Boulder Community Health Sports Medicine Imaging LLC
NPI 1285017673 · Radiology Clinic/Center · Boulder, CO
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1285017673
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Munson, V.p. and Chief Financial Officer(303) 415-7433
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,828 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| X-Ray of Shoulder, Minimum of 2 Views73030 | 352 | $27 |
| X-Ray of Knee, 4 Or More Views73564 | 175 | $37 |
| X-Ray of Foot, Minimum of 3 Views73630 | 132 | $27 |
| Mri Scan of Arm Joint Without Contrast73221 | 110 | $143 |
| X-Ray of Knee, 3 Views73562 | 108 | $33 |
| X-Ray of Ankle, Minimum of 3 Views73610 | 100 | $29 |
| Mri Scan of Lower Spinal Canal Without Contrast |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Boulder Community Health Sports Medicine Imaging LLC
Registry dates
- Enumerated
- 2015-07-02
- Last updated
- 2015-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.