Bruce W Kornfeld, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

27691 Issued in CO

Practice address

1907 Boise Ave
Loveland, CO 80538-5016

Phone

(970) 682-3377

Fax

(970) 682-3340

NPI assigned

Jun 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WY, CO2 enrollments

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 2

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

University of Colorado School of Medicine, Denver, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sage Dermatology LLCGroup PAC ID 2365840824, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ivinson Memorial Hospital Hospital, Laramie, WY, CCN 530025

Merit-based Incentive Payment System (MIPS)

Final score

96.15 of 100Reported as group

Quality

92.3

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sage Dermatology LLC

  • Dermatology Physician
  • Loveland, CO
  • NPI 1255002101

  WY

  Medicare reassignment Care Compare group NPD
• Nephrology Clinic PC

  • Nephrology Physician
  • Laramie, WY
  • NPI 1316120991
  NPD (past)

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

• Ivinson Memorial Hospital

  • Rural Acute Care Hospital
  • Laramie, WY
  • NPI 1336289552
  Care Compare affiliation

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1326074774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 TEAKWOOD DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251959",
            "telephone_number": "970-222-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 BOISE AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805385016",
            "telephone_number": "970-682-3377",
            "fax_number": "970-682-3340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 McCollum St",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820705103",
            "country_code": "US",
            "telephone_number": "970-682-3377",
            "fax_number": "970-382-3340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORNFELD",
        "first_name": "BRUCE",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CO",
            "license": "27691",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CO",
            "license": "27691",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CO",
            "license": "27691",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113923100",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01276914",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rae Kooiker
• Travis Ryan Kooima, MD
• Jessica Kopp, MA, NCC, LPC
• Tonya Marie Korbel, FNP
• Kathy Korell-Rach, PH.D.
• Cherle Diane Koschene, D.C.
• Debbie Kost, P.T.
• David R Kouma, PHARM.D.
• Jasmine Kovach
• Amelia Kraft, DDS

• MOHS-Micrographic Surgery Physician in Loveland, CO
• Providers in Loveland, CO by specialty
• MOHS-Micrographic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.