Jennifer Divine, MD
NPI 1063779072 · MOHS-Micrographic Surgery Physician · Fort Collins, CO
Enrolled with Medicare as Practitioner - Dermatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Divine, MD is a MOHS-Micrographic Surgery Physician provider in Fort Collins, CO (NPI 1063779072).
Provider details
- NPI number
- 1063779072
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- ME 131766 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
3,667 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 1,299 | $6 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 609 | $85 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 413 | $51 |
| Biopsy of Related Skin Growth, First Growth11102 | 249 | $83 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 246 | $119 |
| Destruction of Skin Growth, 1-14 Growths |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clobetasol Propionate | 86 | 33 |
| Triamcinolone Acetonide | 66 | 53 |
| Mupirocin | 60 | 36 |
| Doxycycline Monohydrate | 46 | 15 |
| Ketoconazole | 43 | 26 |
| Doxycycline Hyclate | 34 | 19 |
| Hydrocortisone | 29 | 18 |
| Prednisone | 29 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,005 across 39 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-04-15
- Last updated
- 2024-07-19
- Certified
- 2024-07-19
Frequently asked questions
- What is Jennifer Divine's NPI number?
- Jennifer Divine's National Provider Identifier (NPI) is 1063779072, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Divine's specialty?
- Jennifer Divine is listed in the NPPES registry with a primary specialty of MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Jennifer Divine located?
- Jennifer Divine's practice location on file with NPPES is 1260 Doctor'S Lane, Fort Collins, CO 80524.
- What is Jennifer Divine's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Divine is (970) 286-2668.
- Does Jennifer Divine accept Medicare?
- Jennifer Divine is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Divine's NPI active?
- Yes — Jennifer Divine's NPI (1063779072) is active in the NPPES registry as of the last update on 2024-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.