Kevin Clifford Cavanaugh, MD

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

39322 Issued in CO

Practice address

1325 Dry Creek Dr
Suite 103
Longmont, CO 80503-7731

Phone

(720) 494-9111

Fax

(720) 494-9555

NPI assigned

Jun 28, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Loyola University of Chicago, Stritch School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Longmont United Hospital Hospital, Longmont, CO, CCN 060003
• Longs Peak Hospital Hospital, Longmont, CO, CCN 060128

Merit-based Incentive Payment System (MIPS)

Final score

97.46 of 100Reported as individual

Quality

95.38

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevincavanaugh@frofpspc.allscriptsdirect.net

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.

• Front Range Otolaryngology & Facial Plastic Surgery PC

  • Specialist
  • Longmont, CO
  • NPI 1013114230
  Medicare reassignment NPD Authorized official

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

• Longmont United Hospital

  • General Acute Care Hospital
  • Longmont, CO
  • NPI 1366465866
  Care Compare affiliation
• Longs Peak Hospital

  • General Acute Care Hospital
  • Longmont, CO
  • NPI 1154876985
  Care Compare affiliation

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1275539843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 DRY CREEK DR",
            "address_2": "SUITE 103",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037731",
            "telephone_number": "720-494-9111",
            "fax_number": "720-494-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 DRY CREEK DR",
            "address_2": "SUITE 103",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037731",
            "telephone_number": "720-494-9111",
            "fax_number": "720-494-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "KEVIN",
        "middle_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CO",
            "license": "39322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94320381",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathy O'Neil, MD, LCC
• Katherine Mae Caufield, LCSW
• Emily Cause, RN
• Shauna J Cavalli, MA
• Louis J Cavallo, DC
• Patrick R Cavanaugh, DO
• Catherine E Cavender, MD
• Caw Anesthesia, PLLC
• Celeration Management Consultants, LLC
• Centennial Womens Health

• Facial Plastic Surgery Physician in Longmont, CO
• Providers in Longmont, 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 Oct 26, 2015; 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.