Eric Jernigan, MD
Individual provider Active NPI Surgery Physician · Glenwood Springs, CO
NPI 1003377169 · NPPES record last updated Aug 26, 2024
Key facts
- NPI
- 1003377169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- DR.0073812 (CO)
- Practice address
- 1906 Blake Ave
Glenwood Springs, CO 81601-4227 - Phone
- (970) 627-6675
- NPI assigned
- Mar 29, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valley View Hospital Association
Practice addresses (Care Compare)
1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 945-6533
Hospital & facility affiliations
- Valley View Hospital Association
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240911004740 | CO | Practitioner - General Surgery | 6305174152 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0073812 | CO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley View Hospital Association | Current | Accepting new patients | |
| Valley View Hospital Association | Current |
Accepting new patients | |
| Valley View Hospital Association | Current |
Accepting new patients | |
| Valley View Hospital Association | Past | Accepting new patients |
Locations
1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033
Interoperability endpoints
- eric.jernigan.1@9028.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | DR.0073812 | CO | Yes |
Addresses
Primary practice location
1906 Blake Ave
Glenwood Springs, CO 81601-4227
Mailing address
2501 Cisar CT Apt 1E
Glenwood Springs, CO 81601-4169
Phone (970) 596-3485
Other providers in Glenwood Springs, CO
- Elizabeth Anne Jackson
- James a O'Donnell, MD, PC
- Sandra Lynne Jammaron
- Deborah Jaouen
- Edlin Jara-Molinar
- John M. Traul, DDS, PC
- Amy Johnson
- Casey William Johnson
- Corey Ivan Johnson
- Matthew Stephen Johnson
All providers in Glenwood Springs, CO · Surgery Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.