Richard Michael Ackerson, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Fruita, CO
NPI 1104091438 · NPPES record last updated Sep 11, 2023
Key facts
- NPI
- 1104091438
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- DR.0048512 (CO)
- Practice address
- 300 W Ottley Ave
Fruita, CO 81521-2118 - Phone
- (970) 858-2705
- Fax
- (970) 858-9961
- NPI assigned
- Apr 28, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Hand Surgery
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
P O Box
Suite 130
Fruita, CO 81521-0130
PO Box
Suite 130
Fruita, CO 81521
Hospital & facility affiliations
- Family Health West Hospital
- Intermountain Health St. Mary'S Regional Hospital
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 |
|---|---|---|---|---|
| I20141020000845 | CO | Practitioner - Hand Surgery |
4082854559 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0048512 | CO | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lower Valley Hospital Association | Current |
Accepting new patients | |
| Lower Valley Hospital Association | Current |
Accepting new patients | |
| Lower Valley Hospital Association | Current |
Accepting new patients | |
| Lower Valley Hospital Association | Hand Surgery | Current | Accepting new patients |
Locations
300 W Ottley Ave
Fl 2
Fruita, CO 81521
300 W Ottley Ave
Fruita, CO 81521
Phone (970) 858-3900
300 W Ottley Ave
#W
Fruita, CO 81521
401 Kokopelli Blvd
Ste 1
Fruita, CO 81521
Phone (970) 858-2705
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | DR.0048512 | CO | |
| Orthopaedic Surgery Physician | 207X00000X | DR.0048512 | CO | Yes |
Addresses
Primary practice location
300 W Ottley Ave
Fruita, CO 81521-2118
Mailing address
PO Box 130
Fruita, CO 81521-0130
Phone (970) 858-2186
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | richardackerson@fhwco.cernerdirect.com | Direct |
Other providers in Fruita, CO
- Ruth Ellen Abate
- Lindsay Diane Adams
- Ak Home Care LLC
- Albers Counseling LLC
- Margaret Albers
- All About Home Care LLC
All providers in Fruita, CO · Orthopaedic 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 Sep 11, 2023. 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.