00	$519.75
20939 Harvest of bone marrow for spine surgery graft	56	54	$400.00	$69.38
22633 Fusion of spine in lower back with partial removal of spine bone and disc	53	53	$4000.00	$1931.82
72050 X-ray of upper spine, 4 or 5 views	53	53	$100.00	$46.05
63057 Release of middle or lower spinal cord and/or nerves	48	27	$700.00	$335.18
22614 Fusion of additional segment of spine	45	14	$850.00	$409.70
63056 Release of lower spinal cord and/or nerves	43	41	$3000.00	$793.38
72082 X-ray of entire middle and lower spine, 2-3 views	35	31	$75.00	$63.42
22849 Reinsertion of spinal fixation device	34	32	$2600.00	$736.15
22842 Placement of stabilizing device to back, 3-6 spine bone segments	33	33	$1800.00	$799.67
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$90.00	$73.78
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	22	20	$50.00	$7.08
63048 Partial removal of spine bone with release of spinal cord and/or nerves	21	13	$600.00	$221.53
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	20	20	$3000.00	$660.18
20610 Aspiration and/or injection of fluid from large joint	18	16	$250.00	$60.03
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	18	11	$800.00	$417.34
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	17	16	$4000.00	$1783.45
20931 Donor bone graft for spine surgery	16	14	$377.00	$117.27
72170 X-ray of pelvis, 1-2 views	13	13	$100.00	$32.45

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	548	284	$60.00	$42.64
72100 X-ray of lower and sacral spine, 2-3 views	251	143	$75.00	$34.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	204	204	$180.00	$105.70
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	149	65	$1000.00	$265.15
72110 X-ray of lower and sacral spine, minimum of 4 views	126	126	$75.00	$47.92
72040 X-ray of upper spine, 2-3 views	95	58	$75.00	$32.32
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	84	44	$800.00	$505.97
63057 Release of middle or lower spinal cord and/or nerves	75	44	$700.00	$325.87
38220 Aspiration of bone marrow sample for diagnosis	72	72	$400.00	$30.80
72050 X-ray of upper spine, 4 or 5 views	71	70	$99.65	$44.45
72082 X-ray of entire middle and lower spine, 2-3 views	70	52	$75.00	$61.15
22633 Fusion of spine in lower back with partial removal of spine bone and disc	61	61	$4000.00	$1856.46
63056 Release of lower spinal cord and/or nerves	59	59	$3000.00	$764.17
99213 Established patient office or other outpatient visit, typically 15 minutes	58	55	$90.00	$71.42
22842 Placement of stabilizing device to back, 3-6 spine bone segments	39	39	$1800.00	$777.10
22849 Reinsertion of spinal fixation device	37	34	$2600.00	$762.42
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	27	17	$800.00	$406.38
20931 Donor bone graft for spine surgery	25	24	$377.00	$114.53
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	23	23	$4000.00	$1713.20
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	18	17	$50.00	$6.34
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	11	$3000.00	$743.58
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$1700.00	$773.95
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	11	11	$3100.00	$704.79

Medical Specialties & State Licenses

CMS Verified: 2023-05-16

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License CO DR.0033622

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

01336221 (CO)

Commercial Insurance / Payer ID Bcbs

35143 (CO)

Hospital & Practice Group Affiliations

Healthone Clinic Services-Surgical Specialties Llc

10103 Ridgegate Pkwy, Lone Tree, CO 801245525

Phone: 7202828006

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. John Barker , MD

Orthopaedic Surgery

NPI 1013919117

Doctor of Medicine (M.D.)

Dr. John Odom , MD

Specialist

NPI 1073514766

Doctor of Medicine (M.D.)

Jefferson Hicks , PA

Physician Assistant - Surgical

NPI 1083013064

Physician Assistant

Niel Hartwell , RN

Clinical Nurse Specialist - Medical-Surgical

NPI 1184013336

Registered Nurse

Dr. Chad Prusmack , MD

Neurological Surgery

NPI 1396844346

Doctor of Medicine (M.D.)

Michael Schweid , PHYSICIAN ASSISTANT

Physician Assistant - Surgical

NPI 1457418923

PHYSICIANASSISTANT

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2023

Orthopaedic Surgery (License #DR.0033622 in CO)

✅

NPI Profile Active September 09, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 09, 2016

Registered at 10103 RIDGEGATE PKWY, LONE TREE, CO 801245520 (Tel: 3032258120)

📍

Updated Business Mailing Address September 09, 2016

Registered at 10103 RIDGEGATE PKWY, 306, LONE TREE, CO 801245520 (Tel: 3032258120)

👤

Provider Name / Credentials Updated September 09, 2016

Recorded as ERIC JAMRICH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2016

Specialist (License #841375754 in CO)

🟢

Initial NPI Registration & Enumeration August 03, 2005

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: 1134120884

Entity Type:

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

Enumeration Date: August 03, 2005

Last Update: June 13, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10103 Ridgegate Pkwy, 306

Lone Tree, CO 801245520

Phone: 3032258120

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

⚠️ Medical Disclaimer

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