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Neil D Smith , PA-C

Physician Assistant โ€ข Thornton, CO

Active NPI 1497814982 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

13631 Colorado Blvd
Thornton, CO 806027051

Call 3032522960 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

13631 Colorado Blvd

Thornton, CO 806027051

Telephone 3032522960
Organization at the Same NPPES Address or Phone
Thornton 136th Medical Center, Llc Facility NPI 1801206792

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

NPPES lists 1 additional practice-address record in Denver, CO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

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

2000

Medicare patients

159 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 โ€“ by Provider, 2024.

Medicare-allowed amount

About $14,489 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 โ€“ by Provider and Service, 2024.

Paid by Medicare

About $11,339 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 โ€“ by Provider and Service, 2024.

30-day fills

53 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

$10,496 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 โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

26 years (graduated 2000)

CMS Doctors and Clinicians data list 2000 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

2006

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, โ€œDoes your provider accept Medicare as full payment?โ€

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)

Neil Smith 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 Neil Smith 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 Thornton and Colorado

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Thornton, CO (2024, 25 clinicians with data). Median for this group: 60. Middle half: 28 to 196.

Close to the middle for clinicians listed under Physician Assistant in Colorado (2024, 1,641 clinicians with data). Median for this group: 195. Middle half: 69 to 517.

Medicare-allowed amount

A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Thornton, CO (2024, 25 clinicians with data). Median for this group: $4,631. Middle half: $2,638 to $14,489.

Close to the middle for clinicians listed under Physician Assistant in Colorado (2024, 1,641 clinicians with data). Median for this group: $15,616. Middle half: $6,273 to $34,912.

Paid by Medicare

A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Thornton, CO (2024, 25 clinicians with data). Median for this group: $3,605. Middle half: $1,513 to $10,886.

Close to the middle for clinicians listed under Physician Assistant in Colorado (2024, 1,641 clinicians with data). Median for this group: $11,339. Middle half: $4,686 to $25,550.

Medicare Part D prescriptions

Fewer Part D prescriptions than 90% of clinicians listed under Physician Assistant in Thornton, CO (2024, 29 clinicians with data). Median for this group: 162. Middle half: 75 to 447.

Fewer Part D prescriptions than 80% of clinicians listed under Physician Assistant in Colorado (2024, 2,034 clinicians with data). Median for this group: 194. Middle half: 63 to 625.

Part D drug cost

A higher Part D drug cost than 60% of clinicians listed under Physician Assistant in Thornton, CO (2024, 29 clinicians with data). Median for this group: $2,565. Middle half: $653 to $36,376.

Close to the middle for clinicians listed under Physician Assistant in Colorado (2024, 2,034 clinicians with data). Median for this group: $3,374. Middle half: $574 to $55,951.

61 active clinicians are listed under Physician Assistant with a practice address in Thornton, CO (3,767 in Colorado).

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

Telehealth indicator in Thornton

11.5% of these 61 clinicians have the CMS telehealth indicator.

52.5% of these 61 clinicians are listed by CMS as accepting Medicare assignment.

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 ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ€“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 โ€“ by Provider and Service data, 2020โ€“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
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
100 97 $174.54 $77.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
36 36 $222.00 $95.65
81003 Automated urinalysis test
28 27 $5.00 $2.20
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
21 21 $278.13 $139.78
71046 X-ray of chest, 2 views
11 11 $64.55 $27.93

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 ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 20 135 $140.56 19
Cephalexin Cephalexin 12 80 $63.92 12
Combivent Respimat Ipratropium/Albuterol Sulfate 12 630 $10,291.12 โ€”

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: 2025-02-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES CO 1366

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

License # reported to NPPES CA PA58200

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
08734747 (CO)

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20040930000270

Enrollment State Jurisdiction

CO

PECOS Control ID

0042289647

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

5965 Firestone Blvd, Firestone, CO 805046607

Phone: 3036784340

Poudre Valley Medical Group Llc

2970 Arapahoe Rd, Lafayette, CO 800268054

Phone: 3034606010

Poudre Valley Medical Group Llc

1159 Eagle Dr, Loveland, CO 805378020

Phone: 9702195223

Poudre Valley Medical Group Llc

15240 W 64th Ave, Arvada, CO 800077511

Phone: 3034637181

Poudre Valley Medical Group Llc

4404 Barranca Ln, Castle Rock, CO 801047419

Phone: 7207335260

Poudre Valley Medical Group Llc

221 E 29th St, Loveland, CO 805382746

Poudre Valley Medical Group Llc

2127 E Harmony Rd, Fort Collins, CO 805283406

Phone: 9702976250

Poudre Valley Medical Group Llc

13631 Colorado Blvd, Thornton, CO 806027051

Phone: 3032522960

Poudre Valley Medical Group Llc

2819 35th Ave, Greeley, CO 806349421

Phone: 9706522801

Poudre Valley Medical Group Llc

1100 E Prospect Rd, Fort Collins, CO 805255304

Phone: 9702976630

Poudre Valley Medical Group Llc

1106 E Prospect Rd, Fort Collins, CO 805255304

Phone: 9704957410

Poudre Valley Medical Group Llc

2101 Main St, Longmont, CO 805011406

Phone: 7207458020

Secondary Practice Locations

4610 S Ulster St Ste 150

Denver, CO 802374326

Phone: 8888033370

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 Burnham , PA-C

Physician Assistant

NPI 1497134472

Physician Assistant (Certified)

Kristen Cleavelin , FNP-C

Nurse Practitioner - Family

NPI 1487199733

Family Nurse Practitioner (Certified)

Peter Guando , PA

Physician Assistant

NPI 1699190215

Physician Assistant

Andrew Klein , PA-C

Physician Assistant

NPI 1902146681

Physician Assistant (Certified)

Timothy Mackie , PA

Physician Assistant - Surgical

NPI 1689655466

Physician Assistant

Lorraine Malonson , PA

Physician Assistant

NPI 1720208036

Physician Assistant

Career & Practice History Timeline

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

8 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2025

Family Medicine (license number reported to NPPES: CA PA58200)

๐Ÿ“
Updated Practice Location September 10, 2019

Registered at 13631 COLORADO BLVD, THORNTON, CO 806027051 (Tel: 3032522960)

โœ…
NPI Profile Active March 02, 2010

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) March 02, 2010

Registered at 380 EMPIRE RD, SUITE 200, LAFAYETTE, CO 800262677 (Tel: 3039267360)

๐Ÿ“
Business Mailing Address (Initial Record) March 02, 2010

Registered at 380 EMPIRE RD, SUITE 200, LAFAYETTE, CO 800262677 (Tel: 3039267360)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) March 02, 2010

Recorded as NEIL SMITH, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2010

Physician Assistant (license number reported to NPPES: CO 1366)

๐ŸŸข
Initial NPI Registration & Enumeration December 08, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497814982
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2006
Last Update: February 11, 2025
Sole Proprietor: No

Other Physician Assistants in Thornton

All Physician Assistants in Thornton

Mailing Address

380 Empire Rd, Suite 200

Lafayette, CO 800262677

Phone: 3039267360

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.