Lake Loveland Dermatology PC

A Medicare group practice based in Sterling, CO: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 1456329655), with 7 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1456329655The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CO
Enrollments
1
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 4 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040923001237 CO Part B Supplier - Clinic/Group Practice 1679646582

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
75 of 100Reported as group, on the record of 4 clinicians in this group

Clinicians 7

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (5).

Sources for this page