Landrey Fagan, MD
NPI 1548423817 · Family Medicine Physician · Boulder, CO
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Landrey Fagan, MD is a Family Medicine Physician provider in Boulder, CO (NPI 1548423817).
Provider details
- NPI number
- 1548423817
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- DR0060345 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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 prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 25 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 62 | — |
| Progesterone, Micronizedbrand: Progesterone | 51 | 19 |
| Levothyroxine Sodium | 51 | 20 |
| Trazodone Hcl | 35 | — |
| Rosuvastatin Calcium | 27 | 11 |
| Tirzepatidebrand: Mounjaro | 26 | — |
| Ezetimibe |
Practice location
Mailing address
Additional practice locations (1)
- 1950 Mountain View AveLongmont, CO 80501-3129Phone: (303) 651-5111Fax: (303) 678-4050
Registry dates
- Enumerated
- 2008-07-08
- Last updated
- 2024-12-03
- Certified
- 2024-12-03
Frequently asked questions
- What is Landrey Fagan's NPI number?
- Landrey Fagan's National Provider Identifier (NPI) is 1548423817, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Landrey Fagan's specialty?
- Landrey Fagan is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Landrey Fagan located?
- Landrey Fagan's practice location on file with NPPES is 3434 47th St Ste 225, Boulder, CO 80301-1880.
- What is Landrey Fagan's phone number?
- The practice phone number listed in the NPPES registry for Landrey Fagan is (720) 792-2852.
- Does Landrey Fagan accept Medicare?
- Landrey Fagan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Landrey Fagan's NPI active?
- Yes — Landrey Fagan's NPI (1548423817) is active in the NPPES registry as of the last update on 2024-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.