Individual provider Active NPI

John Christopher Fueston, M.D.

  • Dermatology Physician
  • Longmont, CO
National Provider Identifier
1023000692
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
42490 Issued in CO
Practice address
205 S Main St
Suite E
Longmont, CO 80501-1716
Phone
(303) 485-8913
Fax
(303) 485-8914
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 42490 CO
Dermatology Physician 207N00000X 42490 CO Primary

Addresses

Primary practice location

205 S Main St
Suite E
Longmont, CO 80501-1716

Mailing address

205 S Main St
Suite E
Longmont, CO 80501-1716
Phone (303) 485-8913

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
I20041105000807 CO Practitioner - Dermatology 6204899743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Cincinnati College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

205 S Main St
Suite E
Longmont, CO 80501-1714
Phone (303) 485-8913

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision40
Removal of skin lesions788
Removal or shaving of skin growth21
Skin biopsy216

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42490COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Peaks Dermatology, PC Dermatology CurrentSince Jun 1, 2008 Accepting new patients
Columbine Dermatology PC Procedural Dermatology Past Accepting new patients

Locations

205 S Main St
Ste E
Longmont, CO 80501
Phone (303) 485-8913

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIFGBA/Endpoint/CIFGBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIFGBA

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1023000692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST",
            "address_2": "SUITE E",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011716",
            "telephone_number": "303-485-8913",
            "fax_number": "303-485-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST",
            "address_2": "SUITE E",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011716",
            "telephone_number": "303-485-8913",
            "fax_number": "303-485-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUESTON",
        "first_name": "JOHN",
        "middle_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CO",
            "license": "42490",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "42490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.