Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Summer Roach , NP

Nurse Practitioner • Firestone, CO

Active NPI 1699283259 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

5965 Firestone Blvd Bldg B
Firestone, CO 805046607

Call 7206527055 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5965 Firestone Blvd Bldg B

Firestone, CO 805046607

Telephone 7206527055
Fax 7206527056
Organization at the Same NPPES Address or Phone
Poudre Valley Medical Group, Llc Facility NPI 1245859842

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Poudre Valley Medical Group Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2017

Medicare patients

130 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $20,162 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $14,751 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

152 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,110 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Summer Roach has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Summer Roach as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Firestone and Colorado

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Nurse Practitioner in Colorado (2024, 469 clinicians with data). Median for this group: 245. Middle half: 88 to 628.

Too few clinicians listed under Nurse Practitioner in Firestone have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Nurse Practitioner in Colorado (2024, 469 clinicians with data). Median for this group: $20,414. Middle half: $7,131 to $46,475.

Too few clinicians listed under Nurse Practitioner in Firestone have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Nurse Practitioner in Colorado (2024, 469 clinicians with data). Median for this group: $14,751. Middle half: $5,236 to $35,497.

Too few clinicians listed under Nurse Practitioner in Firestone have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under Nurse Practitioner in Colorado (2024, 564 clinicians with data). Median for this group: 281. Middle half: 77 to 997.

Too few clinicians listed under Nurse Practitioner in Firestone have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Colorado (2024, 564 clinicians with data). Median for this group: $19,585. Middle half: $1,187 to $128,502.

Too few clinicians listed under Nurse Practitioner in Firestone have Medicare Part D data for 2024 to compare.

1 active clinicians are listed under Nurse Practitioner with a practice address in Firestone, CO (1,262 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2018–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
58 52 $248.48 $110.00
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
56 54 $172.57 $78.15
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected
36 35 $278.13 $139.78
81003 Automated urinalysis test
30 28 $5.00 $2.20
87651 Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique
20 20 $84.00 $34.39
71046 X-ray of chest, 2 views
17 17 $47.82 $24.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
15 15 $338.00 $143.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
11 11 $222.00 $95.70

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Cephalexin Cephalexin 35 233 $206.51 34
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 33 262 $225.14 31
Azithromycin Azithromycin 20 100 $84.22 20
Prednisone Prednisone 19 86 $30.48 19
Doxycycline Hyclate Doxycycline Hyclate 15 120 $157.99 14
Albuterol Sulfate Hfa Albuterol Sulfate 15 343 $334.80 15
Triamcinolone Acetonide Triamcinolone Acetonide 12 234 $70.88 11

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-06-21
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES CO APN.0993407-NP

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20180406000416

Enrollment State Jurisdiction

CO

PECOS Control ID

1850654781

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Poudre Valley Medical Group Llc

16951 E Quincy Ave, Aurora, CO 800151901

Phone: 3037525470

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
Sarah Anderson , FNP-C

Nurse Practitioner - Family

NPI 1578060513

Family Nurse Practitioner (Certified)

Kimberly Eppers , FNP

Nurse Practitioner - Family

NPI 1376967331

Family Nurse Practitioner

Kaylee Kelley , FNP

Nurse Practitioner - Family

NPI 1295338150

Family Nurse Practitioner

Karolyn Martinkus , PA

Physician Assistant

NPI 1538390828

Physician Assistant

Holly Mcbride , PA-C

Physician Assistant

NPI 1811429368

Physician Assistant (Certified)

Lesley Moritz , PA-C

Physician Assistant

NPI 1760512503

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
📍
Updated Practice Location June 21, 2022

Registered at 5965 FIRESTONE BLVD BLDG B, FIRESTONE, CO 805046607 (Tel: 7206527055)

📍
Updated Business Mailing Address June 21, 2022

Registered at 5965 FIRESTONE BLVD BLDG B, FIRESTONE, CO 805046607 (Tel: 7206527055)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2022

Nurse Practitioner (license number reported to NPPES: CO APN.0993407-NP)

âś…
NPI Profile Active January 17, 2018

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) January 17, 2018

Registered at 2001 70TH AVE STE 110, GREELEY, CO 806344628 (Tel: 9708104155)

📍
Business Mailing Address (Initial Record) January 17, 2018

Registered at 25 S EMERSON ST APT 203, DENVER, CO 802092223

👤
Provider Name / Credentials (Initial Record) January 17, 2018

Recorded as SUMMER ROACH, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2018

Family Medicine (license number reported to NPPES: CO APN.0993407-NP)

🟢
Initial NPI Registration & Enumeration January 17, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699283259
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2018
Last Update: June 21, 2022
Sole Proprietor: No

Mailing Address

5965 Firestone Blvd Bldg B

Firestone, CO 805046607

Phone: 7206527055

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.