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Active NPI 1275664047 Individual Practitioner Female Practitioner

Dawn M Malsom , PA-C

Physician Assistant • Longmont, CO

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dawn Malsom, PA-C is a registered Physician Assistant practitioner in Longmont, CO. With approximately 24 years of clinical practice since completing medical education in 2002, Dawn Malsom provides healthcare services at the registered practice location at 1750 E KEN PRATT BLVD.

Dawn Malsom is affiliated with Poudre Valley Medical Group Llc and accepts Medicare assignment.

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, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1750 E Ken Pratt Blvd

Longmont, CO 805045311

Telephone 7207187000
Fax 7207180973
Associated Practice Facility / Clinic
🏢 United Pathology Services Pc Facility NPI 1477591436

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Longmont, CO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +11.5 yrs vs City Avg
City Avg: 12.5 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
92 Specialists

Practicing in Longmont, CO (3810 Statewide)

Telehealth Adoption Rate
21.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Malsom (24 Years) 24 Yrs
Longmont Specialty Average (12.5 Years) 12.5 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
210 151 $249.10 $90.36
99213 Established patient office or other outpatient visit, typically 15 minutes
167 129 $173.54 $68.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
64 64 $272.00 $67.68
G0008 Administration of influenza virus vaccine
17 17 $57.50 $32.58
90662 Influenza vaccine split virus, preservative free
14 14 $105.00 $81.82
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected
11 11 $278.13 $139.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $338.00 $136.58

Medical Specialties & State Licenses

CMS Verified: 2025-11-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO 1664

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
07175043 (CO)

Hospital & Practice Group Affiliations

Poudre Valley Medical Group Llc

4404 Barranca Ln, Castle Rock, CO 801047419

Phone: 7207335260

Poudre Valley Medical Group Llc

1750 E Ken Pratt Blvd, Longmont, CO 805045311

Phone: 9702377848

Poudre Valley Medical Group Llc

1760 E Ken Pratt Blvd, Longmont, CO 805045311

Poudre Valley Medical Group Llc

6767 29th St, Greeley, CO 806345474

Phone: 9702243636

Secondary Practice Locations

11820 Destination Dr

Broomfield, CO 800212518

Phone: 3034644940

Practice Associates & Co-Workers

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

32 Associated Practitioners
NPI 1043849722

Doctor of Osteopathic Medicine (D.O.)

Makayla Hesseltine , NP-C

Nurse Practitioner - Family

NPI 1053995621

Nurse Practitioner (Certified)

Dr. Anita Ritenour , MD

Internal Medicine

NPI 1093784357

Doctor of Medicine (M.D.)

Dora Paolillo , LCSW

Social Worker - Clinical

NPI 1104372408

Licensed Clinical Social Worker

NPI 1124980107

Doctor of Pharmacy (Pharm.D.)

Dr. Vincent Ciampa , DO

Internal Medicine

NPI 1205242716

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location November 20, 2025

Registered at 1750 E KEN PRATT BLVD, LONGMONT, CO 805045311 (Tel: 7207187000)

📍
Updated Business Mailing Address November 20, 2025

Registered at 1750 E KEN PRATT BLVD, LONGMONT, CO 805045311 (Tel: 7207187000)

📍
Updated Practice Location July 19, 2022

Registered at 6767 WEST 29TH STREET, GREELEY, CO 806348063 (Tel: 9706522433)

📍
Updated Business Mailing Address July 19, 2022

Registered at 6767 W 29TH STREET, 2ND FLOOR, GREELEY, CO 806345474 (Tel: 9706522433)

📍
Updated Practice Location July 01, 2020

Registered at 11820 DESTINATION DR, BROOMFIELD, CO 800212518 (Tel: 3034644940)

NPI Profile Active August 31, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 31, 2010

Registered at 2955 VALMONT RD STE 210, BOULDER, CO 803011360 (Tel: 3034407525)

📍
Updated Business Mailing Address August 31, 2010

Registered at 12037 W NEW MEXICO AVE, LAKEWOOD, CO 802283923 (Tel: 3039001954)

👤
Provider Name / Credentials Updated August 31, 2010

Recorded as DAWN MALSOM, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2010

Physician Assistant (License #1664 in CO)

🟢
Initial NPI Registration & Enumeration March 07, 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: 1275664047
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2007
Last Update: November 20, 2025
Sole Proprietor: No

Mailing Address

1750 E Ken Pratt Blvd

Longmont, CO 805045311

Phone: 7207187000

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.