Boulder Medical Center, PC
NPI 1962668319 · Ambulatory Surgical Clinic/Center · Boulder, CO
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Boulder Medical Center, PC is a Ambulatory Surgical Clinic/Center organization in Boulder, CO (NPI 1962668319).
Provider details
- NPI number
- 1962668319
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Casandra Richards, Credentialing Coordinator(303) 440-3076
- License
- 160365 (CO)
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
18 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
588 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) |
|---|---|---|
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 183 | $605 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 107 | $352 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 103 | $467 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 92 | $563 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High RiskG0121 | 63 | $465 |
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Boulder Medical Center Asc
Registry dates
- Enumerated
- 2008-08-05
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Frequently asked questions
- What is Boulder Medical Center, PC's NPI number?
- Boulder Medical Center, PC's National Provider Identifier (NPI) is 1962668319, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boulder Medical Center, PC?
- Boulder Medical Center, PC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Boulder Medical Center, PC located?
- Boulder Medical Center, PC's practice location on file with NPPES is 2750 Broadway St, Boulder, CO 80304-3573.
- What is Boulder Medical Center, PC's phone number?
- The practice phone number listed in the NPPES registry for Boulder Medical Center, PC is (303) 440-3000.
- Does Boulder Medical Center, PC accept Medicare?
- Boulder Medical Center, PC 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 Medical Center, PC?
- The authorized official listed on Boulder Medical Center, PC's NPPES record is Casandra Richards, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boulder Medical Center, PC's NPI active?
- Yes — Boulder Medical Center, PC's NPI (1962668319) is active in the NPPES registry as of the last update on 2026-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.