Shawn B Allen, MD
Individual provider Active NPI MOHS-Micrographic Surgery Physician · Boulder, CO
NPI 1043340805 · NPPES record last updated Jun 2, 2022
Key facts
- NPI
- 1043340805
- Entity type
- Individual (NPI type 1)
- Primary specialty
- MOHS-Micrographic Surgery Physician 207ND0101X
- License
- 43816 (CO)
- Practice address
- 2880 Folsom St Ste 200
Boulder, CO 80304-3769 - Phone
- (303) 442-6647
- Fax
- (303) 442-2696
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Micrographic Dermatologic Surgery (MDS)
- Education
- University of Tennessee, HSC, College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dermatology Specialists of Boulder PC
Practice addresses (Care Compare)
2880 Folsom St
Suite 200
Boulder, CO 80304-3769
Phone 3034426647309
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 82 |
| Removal of skin lesions | 17 |
| Removal of skin cancer | 419 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 14 |
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: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050830000751 | CO | Practitioner - Micrographic Dermatologic Surgery (MDS) |
2769450428 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43816 | CO | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Specialists of Boulder, PC | Dermatology | Current |
Accepting new patients |
Locations
2880 Folsom St
Ste 200
Boulder, CO 80304
Phone (303) 442-6647
36 S 18th Ave
Ste H
Brighton, CO 80601
Phone (303) 442-6647
1056 S 88th St
Louisville, CO 80027
Phone (303) 442-6647
776 W Eisenhower Blvd
Loveland, CO 80537
Phone 3034426647309
11990 Grant St
Ste 300
Northglenn, CO 80233
Phone (303) 442-6647
905 W 124th Ave
Ste 170
Westminster, CO 80234
Phone (303) 442-6647
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 43816 | CO | |
| Dermatopathology Physician | 207ND0900X | 43816 | CO | |
| Procedural Dermatology Physician | 207NS0135X | 43816 | CO | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 43816 | CO | Yes |
Addresses
Primary practice location
2880 Folsom St Ste 200
Boulder, CO 80304-3769
Mailing address
1056 S 88TH St
Louisville, CO 80027-9460
Phone (303) 442-6647
Other providers in Boulder, CO
- Daniel Nathan Alleman
- Chase Wayne Allen
- Laura Allen
- Lori Allen
- Matthew Allen
- Molly Allendorf
- Elaine Z Allgood
- Alliance Behavioral Services LLC
- Alliance Health of Colorado
- Allison Galloway Inc.
All providers in Boulder, CO · MOHS-Micrographic 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 Jun 2, 2022. 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.