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)
Boulder Community Health Sports Medicine Imaging LLC is a Radiology Clinic/Center organization in Boulder, CO (NPI 1285017673).
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
11 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
Frequently asked questions
- What is Boulder Community Health Sports Medicine Imaging LLC's NPI number?
- Boulder Community Health Sports Medicine Imaging LLC's National Provider Identifier (NPI) is 1285017673, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boulder Community Health Sports Medicine Imaging LLC?
- Boulder Community Health Sports Medicine Imaging LLC is classified in the NPPES registry as Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Boulder Community Health Sports Medicine Imaging LLC located?
- Boulder Community Health Sports Medicine Imaging LLC's practice location on file with NPPES is 2150 Stadium Dr Fl 2, Boulder, CO 80309-0380.
- What is Boulder Community Health Sports Medicine Imaging LLC's phone number?
- The practice phone number listed in the NPPES registry for Boulder Community Health Sports Medicine Imaging LLC is (303) 315-9901.
- Does Boulder Community Health Sports Medicine Imaging LLC accept Medicare?
- Boulder Community Health Sports Medicine Imaging LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Boulder Community Health Sports Medicine Imaging LLC?
- The authorized official listed on Boulder Community Health Sports Medicine Imaging LLC's NPPES record is William Munson, V.p. and Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boulder Community Health Sports Medicine Imaging LLC's NPI active?
- Yes — Boulder Community Health Sports Medicine Imaging LLC's NPI (1285017673) is active in the NPPES registry as of the last update on 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.