Individual provider Active NPI

Holly Hare McCoppin, M.D.

  • Dermatology Physician
  • Loveland, CO
National Provider Identifier
1003011404
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
CDR.0000100 Issued in CO
Practice address
3451 Mountain Lion Dr
Loveland, CO 80537-8817
Phone
(970) 800-9330
Fax
(720) 927-4301
NPI assigned
Jun 18, 2007
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2007016662 MO
MOHS-Micrographic Surgery Physician 207ND0101X 04-34976 KS
MOHS-Micrographic Surgery Physician 207ND0101X 63895 GA
MOHS-Micrographic Surgery Physician 207ND0101X CDR.0000100 CO
Dermatology Physician 207N00000X CDR.0000100 CO Primary

Addresses

Primary practice location

3451 Mountain Lion Dr
Loveland, CO 80537-8817

Mailing address

PO Box 731
Loveland, CO 80539-0731
Phone (970) 663-2742

Other practice location 1

1405 S 8th Ave Ste 102
Sterling, CO 80751-4560
Phone (970) 800-9330

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hmccoppin@monarchderm.ezderm.info
Direct Messaging Address hmccoppin@monarchderm.ezderm.info

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180518001359 CO Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 8325216575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
University of Missouri, Columbia School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1405 S 8TH Ave
Suite 102
Sterling, CO 80751-4560
Phone (970) 800-9330

3451 Mountain Lion Dr
Loveland, CO 80537-8817
Phone (970) 800-9330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision60
Removal of tissue13
Removal of skin lesions357
Removal of skin cancer429
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2007016662MOMDDermatology Physician
63895GAMDMOHS-Micrographic Surgery Physician
04-34976KSMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Dermatology & Surgery, LLC Dermatology CurrentSince Jan 23, 2020 Accepting new patients
Monarch Dermatology & Surgery LLC Dermatology Current Accepting new patients
College Park Family Care Center, P.a. Past Accepting new patients

Locations

1615 Foxtrail Dr
Ste 100
Loveland, CO 80538
Phone (303) 831-7419

3451 Mountain Lion Dr
Loveland, CO 80537
Phone (970) 800-9330

1405 S 8th Ave
Ste 102
Sterling, CO 80751
Phone (970) 522-0591

Networks

  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO D-SNP

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00209

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1003011404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805390731",
            "telephone_number": "970-663-2742",
            "fax_number": "970-342-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 MOUNTAIN LION DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805378817",
            "telephone_number": "970-800-9330",
            "fax_number": "720-927-4301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 S 8th Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "CO",
            "postal_code": "807514560",
            "country_code": "US",
            "telephone_number": "970-800-9330",
            "fax_number": "720-927-4301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOPPIN",
        "first_name": "HOLLY",
        "middle_name": "HARE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2007016662",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "KS",
            "license": "04-34976",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "63895",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CO",
            "license": "CDR.0000100",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "CDR.0000100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hmccoppin@monarchderm.ezderm.info",
            "affiliation": "N",
            "address_1": "1405 S 8th Ave Ste 102",
            "city": "Sterling",
            "state": "CO",
            "country_code": "US",
            "postal_code": "807514560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hmccoppin@monarchderm.ezderm.info",
            "affiliation": "N",
            "address_1": "3451 Mountain Lion Dr",
            "city": "Loveland",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805378817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.