Andrew Joseph Berson, MD
Individual provider Active NPI Surgery Physician · Colorado Springs, CO
NPI 1104803071 · NPPES record last updated Oct 20, 2022
Key facts
- NPI
- 1104803071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- DR.0041338 (CO)
- Practice address
- 1400 E Boulder St Ste 500
Colorado Springs, CO 80909-5533 - Phone
- (719) 364-6487
- Fax
- (719) 364-6488
- NPI assigned
- Dec 30, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 18
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Saint Louis University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Poudre Valley Medical Group LLC
Practice addresses (Care Compare)
1400 E Boulder
Suite 2410 Pre Procedure Memorial
Colorado Springs, CO 80909-5533
Phone (719) 365-6525
1400 E Boulder St
Colorado Springs, CO 80909-5533
4050 Briargate Pkwy
Colorado Springs, CO 80920-7815
4080 Briargate Pkwy
Colorado Springs, CO 80920-7815
Phone (719) 365-6800
4110 Briargate Pkwy
Suite 445
Colorado Springs, CO 80920-7839
Phone (719) 364-8840
4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260
Hospital & facility affiliations
- Uch-Memorial Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 29 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 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 |
|---|---|---|---|---|
| I20040122000645 | CO | Practitioner - General Surgery | 5991607772 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Surgery | Current | Accepting new patients |
| Poudre Valley Medical Group, LLC | Current |
Accepting new patients | |
| Memorial Health System | Surgery | Past | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
4110 Briargate Pkwy
Ste 465
Colorado Springs, CO 80920
Phone (719) 471-3930
1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120
4110 Briargate Pkwy
Ste 460
Colorado Springs, CO 80920
Phone (719) 364-6487
8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633
8890 N Union Blvd
Ste 160
Colorado Springs, CO 80920
Phone (719) 364-8840
4110 Briargate Pkwy
Ste 140
Colorado Springs, CO 80920
Phone (719) 365-7300
1400 E Boulder St
Ste 600
Colorado Springs, CO 80909
Phone (719) 364-6487
1400 E Boulder St
Ste 500
Colorado Springs, CO 80909
Phone (719) 364-6487
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | DR.0041338 | CO | Yes |
Addresses
Primary practice location
1400 E Boulder St Ste 500
Colorado Springs, CO 80909-5533
Mailing address
2695 Rocky Mountain Ave
Suite 150
Loveland, CO 80538-8702
Phone (970) 624-2412
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33352755 | Medicaid | CO |
Other providers in Colorado Springs, CO
- Savannah Berry
- Sherwanda Berry
- Joel Berscheid
- Katharine Berscheid
- Tonia Bershinsky
- Deane Shore Berson
- Bert Ys Wong, MD, LLC
- Kathryn Elizabeth Berta
- Dana A Berthiaume
- Dorothy Bertoncin
All providers in Colorado 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 Oct 20, 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.