David Jonas Archibald, MD

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

DR.0053492 Issued in CO

Practice address

2352 Meadows Blvd
Suite 290
Castle Rock, CO 80109-8406

Phone

(303) 268-2222

NPI assigned

Apr 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 4

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

Specialty

OtolaryngologyAlso: Plastic and Reconstructive Surgery

Education

Mayo Medical School, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Vanguard Medical Specialists, LLCGroup PAC ID 9436209285, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125

Merit-based Incentive Payment System (MIPS)

Final score

87.69 of 100Reported as group

Quality

86.72

Promoting interoperability

100

Improvement activities

40

Cost

72.25

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (5 of 6)

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: david.archibald@direct.vanguardmed.nextgenshare.com

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.

• David Archibald MD PC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Castle Rock, CO
  • NPI 1376955245
  Medicare reassignment NPD Authorized official
• Vanguard Medical Specialists LLC

  • Dermatology Physician
  • Colorado Springs, CO
  • NPI 1518105253
  Medicare reassignment Care Compare group NPD
• Vanguard Medical Specialists LLC

  • Dermatology Physician
  • Woodland Park, CO
  • NPI 1558981175
  NPD
• Vanguard Medical Specialists, LLC

  • Dermatology Physician
  • Hugo, CO
  • NPI 1821890351
  NPD
• Center for Plastic Surgery at Castle Rock, PC

  • Specialist
  • Castle Rock, CO
  • NPI 1265863963
  NPD (past)

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

• Portercare Adventist Health System

  • General Acute Care Hospital
  • Castle Rock, CO
  • NPI 1912249590
  Care Compare affiliation

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1104041326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 MEADOWS BLVD",
            "address_2": "SUITE 290",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098406",
            "telephone_number": "303-268-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 MEADOWS BLVD",
            "address_2": "SUITE 290",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098406",
            "telephone_number": "303-268-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHIBALD",
        "first_name": "DAVID",
        "middle_name": "JONAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "49658",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME103522",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "MD60286714",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "WA",
            "license": "MD60286714",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CO",
            "license": "DR.0053492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205455000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "14F11",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003610900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32778856",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ao Colorado PLLC
• Arapahoe Mental Health Center, Inc
• Arapahoe Mental Health Center, Inc
• Arapahoe Mental Health Center, Inc
• Arapahoe Mental Health Center, Inc
• Gabrielle Andrea Archibeque
• Rebecca Arenas-Berenstein
• Jane Lesley Arian, CMT, CRT
• Arise Therapy Group, LLP
• Armor Medical Supply

• Facial Plastic Surgery Physician in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Facial Plastic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.